How frequently should suicide risk be re-assessed in clients with a history of attempts?

The most appropriate frequency for re-assessing suicide risk in clients with a history of attempts is during each session. This approach aligns with the principles of safety and continuity in care, particularly for individuals who have demonstrated previous suicidal behavior. Regular assessment helps ensure that any changes in a client's mental state, stressors, or coping mechanisms are promptly identified and addressed.

Consistently evaluating suicide risk allows therapists to respond quickly to emerging issues, support clients effectively, and adapt treatment plans as necessary. This proactive stance not only fosters a greater sense of safety for the client but also reinforces the therapeutic alliance by demonstrating the clinician's commitment to their well-being.

In contrast, less frequent assessments, such as once a year or every two years, may overlook significant changes in the client's situation that could jeopardize their safety. Relying on assessment only during crises can lead to delayed responses when clients may be at risk but not actively in crisis at that moment. Regular evaluation is essential for managing ongoing risk factors effectively and providing the best quality of care.