The COVID-19 pandemic has drastically altered how mental health services are delivered, with teletherapy becoming a primary mode of service. For therapists, especially those dealing with clients experiencing suicidal ideation, navigating this new landscape can be challenging. The research article "Solution Focused Brief Therapy Telemental Health Suicide Intervention" offers valuable insights and recommendations for effectively using Solution Focused Brief Therapy (SFBT) in teletherapy to support clients in crisis.
One of the key takeaways from the research is the importance of using solution-focused language to empower clients. This involves listening to clients' narratives, selecting moments of difference, and building on their existing resources. For example, asking questions like "What are some things you could start doing now that would help remind you of your reasons for living, just a little bit?" can help clients identify their strengths and restore their sense of agency.
The article also emphasizes the need for clinicians to be mindful of their own confidence and competence in delivering teletherapy. Training and continuous professional development can help build the necessary skills to manage crisis situations effectively. Clinicians are encouraged to engage in regular training and supervision to stay updated on best practices in teletherapy and crisis intervention.
Another crucial aspect highlighted is the use of scaling questions to assess clients' emotional states and progress. For instance, asking clients to rate their current emotional state on a scale from 0 to 10 can provide valuable insights into their well-being and help in tailoring interventions accordingly. Visual tools available on telehealth platforms, such as whiteboards or screen sharing, can enhance this process.
Additionally, the research underscores the importance of creating a resource form that includes emergency contacts, nearest hospitals, and local emergency numbers. This form serves as a vital tool for both the therapist and the client to have a clear action plan in case of a crisis.
Finally, the research calls for a shift in language when discussing suicide. Using terms like "died by suicide" instead of "committed suicide" or "successful suicide" helps in reducing stigma and fostering a more hopeful and supportive therapeutic environment.
In conclusion, integrating SFBT into teletherapy can provide a structured yet flexible approach to supporting clients in crisis. By focusing on clients' strengths and resources, therapists can help clients navigate their struggles with suicide more effectively. For those interested in deepening their understanding and application of these practices, further research and training are highly recommended.
To read the original research paper, please follow this link: Solution Focused Brief Therapy Telemental Health Suicide Intervention.
