What must suicidal clients accepted into treatment agree to do at a minimum?

The focus of treatment for suicidal clients is fundamentally centered on ensuring their safety and stabilizing their emotional and behavioral responses. Agreeing to reduce suicidal and self-injurious behaviors is a crucial step because it directly addresses the client's immediate risks. This agreement establishes a foundational goal in the therapeutic process, providing a clear target for both the client and the therapist to work toward during the course of treatment.

While elements such as attending sessions or notifying the therapist about self-harm thoughts are important components of treatment, the primary goal remains on the reduction of harmful behaviors. This agreement not only serves to protect the client but also aids in building the therapeutic alliance, paving the way for more profound work on underlying issues and emotional regulation skills as taught in DBT.

Establishing this commitment is essential for any effective treatment plan, as it aligns the client’s intentions with the therapeutic interventions aimed at promoting their emotional well-being.