{"id":338817,"date":"2025-12-11T05:54:00","date_gmt":"2025-12-11T05:54:00","guid":{"rendered":"https:\/\/peraltafinancing.com\/uncategorized\/when-clients-deny-being-suicidal-are-they-being-truthful\/"},"modified":"2025-12-11T05:54:00","modified_gmt":"2025-12-11T05:54:00","slug":"when-clients-deny-being-suicidal-are-they-being-truthful","status":"publish","type":"post","link":"https:\/\/fivemor.com\/?p=338817","title":{"rendered":"When Clients Deny Being Suicidal, Are They Being Truthful?"},"content":{"rendered":"<p> <br \/>\n<\/p>\n<div>\n<p>In the weeks prior to my most recent suicide attempt 11 years ago, I denied I was <a href=\"https:\/\/www.psychologytoday.com\/us\/basics\/suicide\" title=\"Psychology Today looks at suicidal\" class=\"basics-link\" hreflang=\"en\">suicidal<\/a> to anyone who asked. I was in a partial hospitalization program (PHP), and my thinking was that I needed to get back to work, and that I did not want to be admitted to the <a href=\"https:\/\/www.psychologytoday.com\/us\/basics\/psychiatry\" title=\"Psychology Today looks at psychiatric\" class=\"basics-link\" hreflang=\"en\">psychiatric<\/a> hospital\u2014which is certainly what would have happened because not only was I thinking about suicide, but I had a definitive plan and time frame.<\/p>\n<p>In their book, <a href=\"https:\/\/www.apa.org\/pubs\/books\/4317513\"><em>Secrets and Lies in Psychotherapy<\/em><\/a><a href=\"https:\/\/www.amazon.com\/Secrets-Lies-Psychotherapy-Barry-Farber\/dp\/1433830523\/ref=sr_1_1?dib=eyJ2IjoiMSJ9.7CiVReM69vsj6WFJmfKNKmDuss7QWM6xQe3FR6ndzotntIfrdf39q2V6PG5N3VAFLzWnJnXdTkscicoHl-ZiDuAP6F8yfJGh-XGjBQPyg7g.X4Q99SEorfMLAJkj1aP8xA7K0BsEdzihtjcWmLIMVKc&amp;dib_tag=se&amp;keywords=secrets+and+lies+in+psychotherapy&amp;qid=1764502421&amp;sr=8-1\">,<\/a> co-authors Barry Farber, Matt Blanchard, and Melanie Love state that concealing or hiding thoughts about suicide is the third-most-commonly reported lie that clients tell their therapists, with 31 percent of one study\u2019s respondents answering positively to this question.<\/p>\n<p>There were times when I first started working with my psychiatrist, Dr. Lev, when I was honest about my plans to die by suicide. This was around 2005 to 2007, when I had less at stake: I wasn\u2019t working and I was on Social Security Disability payments. I had fallen into a severe <a href=\"https:\/\/www.psychologytoday.com\/us\/basics\/depression\" title=\"Psychology Today looks at depression\" class=\"basics-link\" hreflang=\"en\">depression<\/a> and talk of suicide dominated our sessions. I already had a history of two previous attempts and when I started describing a detailed plan, Dr. Lev had no choice but to hospitalize me.<\/p>\n<p>How does a clinician discern when clients are telling the truth about being suicidal and when they are not? Currently, the only method we have is client self-report, including suicide screening tools such as the <a href=\"https:\/\/cssrs.columbia.edu\/the-columbia-scale-c-ssrs\/about-the-scale\/\">Columbia-Suicide Severity Rating Scale <\/a>(C-SSRS).<\/p>\n<p>Talking about suicide can be difficult. I know that when I was a client my biggest <a href=\"https:\/\/www.psychologytoday.com\/us\/basics\/fear\" title=\"Psychology Today looks at fear\" class=\"basics-link\" hreflang=\"en\">fear<\/a> was that my therapist would hospitalize me when all I wanted to do was talk about how it felt to consider suicide as an option. To have a therapist who could comprehend the difference between that and being actively suicidal, especially 40 years ago, was a gift.<\/p>\n<p>One of the enduring questions around suicide is what allows some people to cross that line from contemplation to action. For me, the final step was a confluence of feelings, the most prominent being a total loss of hope and a certainty that circumstances would not improve. And also, the feeling that I\u2019d been trying with everything I had but had failed miserably and had let all the people around me down. That I was a burden to all the people in my life, and couldn\u2019t do anything right, so they would be better off without me.<\/p>\n<p>I\u2019d wake up in the middle of the night, the sky obsidian black, and feel alone in the universe. This is when the switch in my brain flicked from off to on and I moved from thinking about suicide to acting on it. <a href=\"https:\/\/www.psychologytoday.com\/us\/basics\/loneliness\" title=\"Psychology Today looks at Loneliness\" class=\"basics-link\" hreflang=\"en\">Loneliness<\/a> and isolation served to exacerbate all the feelings that had been bouncing around in my brain and now I just wanted to get it over with.<\/p>\n<p>A recent New York Times article, <a href=\"https:\/\/www.nytimes.com\/2025\/11\/19\/well\/mind\/suicide-crisis-syndrome.html\">\u201cWhen People in Distress Deny Being Suicidal, Should They Be Believed?\u201d<\/a> discusses a proposed a new diagnostic condition called suicide crisis syndrome, or S.C.S.: \u201cSuicide crisis syndrome is considered the last of a four-state mental progression toward suicide that often begins with ongoing problems like <a href=\"https:\/\/www.psychologytoday.com\/us\/basics\/alcohol\" title=\"Psychology Today looks at alcoholism\" class=\"basics-link\" hreflang=\"en\">alcoholism<\/a> and the lingering effects of <a href=\"https:\/\/www.psychologytoday.com\/us\/basics\/child-development\" title=\"Psychology Today looks at childhood\" class=\"basics-link\" hreflang=\"en\">childhood<\/a> <a href=\"https:\/\/www.psychologytoday.com\/us\/basics\/trauma\" title=\"Psychology Today looks at trauma\" class=\"basics-link\" hreflang=\"en\">trauma<\/a>. When these issues are combined with character traits like <a href=\"https:\/\/www.psychologytoday.com\/us\/basics\/perfectionism\" title=\"Psychology Today looks at perfectionism\" class=\"basics-link\" hreflang=\"en\">perfectionism<\/a> or impulsivity as well as <a href=\"https:\/\/www.psychologytoday.com\/us\/basics\/stress\" title=\"Psychology Today looks at stressful\" class=\"basics-link\" hreflang=\"en\">stressful<\/a> life events and thoughts of being a failure and a burden, it creates a perfect storm. To be diagnosed with S.C.S., [Igor] Galynker, the director of the Suicide Prevention Research Lab at Mount Sinai in New York City, said, patients must have a \u2018persistent and intense feeling of frantic hopelessness,&#8217; in which they feel trapped in an intolerable situation.\u201d<\/p>\n<p>There is some evidence, the Times reports, that screening for S.C.S. is effective: \u201cIn 2024, Dr. Fred Miller, an emergency psychiatrist in the Chicago area, and his collaborators published <a href=\"https:\/\/www.psychiatrist.com\/wp-content\/uploads\/2025\/05\/suicide-crisis-syndrome-assessment-emergency-department-readmission-24m15320.pdf\">a study<\/a> showing that when E.R. patients were diagnosed with S.C.S., and admitted to the hospital with moderate to severe suicidal ideation, they were about 75 percent less likely to be readmitted to the hospital than patients with the same level of suicidal ideation who did not have S.C.S.\u201d<\/p>\n<p>I can see now that at least two of the times I attempted suicide, factors in my life had coalesced to form that \u201cperfect storm\u201d Galynker referred to. Issues with work, my relationship with my therapist\/psychiatrist, challenges with my <a href=\"https:\/\/www.psychologytoday.com\/us\/basics\/eating-disorders\" title=\"Psychology Today looks at eating disorder\" class=\"basics-link\" hreflang=\"en\">eating disorder<\/a> and my perfectionism, and more, all fused to confound my thoughts and feelings into an intractable sense of hopelessness.<\/p>\n<p>According to the <a href=\"https:\/\/www.cdc.gov\/suicide\/about\/index.html\">CDC<\/a>, over 49,000 people died by suicide in 2023 while 1.5 million people attempted suicide in the same year. In 2023, suicide was among the top eight leading causes of death for people ages 10-64, and was the second-leading cause of death for people ages 10-34.<\/p>\n<p>I\u2019m <a href=\"https:\/\/www.psychologytoday.com\/us\/basics\/gratitude\" title=\"Psychology Today looks at grateful\" class=\"basics-link\" hreflang=\"en\">grateful<\/a> that none of my suicide attempts were fatal. But what we\u2019re doing clearly isn\u2019t working. Suicide crisis syndrome may offer hope for improved detection and prevention.<\/p>\n<p><em><strong>If you or someone you love is contemplating suicide, seek help immediately. For help 24\/7 dial 988 for the 988 Suicide &amp; Crisis Lifeline, or reach out to the Crisis Text Line by texting TALK to 741741. To find a therapist near you, visit <\/strong><\/em><a href=\"https:\/\/www.psychologytoday.com\/us\/therapists\"><em><strong>the Psychology Today Therapy Directory.<\/strong><\/em><\/a><\/p>\n<\/p><\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>In the weeks prior to my most recent suicide attempt 11 years ago, I denied I was suicidal to anyone who asked. I was in a partial hospitalization program (PHP), and my thinking was that I needed to get back to work, and that I did not want to be admitted to the psychiatric hospital\u2014which [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":338818,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[11235,22842,163297,163298],"dealstore":[],"offerexpiration":[],"class_list":["post-338817","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-clients","tag-deny","tag-suicidal","tag-truthful"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>When Clients Deny Being Suicidal, Are They Being Truthful? - Som2ny Network<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/fivemor.com\/?p=338817\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"When Clients Deny Being Suicidal, Are They Being Truthful? - Som2ny Network\" \/>\n<meta property=\"og:description\" content=\"In the weeks prior to my most recent suicide attempt 11 years ago, I denied I was suicidal to anyone who asked. 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