I read in a science text that it was a major flaw of professionals not to ask frequently a patient with suicidal thoughts about the current state of their suicidality. I am not sure if this is true.
I think none of my therapists ever did that. Not even when I was acute suicidal. At this time they rather observed me. But no interview or anything like that. Though interestingly I was interviewed while being acute suicidal in a clinic. They were students from college to gain experiences. I gave more or less a speech about my severe, persisting suicidality, that there is no way around suicide for me. The abuse and bullying that caused this etcs. The student who interviewed me shook with her hands after the interview and looked somewhat traumatized. (no joke). Yes they all were stunned and speechless. It was also quite crazy I was at rock bottom and dropped a lot of dark humor jokes which contributed to the mental shock (lol) my statements must have caused.
Maybe this is too off-topic. The bottom line is they barely asked about it. With psychiatrists I have the feeling they listen to suffering people all the time and get kind of bored or numb (most of them), I think some assume yes many have suicidal thoughts but as long as they don't actively plan I don't give a fuck. (not all but I had a lot of bad psychiatrists).
I was very explicit about my plans to kill myself once with my current psychiatrist. Afterwards I just kept silence about it because they atmosphere got pretty bad and a little bit hostile. She was overburdened and the negotiations for the right medication got more difficult. There were some positive aspects but personally in my situation I don't see much of a benefit to remind her because we already tried almost everything to get better. 5 clinic stays, more than 25 medication, 3 psychotherapies yada yada
So she forgot everything after some months. And I think she never ever asked for it anymore actively. And she is one of the best psychiatrists I ever have had.
I told my last psychologist (another therapist) that I am suicial on a daily basis, that I am a daily poster in a suicide forum. He once wondered that I barely speak about suicidality with him. But not that often. He did not connect the dots at all. I was not open because my last psychologist gave me up after getting fired and admitting my severe suicidality, my personal philosophy on it, the nightmarish life quality I am in etc. They concluded I gonna kill myself eventually and there is nothing we could make against that. The story is slightly more complicated but I elaborated on it like a thousand of times on here.
Two therapists gave me up which made me pretty hesitant to be fully honest, transparent and open towards them.
It is kind of weird barely anyone checked that and even when my answer was very superficial and easy to see through they never questioned it and simply accepted it.
Acute suicidal they were more careful but they trusted me enough for staying in an open clinic.
Do your therapists actively ask about it? Personally I have the feeling they cling to the old (and false) myth asking about it might make it worse. Or they are just so numb about hearing all the pain? Maybe this is an injustified judgement. Maybe I got bad apples or have wrong memories. They sometimes talked about it a little bit. Maybe my judgement is distorterd because I think about suicide every single for hours even when i am in a good condition. And their question once in while seems to be like a joke for me. I don't have the feeling many have this policy to regularly assess the suicidality of one'e patient carefully. Maybe the "carefully" is the problem with these considerations.
I think none of my therapists ever did that. Not even when I was acute suicidal. At this time they rather observed me. But no interview or anything like that. Though interestingly I was interviewed while being acute suicidal in a clinic. They were students from college to gain experiences. I gave more or less a speech about my severe, persisting suicidality, that there is no way around suicide for me. The abuse and bullying that caused this etcs. The student who interviewed me shook with her hands after the interview and looked somewhat traumatized. (no joke). Yes they all were stunned and speechless. It was also quite crazy I was at rock bottom and dropped a lot of dark humor jokes which contributed to the mental shock (lol) my statements must have caused.
Maybe this is too off-topic. The bottom line is they barely asked about it. With psychiatrists I have the feeling they listen to suffering people all the time and get kind of bored or numb (most of them), I think some assume yes many have suicidal thoughts but as long as they don't actively plan I don't give a fuck. (not all but I had a lot of bad psychiatrists).
I was very explicit about my plans to kill myself once with my current psychiatrist. Afterwards I just kept silence about it because they atmosphere got pretty bad and a little bit hostile. She was overburdened and the negotiations for the right medication got more difficult. There were some positive aspects but personally in my situation I don't see much of a benefit to remind her because we already tried almost everything to get better. 5 clinic stays, more than 25 medication, 3 psychotherapies yada yada
So she forgot everything after some months. And I think she never ever asked for it anymore actively. And she is one of the best psychiatrists I ever have had.
I told my last psychologist (another therapist) that I am suicial on a daily basis, that I am a daily poster in a suicide forum. He once wondered that I barely speak about suicidality with him. But not that often. He did not connect the dots at all. I was not open because my last psychologist gave me up after getting fired and admitting my severe suicidality, my personal philosophy on it, the nightmarish life quality I am in etc. They concluded I gonna kill myself eventually and there is nothing we could make against that. The story is slightly more complicated but I elaborated on it like a thousand of times on here.
Two therapists gave me up which made me pretty hesitant to be fully honest, transparent and open towards them.
It is kind of weird barely anyone checked that and even when my answer was very superficial and easy to see through they never questioned it and simply accepted it.
Acute suicidal they were more careful but they trusted me enough for staying in an open clinic.
Do your therapists actively ask about it? Personally I have the feeling they cling to the old (and false) myth asking about it might make it worse. Or they are just so numb about hearing all the pain? Maybe this is an injustified judgement. Maybe I got bad apples or have wrong memories. They sometimes talked about it a little bit. Maybe my judgement is distorterd because I think about suicide every single for hours even when i am in a good condition. And their question once in while seems to be like a joke for me. I don't have the feeling many have this policy to regularly assess the suicidality of one'e patient carefully. Maybe the "carefully" is the problem with these considerations.
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