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September 02, 2010


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Solutions Therapy

I was surprised to see that gatekeeper skills improved from 10% to 54% post training. I think it is important that we remove the fear of talking about suicidal thoughts and feelings openly. However, it concerns me that rarely is the effect of the client's determination to commit suicide referenced. If a client has seriously made up their mind to commit suicide no amount of gatekeeping will ultimately prevent them from doing so. I think it is important to warn gatekeepers of the potential of clients to commit suicide despite intervention.

I'd love to hear any feedback you might have regarding my post on this at:


P.S. I'd never heard of EarthWatch and have been looking for something like that. Thanks!

Romeo  Vitelli

Thanks for commenting. Gatekeepers need to recognize that they are on the front lines as far as preventing suicide is concerned. All too frequently, there are no other resources available to the suicidal patient. The very fact that the suicidal patient is talking about suicidal thoughts at all suggests that a window of opportunity exists for intervention. The truly determined suicides simply go ahead and kill themselves without any warning signs at all.

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