How should suicidal communications and ideation be addressed during skills training?

Focusing on how to help clients apply skills to their thoughts and feelings in the context of suicidal communications and ideation is crucial. This approach promotes safety and enhances the client's ability to manage distress and navigate their emotions effectively. In DBT, skills training aims to empower individuals to recognize and cope with their feelings, including suicidal thoughts, in a constructive manner.

Addressing these communications directly allows therapists to validate the clients' experiences and feelings while guiding them to use the specific DBT skills they have learned. For example, clients may be encouraged to utilize distress tolerance or emotion regulation skills to cope with overwhelming emotions. This not only helps in reducing the immediate risk but also fosters long-term coping strategies.

Engaging with suicidal thoughts through skill application is essential for facilitating a productive discussion about these critical issues. It helps clients feel heard and supported, while also reinforcing their ability to manage crises without resorting to harmful behaviors.