Association of Social Work Boards Bachelor (ASWB) Practice Exam

When a client shares thoughts of suicide but does not have a specific plan and has a supportive network, establishing a no-suicide contract is an appropriate initial step. This contract serves as a mutual agreement between the client and the social worker. It emphasizes the commitment of the client to reach out for help if he feels his suicidal thoughts intensifying. In this context, the primary goal is to ensure the client's safety while encouraging open communication about their feelings and concerns.

This approach is beneficial because it validates the client’s feelings, allows for a discussion about the thoughts of suicide, and creates a framework for accountability. Furthermore, it highlights the importance of the client’s support system, reinforcing the idea that they are not alone in managing their feelings.

Given the situation where the client does not have a plan, hospitalization may be a drastic and unnecessary response. Contacting the client's parents could breach confidentiality and may not be appropriate if there is no immediate danger. Similarly, simply reassuring the client that their depression will decrease without a structured plan for safety could minimize the severity of their feelings and may not effectively address the risk of suicide.