Counselor Education Comprehensive Exam (CECE) Practice Exam

Which of the following situations would NOT typically require a counselor to break confidentiality?

1. Child abuse

2. Threat to others

3. Suicidal ideation

4. Domestic violence

The correct answer is: Suicidal ideation

The scenario involving suicidal ideation is often nuanced and does not inherently require a counselor to break confidentiality. Counselors are trained to assess the level of risk associated with a client’s suicidal thoughts. If the ideation does not pose an immediate risk to the individual or others, maintaining confidentiality may be appropriate. In many instances, counselors can work with the client on developing coping strategies and safety plans while keeping the information private. The emphasis is on ensuring the client feels safe in sharing their feelings, which can facilitate the therapeutic process. In contrast, situations such as child abuse, threats to others, and domestic violence typically necessitate breaking confidentiality. These scenarios involve immediate risk to a vulnerable person, to others, or a client in distress, where legal and ethical obligations compel counselors to report and intervene to ensure safety and compliance with laws.