SUICIDAL IDEATION 351 D. The client denied that his/her problems are temporary and does not see his/her way out of his/her current emotions; additional support, encouragement, and supervision were provided. 17. Discourage Denial of Suic idal Thoughts ( 17) A. The client was discouraged from disregarding or denying suicidal ideation. B. The client was reminded that disregarding or denying suicidal ideation generally leads to increased suicidal thoughts. C. The client was supported as he/ she talked openly and honestly about his/her suicidal ideation. D. It is suspected that the client is continuing to deny his/her suicidal ideation, and he/she was encouraged to be more open and honest. 18. Acknowledge Control of Suicidal Activity ( 18) A. The fact that the client is ultimately in control of his/her suicidal activity was acknowledged. B. The client's idea of suicide as an inadequate solution to stressors that he/she temporarily views as intolerable was reinforced. C. The client was suppo rted as he/she acknowledged that he/she is the one ultimately in control of his/her suicidal activity. D. The client tends to downplay his/her final responsibility for controlling his/her suicidal activity and was provided with additional direction in thi s area. 19. Provide Information about Treatment Options ( 19) A. The client's caregivers, friends, and family were provided with information about available treatment options. B. The client's family members were provided with feedback based on their conc erns for him/her. 20. Provide Information about Suicidal Ideation/Concerns (2 0) A. An appropriate authorization to release confidential information was obtained in order to advise the client's family, friends, and caregivers about his/her specific suicid al ideation/concerns. B. Because the client's crisis state meets the legal requirement for breaking confidentiality to preserve life, information was provided to the client's family, friends, or caretakers without a written release of information. C. The client's family members were reinforced for providing increased supervision and assistance to him/her as a result of being given additional information regarding his/her suicidal ideation. 21. Structure a Calm Environment (2 1) A. The client's family or caregivers were directed to structure his/her environment in order to reduce the level of stimulation. B. The agitated client was reassured about his/her safety and how the clinicians, family, and caregivers care about him/her. C. As the client was provi ded with a calm environment and reassurance that he/she will be cared for, his/her level of agitation and psychosis has decreased. D. Additional intervention was provided because the client remained quite agitated and continued to display symptoms of psyc hosis despite the more structured environment and support. 