SUICIDAL IDEATION 353 C. The client was encouraged to share his/her feelings in order to reduce their intensity. D. The client w as supported as he/she vented his/her emotions and reported decreased suicidal ideation. E. The client continues to be very cautious about expressing his/her emotions and was encouraged to do this at his/her own pace. 27. Identify the Emotional Effects o f Mental Illness Symptoms ( 27) A. The client was encouraged to identify the hallucinations and delusions that he/she experiences as a symptom of his/her mental illness. B. The client was reminded that the emotional reaction that he/she experiences due to the hallucinations and delusions is not reality-based. C. The client acknowledged that his/her hallucinations and delusions are symptoms of his/her mental illness, and the decreased emotional reaction that he/she experiences was processed. D. The client maintains his/her hallucinations and delusions as being based in reality, continues to experience severe emotional reactions, and was provided with additional feedback. 28. Label Suicidal Behavior as Avoidance of Transient Emotions ( 28) A. The client wa s presented with the concept of suicidal behavior as an avoidance of emotional pain. B. The client was focused on the passing nature and changing severity of his/her painful emotions. C. The client's experience was reviewed to identify his/her own use of suicidal behavior as an avoidance of emotional pain. D. The client accepted that his/her suicidal behavior was his/her technique to avoid emotional pain, and alternative options were developed. E. The client acknowledged that his/her negative emotions a re transient in nature, and he/she was urged to tolerate the pain of these passing negative emotions. F. The client denied his/her suicidal behavior as an avoidance of emotional pain and was given additional feedback regarding this concept. G. The client refused to accept that his/her negative emotions are transient in nature and was provided with additional feedback in this area. 29. Externalize Suicidal Ideation ( 29) A. The client was assisted in externalizing his/her suicidal ideation. B. Emphasis w as placed on the use of suicidal impulses as a warning sign that other issues need to be addressed. C. As the client identified his/her suicidal ideation as a warning sign, he/she has become more focused on the underlying issues and was provided with assi stance in processing these. D. The client tends to deny and avoid his/her underlying issues and was encouraged to address these as he/she is able to do so. 30. Provide Clear Directives (3 0) A. The client was provided with behavioral directives in a clea r, straightforward manner. B. The client was assisted in distinguishing between psychotic hallucinations/delusions and reality through the use of clear, straightforward information. C. Philosophical discussions or “why” questions were avoided. 