SUICIDAL IDEATION 355 C. As the client has decompensated into a suicidal state, his/her letter about how positive and healthy his/her life can be was read to him/her. D. The clie nt was assisted in processing the letter from himself/herself in a more positive time, and his/her suicidal ideation has diminished. E. The client remains suicidal, despite the use of his/her own positive letter, and he/she was provided with additional su pport. 36. Develop Lists about Why to Go On ( 36) A. The client was asked to focus on the positive aspects of his/her life. B. The client was asked to develop a list of reasons why he/she should go on living. C. The client's list of positive aspects of his/her life and why he/she should go on living was processed. D. The client has failed to develop a list of positive aspects of his/her life and why he/she should go on living, and he/she was provided with additional feedback, support, and supervision. 37. Take the Reasons for Living Scale ( 37) A. The client was requested to take the Reasons for Staying Alive When You Are Thinking of Killing Yourself: Reasons for Living Scale (Linehan). B. The client's Reasons for Living Scale results were processed wi th him/her. C. The client has developed a more hopeful attitude as a result of taking the Reasons for Living Scale, and this was processed. D. The client has not developed a very hopeful attitude despite using the Reasons for Living Scale, and he/she was provided with additional feedback on this support and supervision. 38. Refer to a Support or Advocacy Group ( 38) A. The client was referred to a support group for individuals with severe and persistent mental illness. B. The client has attended the sup port group for individuals with severe and persistent mental illness, and the benefits of this support group were reviewed. C. The client reported that he/she has not experienced any positive benefit from using a support group but was encouraged to contin ue to attend. D. The client was encouraged to become involved in local awareness and advocacy groups and functions. E. The client's involvement in local awareness and advocacy groups was processed. F. The client has not used the support group or advocac y group for individuals with severe and persistent mental illness and was redirected to do so. 39. Assess/Treat Substance Abuse ( 39) A. The client was evaluated for his/her use of substances, the severity of his/her substance abuse, and treatment needs a nd options. B. The client was referred to a clinician who is knowledgeable in both substance abuse and severe and persistent mental illness treatment in order to assess accurately his/her substance abuse concerns and treatment needs. C. The client was co mpliant with the substance abuse evaluation, and the results of the evaluation were discussed with him/her. 