“It is never okay to talk about suicide”: Patients’ reasons for concealing suicidal ideation in psychotherapy
Abstract
Objective: To identify psychotherapy clients’ motives for concealing suicidal ideation from their therapist, and their perceptions of how their therapists could better elicit honest disclosure. Method: A sample of 66 psychotherapy clients who reported concealing suicidal ideation from their therapist provided short essay responses explaining their motives for doing so and what their therapist could do to help them be more honest. Content analysis was used to identify major motives and themes in these responses. Results: Seventy percent of suicidal ideation concealers cited fear of unwanted practical impacts outside therapy as the reason they did not disclose. Chief among these unwanted impacts was involuntary hospitalization, a perceived outcome of disclosing even mild suicidal thoughts. Less concrete motives for concealment, such as shame or embarrassment, were significant but secondary concerns. Nearly half of suicide-concealing clients said they would be more honest only if the threat of hospitalization was somehow reduced or controlled. Conclusion: Fostering disclosure of suicidal ideation in therapy may require renewed attention to providing transparent, comprehensive, and easy-to-understand psychoeducation about the triggers for hospitalization and other interventions. Clients make risk-benefit calculations about whether to disclose suicidal ideation, but may operate with exaggerated or inaccurate ideas about the consequences of disclosure.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Subjective reporting of suicidal states has raised concerns about the reliability and validity of such methods, particularly when used in isolation.
“Various issues surrounding the subjective reporting of suicidal states have recently generated concerns about the reliability and validity of such methods, particularly when used in isolation (Blanchard & Farber, 2020; Hom et al., 2017; Maple et al., 2020).”
From Toward objective characterizations of suicide risk: A narrative review of laboratory-based cognitive and behavioral tasks (2023) · cites this paper as Blanchard & Farber, 2020
Almost half of patients who conceal STBs in therapy would have responded more honestly without the threat of hospitalization.
“One study found that almost half of patients who conceal STBs in therapy would have responded more honestly without the threat of hospitalization (Blanchard & Farber, 2020).”
From Toward objective characterizations of suicide risk: A narrative review of laboratory-based cognitive and behavioral tasks (2023) · cites this paper as Blanchard & Farber, 2020
Fear of involuntary hospitalization is among the most cited reasons for concealing or minimizing STBs.
“as a key example, fear of involuntary hospitalization is among the most cited reasons for concealing or minimizing STBs (Blanchard & Farber, 2020; Hom et al., 2017; Ganzini et al., 2013).”
From Toward objective characterizations of suicide risk: A narrative review of laboratory-based cognitive and behavioral tasks (2023) · cites this paper as Blanchard & Farber, 2020
Negative views of inpatient psychiatric care and fear of being hospitalized may compel suicidal patients to not be forthright with their clinical provider about their suicidal thoughts.
“there is evidence that negative views of inpatient psychiatric care and fear of being hospitalized may compel suicidal patients to not be forthright with their clinical provider about their suicidal thoughts [18].”
From One Size Does Not Fit All: A Comprehensive Clinical Approach to Reducing Suicidal Ideation, Attempts, and Deaths (2019) · cites this paper as [18]
Cites
The Coding Manual for Qualitative Researchers
Saldaña, J. (2025) · SAGE Publications Ltd eBooks · doi:10.4135/9781036235611 · Cited by 19,156 · see citing works
The Content Analysis Guidebook
Neuendorf, K. A. (2017) · doi:10.4135/9781071802878 · Cited by 9,286 · cited 2× · see citing works
“As described by Neuendorf (2002), coder training was an iterative process in which coders were trained on the codebook, attempted to code sample data, and offered feedback and revisions to the codebook itself.”
BackgroundMethodRisk factors for suicidal thoughts and behaviors: A meta-analysis of 50 years of research
Franklin, J. C., Ribeiro, J. D., Fox, K. R., Bentley, K. H., Kleiman, E. M., Huang, X., Musacchio, K. M., Jaroszewski, A. C., Chang, B. P., & Nock, M. K. (2017) · Psychological Bulletin · doi:10.1037/bul0000084 · Cited by 3,784 · see citing works
Cross-national prevalence and risk factors for suicidal ideation, plans and attempts
Nock, M. K., Borges, G., Bromet, E. J., Alonso, J., Angermeyer, M., Beautrais, A., Bruffaerts, R., Chiu, W. T., de Girolamo, G., Gluzman, S., et al. (2008) · British Journal of Psychiatry · doi:10.1192/bjp.bp.107.040113 · Cited by 2,654 · see citing works
Evaluation of a behavioral measure of risk taking: The balloon analogue risk task (BART)
Lejuez, C. W., Read, J. P., Kahler, C. W., Richards, J. B., Ramsey, S. E., Stuart, G. L., Strong, D. R., & Brown, R. A. (2002) · Journal of Experimental Psychology: Applied · doi:10.1037/1076-898x.8.2.75 · Cited by 2,336 · see citing works
The Three-Step Theory (3ST): A New Theory of Suicide Rooted in the “Ideation-to-Action” Framework
Klonsky, E. D., & May, A. M. (2015) · International Journal of Cognitive Therapy · doi:10.1521/ijct.2015.8.2.114 · Cited by 1,799 · see citing works
Klonsky, E. D., & May, A. M. (2014) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12068 · Cited by 740 · see citing works
The integrated motivational-volitional model of suicidal behavior
O’Connor, R. C. (2011) · Crisis · doi:10.1027/0227-5910/a000120 · Cited by 491 · see citing works
New data on the nature of suicidal crises in college students: Shifting the paradigm.
Drum, D. J., Brownson, C. B., Denmark, A. B., & Smith, S. E. (2009) · Professional Psychology Research and Practice · doi:10.1037/a0014465 · Cited by 485 · see citing works
Hom, M. A., Stanley, I. H., & Joiner, T. E. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.05.006 · Cited by 462 · see citing works
The Interpersonal Theory of Suicide: Guidance for Working with Suicidal Clients
Joiner, T. E., Orden, K. V. V., Witte, T., & Rudd, M. (2009) · American Psychological Association eBooks · doi:10.1037/11869-000 · Cited by 417 · see citing works
(2006) · Cited by 392 · see citing works
Advances in the assessment of suicide risk
Bryan, C. J., & Rudd, M. D. (2005) · Journal of Clinical Psychology · doi:10.1002/jclp.20222 · Cited by 322 · see citing works
Real-time assessment of suicidal thoughts and behaviors
Kleiman, E. M., & Nock, M. K. (2018) · Current Opinion in Psychology · doi:10.1016/j.copsyc.2017.07.026 · Cited by 239 · see citing works
Morrison, L. L., & Downey, D. L. (2000) · Cultural Diversity & Ethnic Minority Psychology · doi:10.1037/1099-9809.6.4.374 · Cited by 235 · see citing works
Hill, C. E., Thompson, B. J., Cogar, M. C., & Denman, D. W. (1993) · Journal of Counseling Psychology · doi:10.1037/0022-0167.40.3.278 · Cited by 215 · see citing works
Managing Suicidal Risk: A Collaborative Approach
Jacobs, D. G. (2007) · Psychiatric Services · doi:10.1176/appi.ps.58.9.1232-a · Cited by 173 · see citing works
Self-Disclosure in Psychotherapy
Kottsieper, P. (2017) · The SAGE Encyclopedia of Abnormal and Clinical Psychology · doi:10.4135/9781483365817.n1209 · Cited by 157 · see citing works
Trust is the basis for effective suicide risk screening and assessment in veterans
Ganzini, L., Denneson, L. M., Press, N., Bair, M. J., Helmer, D. A., Poat, J., & Dobscha, S. K. (2013) · Journal of General Internal Medicine · doi:10.1007/s11606-013-2412-6 · Cited by 149 · see citing works
Hom, M. A., Stanley, I. H., Podlogar, M. C., & Joiner, T. E. (2017) · Journal of Clinical Psychology · doi:10.1002/jclp.22440 · Cited by 131 · see citing works
Self-Disclosure in Psychotherapy
(2007) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e318126bc89 · Cited by 131 · see citing works
Clients' secret keeping in outpatient therapy.
Kelly, A. E. (1998) · Journal of Counseling Psychology · doi:10.1037/0022-0167.45.1.50 · Cited by 122 · see citing works
Shea, S. C. (1999) · Cited by 113 · see citing works
Blanchard, M., & Farber, B. A. (2015) · Counselling Psychology Quarterly · doi:10.1080/09515070.2015.1085365 · Cited by 111 · see citing works
Self-citationDisclosure as a speech act: Is it psychotherapeutic to disclose?
Stiles, W. B. (1995) · American Psychological Association eBooks · doi:10.1037/10182-004 · Cited by 95 · see citing works
The Prediction of Suicide: Why Is It so Difficult?
Murphy, G. E. (1984) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1984.38.3.341 · Cited by 77 · see citing works
Disclosure to therapists: What is and is not discussed in psychotherapy
Farber, B. A., & Hall, D. A. (2002) · Journal of Clinical Psychology · doi:10.1002/jclp.1148 · Cited by 75 · see citing works
Self-citationHow do healthcare professionals interview patients to assess suicide risk?
McCabe, R., Sterno, I., Priebe, S., Barnes, R., & Byng, R. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1212-7 · Cited by 73 · see citing works
Suicide Risk: The Formulation of Clinical Judgement
Maltsberger, J. T. (1986) · Medical Entomology and Zoology · Cited by 72 · see citing works
Suicide Risk: The Formulation of Clinical Judgment
Pfeffer, C. R. (1987) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.1987.41.2.309 · Cited by 62 · see citing works
Family physicians and the risk of suicide in the depressed elderly
Stoppe, G., Sandholzer, H., Huppertz, C., Duwe, H., & Staedt, J. (1999) · Journal of Affective Disorders · doi:10.1016/s0165-0327(98)00149-9 · Cited by 61 · see citing works
Psychotherapists' perceptions of stressful patient behavior.
Farber, B. A. (1983) · Professional Psychology Research and Practice · doi:10.1037/0735-7028.14.5.697 · Cited by 61 · see citing works
Self-citation“This is a question we have to ask everyone”: asking young people about self‐harm and suicide
O’Reilly, M. J., Kiyimba, N., & Karim, K. (2016) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/jpm.12323 · Cited by 58 · see citing works
College Students' Reasons for Concealing Suicidal Ideation
Denmark, A. B., Hess, E. A., & Becker, M. A. S. (2012) · Journal of College Student Psychotherapy · doi:10.1080/87568225.2012.659158 · Cited by 55 · see citing works
Client concealment and disclosure of secrets in outpatient psychotherapy
Baumann, E. C., & Hill, C. E. (2015) · Counselling Psychology Quarterly · doi:10.1080/09515070.2015.1023698 · Cited by 39 · see citing works
Secrets and lies in psychotherapy.
Farber, B. A., Blanchard, M., & Love, M. (2019) · American Psychological Association eBooks · doi:10.1037/0000128-000 · Cited by 27 · see citing works
Self-citationThe therapist and the suicidal patient.
Jobes, D. A., & Ballard, E. D. (2010) · American Psychological Association eBooks · doi:10.1037/12303-003 · Cited by 26 · see citing works
The management of suicidality: assessment and intervention.
Welton, R. S. (2007) · PubMed Central · Cited by 23 · see citing works
Patterns of self-disclosure in psychotherapy and marriage.
Farber, B. A., & Sohn, A. (2007) · Psychotherapy · doi:10.1037/0033-3204.44.2.226 · Cited by 23 · see citing works
Self-citationElder, A. (2005) · Psychiatry · doi:10.1383/psyt.4.5.24.65107 · Cited by 13 · see citing works
Structured Assessment Methods May Improve Suicide Prevention
Mays, D. (2004) · Psychiatric Annals · doi:10.3928/0048-5713-20040501-17 · Cited by 10 · see citing works
Miller, M. C. (2000) · Psychiatric Services · doi:10.1176/appi.ps.51.8.1056-a · Cited by 7 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Bloch-Elkouby, S., Barzilay, S., Gorman, B. S., Lawrence, O. C., Rogers, M. L., Richards, J., Cohen, L. J., Johnson, B. N., & Galynker, I. (2021) · Journal of Affective Disorders · doi:10.1016/j.jad.2021.08.048 · Cited by 72 · see citing works
Maple, M., Frey, L. M., McKay, K., Coker, S., & Grey, S. (2020) · Archives of Suicide Research · doi:10.1080/13811118.2019.1658671 · Cited by 64 · see citing works
Huggett, C., Gooding, P. A., Haddock, G., Quigley, J., & Pratt, D. (2022) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2726 · Cited by 55 · see citing works
Obegi, J. H. (2021) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2021.07.009 · Cited by 55 · see citing works
Jobes, D. A., & Chalker, S. A. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16193606 · Cited by 52 · see citing works
Integrating a functional view on suicide risk into idiographic statistical models
Kaurin, A., Dombrovski, A. Y., Hallquist, M. N., & Wright, A. G. C. (2021) · Behaviour Research and Therapy · doi:10.1016/j.brat.2021.104012 · Cited by 53 · see citing works
Non-disclosure of suicidal ideation in psychiatric inpatients: Rates and correlates
Høyen, K. S., Solem, S., Cohen, L. J., Prestmo, A., Hjemdal, O., Vaaler, A. E., GALYNKER, I. I., & Torgersen, T. (2021) · Death Studies · doi:10.1080/07481187.2021.1879317 · Cited by 51 · see citing works
Wyllie, J. M., Robb, K. A., Sandford, D. M., Etherson, M. E., Belkadi, N., & O’Connor, R. C. (2025) · BJPsych Open · doi:10.1192/bjo.2024.857 · Cited by 53 · see citing works
Gicquelais, R. E., Jannausch, M. L., Bohnert, A. M., Thomas, L., Sen, S., & Fernandez, A. C. (2020) · Drug and Alcohol Dependence · doi:10.1016/j.drugalcdep.2020.108041 · Cited by 44 · see citing works
The interplay between psychopathological symptoms: transdiagnostic cross-lagged panel network model
Chavez‐Baldini, U., Verweij, K. J. H., Beurs, D. P. D., Bockting, C., Lok, A., Sutterland, A. L., van Rooijen, G., van Wingen, G. A., Denys, D. A. J. P., Vulink, N. C. C., et al. (2022) · BJPsych Open · doi:10.1192/bjo.2022.516 · Cited by 39 · see citing works
White, J. H., & Morris, J. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16183236 · Cited by 36 · see citing works
Disclosure of Self-Injurious Thoughts and Behaviors Across Sexual and Gender Identities
Burke, T. A., Bettis, A. H., Barnicle, S. C., Wang, S. B., & Fox, K. R. (2021) · PEDIATRICS · doi:10.1542/peds.2021-050255 · Cited by 35 · see citing works
Social and Circadian Rhythm Dysregulation and Suicide: A Systematic Review and Meta-Analysis
Walsh, R., Maddox, M. A., Smith, L., Liu, R. T., & Alloy, L. B. (2024) · Neuroscience and Biobehavioral Reviews · doi:10.1016/j.neubiorev.2024.105560 · Cited by 28 · see citing works
The role of suicide ideation in assessing near-term suicide risk: A machine learning approach
McMullen, L., Parghi, N., Rogers, M. L., Yao, H., Bloch-Elkouby, S., & Galynker, I. (2021) · Psychiatry Research · doi:10.1016/j.psychres.2021.114118 · Cited by 30 · see citing works
Mirza, S. A., Docherty, A. R., Bakian, A. V., Coon, H. H., Soares, J. C., Walss‐Bass, C., & Fries, G. R. (2022) · American Journal of Medical Genetics Part B Neuropsychiatric Genetics · doi:10.1002/ajmg.b.32917 · Cited by 32 · see citing works
Artificial intelligence for suicide assessment using Audiovisual Cues: a review
Dhelim, S., Chen, L., Ning, H., & Nugent, C. (2022) · Artificial Intelligence Review · doi:10.1007/s10462-022-10290-6 · Cited by 33 · see citing works
Bloch-elkouby, S., Zilcha-Mano, S., Rogers, M. L., Park, J. Y., Manlongat, K., Krumerman, M., & Galynker, I. (2022) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13511 · Cited by 22 · see citing works
Factors associated with professional mental health service use among adults with suicidal ideation
Batterham, P. J., Calear, A. L., Reily, N. M., Tang, S., Han, J., & Christensen, H. M. (2022) · Journal of Affective Disorders · doi:10.1016/j.jad.2022.04.013 · Cited by 26 · see citing works
Hart, C. L., Barnett, M., & Curtis, D. A. (2024) · Counselling and Psychotherapy Research · doi:10.1002/capr.12767 · Cited by 25 · see citing works
Richards, J. A., Hohl, S. D., Segal, C. D., Grossman, D. C., Lee, A. K., Whiteside, U. S., Luce, C., Ludman, E. J., Simon, G., Penfold, R. B., et al. (2021) · Psychiatric Services · doi:10.1176/appi.ps.202000187 · Cited by 25 · see citing works
Reasons for Suicide in Black Young Adults: A Latent Class Analysis
Goodwill, J. R. (2023) · Journal of Racial and Ethnic Health Disparities · doi:10.1007/s40615-023-01530-8 · Cited by 25 · see citing works
Chang, C. J., Kellerman, J. K., Feinstein, B. A., Selby, E. A., & Goldbach, J. T. (2020) · Archives of Suicide Research · doi:10.1080/13811118.2020.1818656 · Cited by 23 · see citing works
Pathological Lying: Theoretical and Empirical Support for a Diagnostic Entity
Curtis, D. A., & Hart, C. L. (2020) · Psychiatric Research and Clinical Practice · doi:10.1176/appi.prcp.20190046 · Cited by 22 · see citing works
The ultra brief checklist for suicidality
Yoon, S., Park, K., & Choi, K. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.07.037 · Cited by 22 · see citing works
Rogers, M. L., Bloch‐Elkouby, S., & GALYNKER, I. I. (2022) · Psychiatry Research · doi:10.1016/j.psychres.2022.114522 · Cited by 22 · see citing works
Shin, K. E., Spears, A. P., Zhang, R., & Christine, B. W. (2023) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.13026 · Cited by 20 · see citing works
Using the stress–vulnerability model to better understand suicide in prison populations
Scott, R. J., Aboud, A., & Smith, T. (2022) · Psychiatry Psychology and Law · doi:10.1080/13218719.2021.2013340 · Cited by 18 · see citing works
Bafna, A., Rogers, M. L., & Galynker, I. I. (2022) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2022.10.027 · Cited by 21 · see citing works
Bentley, K. H., Millner, A. J., Bear, A., Follet, L., Fortgang, R. G., Zuromski, K. L., Kleiman, E. M., Coppersmith, D. D. L., Castro‐Ramirez, F., Millgram, Y., et al. (2023) · Psychological Assessment · doi:10.1037/pas0001288 · Cited by 18 · see citing works
Adolescents Who Do Not Endorse Risk via the Patient Health Questionnaire Before Self-Harm or Suicide
Flores, J. P., Kahn, G. D., Penfold, R. B., Stuart, E. A., Ahmedani, B. K., Beck, A. L., Boggs, J. M., Coleman, K. J., Daida, Y. G., Lynch, F. L., et al. (2024) · JAMA Psychiatry · doi:10.1001/jamapsychiatry.2024.0603 · Cited by 16 · see citing works
Hom, M. A., & Stanley, I. H. (2021) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12667 · Cited by 16 · see citing works
On the Randomness of Suicide: An Evolutionary, Clinical Call to Transcend Suicide Risk Assessment
Soper, C. A., Ocejo, P. M., & Large, M. M. (2022) · Evolutionary Psychiatry · doi:10.1017/9781009030564.011 · Cited by 16 · see citing works
Cross-national presence and sociodemographic correlates of the suicide crisis syndrome
Rogers, M. L., McMullen, L., Liang, Y., Perez, N., Richards, J. A., Akülker, G., Barzilay, S., Bilici, R., Blum, Y., Chistopolskaya, K., et al. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.02.076 · Cited by 16 · see citing works
Luca, G. P. D., Parghi, N., Hayek, R. E., Bloch‐Elkouby, S., Peterkin, D., Wolfe, A., Rogers, M. L., & GALYNKER, I. I. (2024) · PLoS ONE · doi:10.1371/journal.pone.0299048 · Cited by 17 · see citing works
Podlogar, T., Poštuvan, V., Leo, D. D., & Žvelc, G. (2020) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2484 · Cited by 15 · see citing works
Monteith, L. L., Holliday, R., Hoffmire, C. A., & Bahraini, N. H. (2021) · Medical Care · doi:10.1097/mlr.0000000000001480 · Cited by 12 · see citing works
Commonsense Recommendations for Standard Care of Suicidal Risk
Jobes, D. (2020) · Journal of Health Service Psychology · doi:10.1007/s42843-020-00020-3 · Cited by 12 · see citing works
Gupta, S. L., Wijk, K., Warner, G., & Sarkadi, A. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18041486 · Cited by 12 · see citing works
Moscardini, E. H., Pardue-Bourgeois, S., Oakey‐Frost, N., Powers, J. T., Bryan, C. J., & Tucker, R. P. (2021) · Assessment · doi:10.1177/10731911211050894 · Cited by 12 · see citing works
Lamontagne, S. J., Zabala, P. K., Zarate, C. A., & Ballard, E. D. (2023) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105361 · Cited by 12 · see citing works
Digital Catharsis or Harmful Exposure? A Thematic Analysis of Self-Directed Violence Reddit Posts
Lundeen, L. A., McCall, J. R., Bradshaw, A. S., LeBlanc, E. L., & Humphrey, L. (2024) · Social Media + Society · doi:10.1177/20563051241263562 · Cited by 11 · see citing works
Huggett, C., Peters, S., Gooding, P. A., Berry, N., & Pratt, D. (2024) · Clinical Psychology Review · doi:10.1016/j.cpr.2024.102469 · Cited by 11 · see citing works
Greaves, J., & Colucci, E. (2025) · BMC Public Health · doi:10.1186/s12889-025-23298-8 · Cited by 12 · see citing works
Harris, L. M., Vanzhula, I. A., Cash, E. D., Levinson, C. A., & Smith, A. R. (2025) · Journal of Eating Disorders · doi:10.1186/s40337-025-01259-1 · Cited by 12 · see citing works
Gooding, P. A., Haddock, G., Harris, K., Asriah, M., Awenat, Y. F., Cook, L., Drake, R., Emsley, R., Huggett, C., Jones, S. H., et al. (2023) · BMC Psychiatry · doi:10.1186/s12888-023-05164-2 · Cited by 10 · see citing works
Secret-keeping in therapy by clients who are sexually attracted to children
Jahnke, S., Blagden, N., McPhail, I. V., & Antfolk, J. (2023) · Psychotherapy Research · doi:10.1080/10503307.2023.2265047 · Cited by 10 · see citing works
Assessing Suicidal Ideation Using a Brief Self-Report Measure
Terrill, D. R., Rodriguez-Seijas, C. A., & Zimmerman, M. A. (2021) · Psychiatry Research · doi:10.1016/j.psychres.2021.113737 · Cited by 9 · see citing works
Peart, N., Hetrick, S. E., Gibson, K. L., & Stasiak, K. (2023) · JMIR Formative Research · doi:10.2196/46579 · Cited by 11 · see citing works
Baiden, P., LaBrenz, C. A., Harrell, D. R., Wood, B. M., Gobodzo, E. C., Baiden, J. F., Mets, V. E., Hagedorn, A., & Howry, S. K. (2024) · School Mental Health · doi:10.1007/s12310-023-09627-5 · Cited by 9 · see citing works
Spears, A. P., Shin, K. E., & Christine, B. W. (2025) · JAACAP Open · doi:10.1016/j.jaacop.2024.12.005 · Cited by 9 · see citing works
Safety plan use and suicide-related coping in a sample of Australian online help-seekers
Rainbow, C., Tatnell, R., Blashki, G. A., & Melvin, G. A. (2024) · Journal of Affective Disorders · doi:10.1016/j.jad.2024.04.053 · Cited by 9 · see citing works
Preventing Suicide: Time to Mobilize the Physical Therapist Workforce
McGrath, R. L., Shephard, S., Hemmings, L., Verdon, S. E., & Parnell, T. (2023) · Physical Therapy · doi:10.1093/ptj/pzad116 · Cited by 8 · see citing works
Questions for Suicide Risk Assessment: There, Then and How to Measure?
Chistopolskaya, K. A., Игоревич, К. Н., & Enikolopov, S. N. (2023) · Counseling Psychology and Psychotherapy · doi:10.17759/cpp.2023310201 · Cited by 7 · see citing works
Podlogar, M. C., Gutierrez, P. M., & Joiner, T. E. (2021) · Assessment · doi:10.1177/10731911211023577 · Cited by 7 · see citing works
Trauma-Informed Clinical Practice with Clients with Suicidal Thoughts and Behaviors
Mirick, R. G., Bridger, J., & McCauley, J. (2022) · Smith College Studies in Social Work · doi:10.1080/00377317.2022.2104778 · Cited by 7 · see citing works
The Burden of Keeping Things to Yourself: Self-Concealment and Suicidality
Hogge, I., Kim, J., & Kim, E. (2022) · Counselling Psychology Quarterly · doi:10.1080/09515070.2022.2150144 · Cited by 7 · see citing works
Litschi, M. A., Lancaster, S. L., Linkh, D. J., & Lafferty, M. (2025) · Journal of General Internal Medicine · doi:10.1007/s11606-025-09570-y · Cited by 6 · see citing works
Palm, M. M., van Veen, S. M. P., Schweren, L., Beekman, A. T. F., van Wijngaarden, E. J., & Elzinga, E. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1664180 · Cited by 7 · see citing works
Suicidal intent disclosure among adult suicide decedents: Four age group comparisons
Choi, N. G., Choi, B. Y., & Marti, C. N. (2022) · Death Studies · doi:10.1080/07481187.2022.2135046 · Cited by 6 · see citing works
Haun, J. N., Schneider, T., Ballistrea, L. M., McMahon-Grenz, J., Melillo, C., Benzinger, R. C., & Paykel, J. M. (2023) · EXPLORE · doi:10.1016/j.explore.2023.12.013 · Cited by 6 · see citing works
Jung, H. W., & Jang, J. S. (2024) · PLoS ONE · doi:10.1371/journal.pone.0305777 · Cited by 6 · see citing works
Potential Harms of Responding to Youth Suicide Risk in Schools
Reinbergs, E. J., Smith, L. H., Au, J. S., Marraccini, M. E., Griffin, S. A., & Rogers, M. L. (2024) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-024-01261-2 · Cited by 7 · see citing works
Hoelscher, E. C., Victor, S. E., Kiekens, G., & Ammerman, B. A. (2025) · Ethics & Behavior · doi:10.1080/10508422.2025.2456714 · Cited by 7 · see citing works
Nagdimon, J., McGovern, C., & Craw, M. (2021) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-021-09493-9 · Cited by 6 · see citing works
The bounds of suicide talk: Implications for qualitative suicide research
Ranahan, P., & Keefe, V. (2021) · Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine · doi:10.1177/13634593211060767 · Cited by 6 · see citing works
Xu, Z., Chan, C. S., Zhang, Q., Xu, Y., He, L., Cheung, F., Yang, J., Chan, E., Fung, J., Tsang, C., et al. (2022) · Communications Medicine · doi:10.1038/s43856-022-00222-4 · Cited by 6 · see citing works
Sullivan, S. R., Rombola, C., Ortin‐Peralta, A., Carmichael, C. L., Ford, J. S., Waseem, M., & Miranda, R. (2025) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-025-01389-9 · Cited by 5 · see citing works
Jamison, J., Brady, M., Fang, A., Bùi, T.-M. N., Wolk, C. B., Davis, M., Beidas, R. S., Young, J. F., Mautone, J. A., Jager‐Hyman, S., et al. (2024) · Community Mental Health Journal · doi:10.1007/s10597-024-01364-6 · Cited by 5 · see citing works
Becker-Haimes, E., Brady, M., Jamison, J. M., Jager-Hyman, S., Reilly, M. E., Patel, E., Brown, G. K., Mandell, D. S., & Oquendo, M. (2023) · Implementation Science Communications · doi:10.1186/s43058-023-00530-3 · Cited by 5 · see citing works
Huggett, C., Gooding, P. A., Haddock, G., & Pratt, D. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182010706 · Cited by 5 · see citing works
Progovac, A. M., Mullin, B. O., Yang, X., Kibugi, L., Mwizerwa, D., Hatfield, L. A., Schuster, M. A., McDowell, A., & Cook, B. L. (2023) · Transgender Health · doi:10.1089/trgh.2022.0146 · Cited by 6 · see citing works
Predictors of not wanting to seek help or information for suicide thoughts
Mohn, C., Haga, E., Nilsson, H. S. W., Pirkis, J., & Mehlum, L. I. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-06985-z · Cited by 4 · see citing works
Trauma-Informed Practice with Individuals with Suicidal Thoughts and Behaviors
Mirick, R. G., Bridger, J., & McCauley, J. (2024) · Clinical Social Work Journal · doi:10.1007/s10615-024-00955-w · Cited by 4 · see citing works
Choi, N. G., Marti, C. N., & Choi, B. Y. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1255519 · Cited by 5 · see citing works
Listen, explain, involve, and evaluate: why respecting autonomy benefits suicidal patients
Knapp, S. J. (2022) · Ethics & Behavior · doi:10.1080/10508422.2022.2152338 · Cited by 4 · see citing works
Development of a protocol for assessment of suicide risk in patients with head and neck cancer
Anderson, J. M., Gibbison, R., Twigg, J., & Kanatas, A. N. (2020) · British Journal of Oral and Maxillofacial Surgery · doi:10.1016/j.bjoms.2020.08.004 · Cited by 4 · see citing works
Эмоциональный отклик клинициста на пациентов с суицидальным риском: обзор литературы
Vespa, A., GALYNKER, I. I., & Chistopolskaya, K. A. (2021) · Суицидология · doi:10.32878/suiciderus.21-12-01(42)-47-63 · Cited by 4 · see citing works
Dobscha, S. K., Niederhausen, M., Carlson, K. F., Bahraini, N. H., Handley, R., Salvi, A., Elliott, V., Rynerson, A. L., & Denneson, L. M. (2025) · Journal of General Internal Medicine · doi:10.1007/s11606-025-09822-x · Cited by 3 · see citing works
Barker, J., Oakes-Rogers, S., Lince, K., Taylor, A., Keddie, R., Bruce, H., Selvarajah, S., Fish, D., Aspen, C., & Leddy, A. (2023) · Death Studies · doi:10.1080/07481187.2023.2192532 · Cited by 3 · see citing works
Rogers, M. L., Richards, J. A., Peterkin, D., Park, J. Y., Astudillo‐García, C. I., Barzilay, S., Blum, Y., Chistopolskaya, K. A., Dudeck, M., Enikolopov, S. N., et al. (2024) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.13083 · Cited by 4 · see citing works
Rates and Reasons for Concealing Suicidal Ideation From Clinicians: A Cross‐National Examination
Peterkin, D., Rogers, M. L., Lawrence, O. C., Richards, J. A., Zheng, S., Astudillo‐García, C. I., Levy, Y. A., Barzilay, S., Blum, Y., Chistopolskaya, K. A., et al. (2025) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.70039 · Cited by 3 · see citing works
Kootbodien, T., Bantjes, J. R., Joska, J. A., Asmal, L., Chiliza, B., Stallones, L. F., Holtman, Z., Martin, L. J., Ramesar, R., & London, L. (2022) · Archives of Suicide Research · doi:10.1080/13811118.2022.2152767 · Cited by 3 · see citing works
Clinician Emotional Response to Patients at Risk of Suicide: A Review of the Extant Literature
Newkirk, S., & GALYNKER, I. I. (2022) · Springer eBooks · doi:10.1007/978-3-030-42003-1_86 · Cited by 3 · see citing works
Perceptions of Suicide among Pakistanis: Results of an Online Survey
Mirza, S. A., Rehman, A., Haque, J., & Khan, M. M. (2024) · Archives of Suicide Research · doi:10.1080/13811118.2024.2305397 · Cited by 3 · see citing works
Menon, V., Balasubramanian, I., Rogers, M. L., Grover, S., Lakdawala, B. M., Ranjan, R., Sarkhel, S., Nebhinani, N., Kallivayalil, R. A., Raghavan, V., et al. (2024) · Asian Journal of Psychiatry · doi:10.1016/j.ajp.2024.104002 · Cited by 3 · see citing works
Colmenero‐Navarrete, L., Salguero, J. M., & García‐Sancho, E. (2025) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2025.01.041 · Cited by 3 · see citing works
Tucker, B. C., & Gonzalez, V. M. (2024) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.13053 · Cited by 2 · see citing works
Knorr, A. C., Ammerman, B. A., Hoff, N. A., Congelio, L., Unger, K., & Strony, R. J. (2025) · Psychiatry Research · doi:10.1016/j.psychres.2025.116541 · Cited by 2 · see citing works
Knorr, A. C., & Ammerman, B. A. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.120361 · Cited by 2 · see citing works
Crisis Line Use Among Undergraduate Men of Color: A Qualitative Inquiry
Shaikh, A. N., Westcott, J. B., Dosal‐Terminel, D., Loury, J. A., & Gueh, B. B. (2026) · The Counseling Psychologist · doi:10.1177/00110000251352569 · Cited by 2 · see citing works
Richardson, J. S., Brabbs, S., Szymanski, B. R., Goodrich, M., & McCarthy, J. F. (2026) · Archives of Suicide Research · doi:10.1080/13811118.2026.2628074 · Cited by 2 · see citing works
Psychological inflexibility prospectively predicts client non-disclosure in outpatient psychotherapy
Lear, M. K., Luoma, J. B., & Chwyl, C. (2020) · Journal of Contextual Behavioral Science · doi:10.1016/j.jcbs.2020.11.004 · Cited by 2 · see citing works
Chevalier, L., Blackmon, J. E., Bober, S. L., Roman, A., Chang, G., & Recklitis, C. J. (2022) · Journal of Cancer Survivorship · doi:10.1007/s11764-022-01237-5 · Cited by 2 · see citing works
Help-seeking preferences in Australian mental health website visitors: A latent profile analysis
Rainbow, C., Baldwin, P. A., Hosking, W., & Blashki, G. A. (2023) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/00048674231166595 · Cited by 2 · see citing works
Selimbegović, L., & Chatard, A. (2024) · Advances in motivation science · doi:10.1016/bs.adms.2024.12.001 · Cited by 2 · see citing works
Instatherapy: A Content Analysis of Psychotherapists' Instagram Posts and User Engagement
Greene, A. K., Brownstone, L. M., Dong, Y., Hunsicker, M. J., Cool, J., Maloul, E. K., & Norling, H. N. (2025) · Counselling and Psychotherapy Research · doi:10.1002/capr.12877 · Cited by 2 · see citing works
Pilkay, S. R., Halevy, D., Femia, D., Holland, S. M., Heiland, S., Carroll, A. M., Nunes, S., Veerman, T., & Dudak, L. (2025) · Brain and Behavior · doi:10.1002/brb3.70247 · Cited by 3 · see citing works
Zepeda, S. G., & Loredo, S. (2024) · Integratus · doi:10.1521/intg.2024.2.2.165 · Cited by 2 · see citing works
Stolberg, R. A., Bongar, B. M., & Thach, T. (2024) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780190092689.013.22 · Cited by 1 · see citing works
The Hope Institute Approach to Suicidal Risk
Lee, D., & Jobes, D. A. (2025) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-025-09672-y · Cited by 2 · see citing works
- Authors
- Blanchard, M., & Farber, B. A.
- Affiliations
- Columbia University (US)
- Corresponding author
- Blanchard, Matt
- ORCID
- Farber, Barry A.
- Venue
- Psychotherapy Research
- Publisher
- Informa UK Limited
- Published
- 2018-11-08
- Volume
- 30
- Issue
- 1
- Pages
- 124-136
- ISSN
- 1050-3307 (ISSN-L)
- 1468-4381
- OpenAlex
- W2900274605
- Cited by
- 155
- References
- 42
- Citations by year
- 2026: 16 · 2025: 36 · 2024: 25 · 2023: 24 · 2022: 20 · 2021: 20 · 2020: 10 · 2019: 3
- FWCI
- 9.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Department of Veterans Affairs
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Psychotherapy Techniques and Applications
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- suicidal ideation, concealment, disclosure, psychotherapy patients, involuntary admission, fear of consequences, shame, psychoeducation, patient-therapist communication
- MeSH terms
- Adult, Female, Humans, Health Knowledge, Attitudes, Practice, Deception, Male, Middle Aged, Patient Acceptance of Health Care, Professional-Patient Relations, Psychotherapy, Self Disclosure, Suicidal Ideation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
