• Sara reports she has always been sad. She lost her mom and that she has never liked Jane. When Sara was 13 a school counselor referred her to counseling because she felt that Sara was depressed. Jane thought she was trying to get her dad's attention, and John doesn't believe in counseling. He stated that it never helped Sara's mom and that Sara just needed to 'toughen' up.
• Sara fell behind in school and has recently dropped out. She is isolated and reports no friends or support system.
• Jane shared that Sara is 'useless' to help the family. Jane stated that all Sara does is eat and sleep and refuses to help anyone around the house.

You will need to review several of the resources from this week's readings to be successful in your crisis intervention and suicide assessment for this assignment: https://cssrs.columbia.edu/wp-content/uploads/Columbia_Protocol.pdfLinks to an external site. https://www.icanotes.com/2022/04/19/6-step-crisis-intervention-model-explained/Links to an external site.

Imagine you are a case worker that is continuing to work with the Smith family. You got a call from Jane Smith in a panic stating Sara has been cutting herself and is afraid she wants to hurt herself, but Sara will not talk to her about it and stays locked in her room. She shares that Sara has recently become 'worse and barely eats or showers.' She then shares blood on the sleeves of one of Sara's shirts and when she asked Sara about it, she denied anything happened but saw blood on the shirt she was wearing. You set up a time to go the Smith home to talk to Sara and conduct a suicide assessment and crisis intervention.

Each of you will take on the role of Sara and the case worker. You may add whatever detail you feel comfortable with for the role of Sara. During your mock crisis intervention please demonstrate the following three areas:

1. For the role of the case worker please demonstrate the following skills from last week including: Active listening. Use open ended questions Provide affirmations Demonstrate reflective listening by paraphrasing or reflection of what the client shares Provide a summary of the conversation

2. While you are communicating to Sara you will need to screen Sara for suicide using the Columbia Protocol and ask the questions on this scale to screen Sara for suicidal ideations. Here is the link to the questions for easy reference:

https://cssrs.columbia.edu/wp-content/uploads/Columbia_Protocol.pdfLinks to an external site.

Links to an external site.Links to an external site.3. Finally you will be conducting crisis intervention by considering and implementing the following in your conversation. Be sure to at a minimum make plans and obtain a commitment that Sara will not harm herself or make arrangements for emergency care.

• Define the problem
• Ensure Sara's safety
• Provide support
• Explore alternatives
• Make plans and
• Obtain Commitment
• Provide a reflection on how it felt to ask the Columbia Suicide Severity Scale Questions. Were you comfortable asking those questions? Why or why not?
• Provide an overall reflection in yourstrengths during the interview in addition discuss any areas of growth