If a client confides suicidal thoughts and requests confidentiality, what should the professional do?

When a client expresses suicidal thoughts, it is crucial for the professional to understand that confidentiality can be overridden when there is a risk of harm to the client or others. The correct action involves informing a supervisor or another appropriate authority. This step is essential because it allows for a more comprehensive assessment of the situation and ensures that the client receives the necessary interventions and support. Mental health and safety take precedence in these circumstances, and professionals are trained to handle such disclosures responsibly by reporting them to ensure the well-being of the client.

Respecting a client's wishes for confidentiality, advising them to seek therapy, or disregarding their statements can lead to dangerous outcomes for the client and even others around them. Therefore, consulting with a supervisor is not only the correct ethical response but also aligns with professional responsibilities to protect individuals in crisis.