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195.6.Insure that your adult client is not left alone and does not have any opportunity to harm another person prior to turning the client over to his or her significant person.196.7.Contact a significant person in your adult client’s life and explain that you believe his or her relative, partner, or friend may be at risk for suicide and give specific details thatled to your concern. Insist that the significant person come to pick up the client immediately.197.8.If a significant person cannot be found, make sure your adult client is under the supervision of a responsible person until a significant person is located. 198.9.If you cannot contact a significant person and if it is impossible to keep your adult client safe for an extended period of time, call an ambulance and have the client transported to a hospital that has psychiatric services. If you are not in an independent private practice, be sure to inform your supervisor and obtain his or her permission and support for taking this action. If your supervisor directs you takea different course of action, do so and document in your case notes what you were told and did. Give the ambulance attendant your contact information and offer to speak with the person at the hospital who will be conducting the evaluation, if requested to do so. Continue to attempt to contact the client’s significant person.199.10.When you talk to the significant person, ask him or her to take possession and responsibility immediately for your adult client.200.Theodore P. Remley, Jr., JD, PhD, LPC, LMFT ∞ Our Lady of Holy Cross College ∞ New Orleans, Louisiana ∞[email protected]∞Page 32
11.When the significant person arrives, explain to him or her that you believe that your adult client may be at risk for suicide, give specific details that led to your concern, instruct the significant person of what he or she should do next, and ask that a document be signed that acknowledges that the significant person has been informed of your concerns, has been given directions of steps to take next, and has agreed to take responsibility for your client.201.12.Also, have the adult client sign a form giving you permission to disclose any information you have to mental health professionals who may evaluate or treat him or her in thefuture. If the client refuses or is not capable of signing the form, ask the family member of significant person to sign on your client’s behalf.202.13.Explain to the significant person that he or she must insure that your adult client is not left alone, does not have any opportunities to harm himself or herself, and is taken for an evaluation as soon as possible to determine whether the client is at risk for suicide.203.14.If a significant person refuses to sign the document or communicates to you in some waythat he or she will not take the situation seriously, call an ambulance and follow the steps in item 9 above.