Counselor Education Comprehensive Exam (CECE) Practice Exam

Counselors should assess which of the following when they believe a client might be suicidal:

1. whether the client has a plan

2. whether the client has a means for carrying out the plan

3. whether the plan is specific, detailed, and plausible

4. all of the above

The correct answer is: all of the above

When evaluating a client for suicidal risks, it is crucial for counselors to conduct a comprehensive assessment that includes multiple factors. Assessing whether the client has a plan is vital because it provides insight into the seriousness of the suicidal ideation. A well-formed plan indicates a higher risk level, as it suggests that the individual has contemplated the act and has steps in place to execute it. In addition to understanding the existence of a plan, it is equally important to determine whether the client has access to means of carrying out that plan. Means can range from medications to firearms or other methods, and access to these increases the immediacy and likelihood of a suicide attempt. Furthermore, evaluating the specifics of the plan—including its detail, feasibility, and the context in which it was developed—offers critical information about the level of risk. A specific, detailed, and plausible plan reflects a greater intent and should be taken seriously in risk assessments. Therefore, the counselor's assessment should encompass all these elements to ensure a thorough understanding of the client's mental state and the risk they may pose to themselves. This holistic approach is essential in making informed decisions regarding safety planning and interventions.