 346 SUICIDAL IDEATION CLIENT PRESENTATION 1. Death Preoccupation (1) * A. The client reported recurrent thoughts of his/her own death. B. The intensity and frequency of the recurrent thoughts of death have diminished. C. The client reported no longer having thoughts of his/her own death. 2. Auditory Command Hallucinations (2) A. The client described his/her experience of auditory hallucinations that direct him/her to harm himself/herself. B. The client described difficulty resisting the command hallucinat ions to harm himself/herself. C. The client's reality orientation is significantly impaired, and he/she believes that he/she must act on the command hallucinations to harm himself/herself. D. As the client's severe and persistent mental illness symptoms have stabilized, his/her command hallucinations have decreased in intensity and frequency. E. The client no longer experiences suicide command hallucinations. 3. Suicidal Ideation without a Plan (3) A. The client reported experiencing recurrent suicidal ideation, but denied having any specific plan to implement suicidal urges. B. The frequency and intensity of the suicidal urges has diminished. C. The client stated that he/she has not experienced any recent suicidal ideation. D. The client stated that he/she no longer has any interest in causing harm to himself/herself. 4. Suicidal Ideation with a Plan (4) A. Although the client acknowledged that he/she has developed a suicide plan, he/she indicated that his/her suicidal urge is controllable, and he/ she promised not to implement such a plan. B. Because the client had a specific suicide plan and strong suicidal urges, he/she willingly submitted to a supervised psychiatric facility and more intensive treatment. C. The client stated that his/her suicid al urges have diminished, and he/she has no interest in implementing any specific plan for suicide. D. The client reported experiencing ongoing suicidal ideation and has developed a specific plan for suicide. E. The client reported no suicidal urges. 5. Recent Suicide Attempt (5) A. The client has made a suicide attempt within the last 24 hours. B. The client has made a suicide attempt within the last week. * The numbers in parentheses correlate to the number of t he Behavioral Definition statement in the companion chapter with the same title in The Severe and Persistent Mental Illness Treatment Planner, 2nd ed. (Berghuis and Jongsma) by John Wiley & Sons, 2008. 