The situation
Client is extremely suicidal but denies imminent status. Has a plan but won’t divulge. Client is threatening to end therapy because “doesn’t see the point”. Does the clinician give in to the client’s wishes and end therapy?
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midnightdemons7 
Definitely predicated on the strength of the relationship between client and therapist. If I felt a strong relationship I would challenge this perception a little bit more. If this were a new client to me I would respect space, offer some alternatives (peer supports, groups, etc..) and educate about what I am seeing that concerns me. Other risk factors might also come into play (gun access, history of suicide, recent losses/stressors, other changes in mental status, physical health etc.. ). Sight unseen it would hard for me to determine of hospitalization is needed. Indeed a very complex issue for both client and therapist. Sean
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