If the client has a history of suicidal ideation you should assess for SI every session. Which guideline best matches this practice?

• A. At intake only
• B. Every session
• C. Only when risk factors change
• D. Never after initial evaluation

Answer: (B)

Ongoing risk assessment is essential because suicidal ideation and danger can change rapidly, especially when there’s a history of ideation. Checking in for SI at every session ensures you detect any escalation in intent, planning, or means and allows you to update the safety plan, coordinate care, and provide immediate crisis resources if needed. Doing this only at intake misses new risk that emerges later; waiting until risk factors change assumes risk stays the same unless something new appears, which isn’t reliable in practice. Skipping assessment after the initial evaluation leaves a client vulnerable during gaps between sessions. Regularly asking about SI in each session normalizes the topic, encourages disclosure, and supports timely intervention.