Cited by 155Suicide and Self-Harm StudiesPsychotherapy Techniques and ApplicationsMental Health Treatment and Access

The DOI matches its Crossref record; 42 of the 42 references it cites were found in a registry or an index.

“It is never okay to talk about suicide”: Patients’ reasons for concealing suicidal ideation in psychotherapy

Blanchard, Matt, Farber, Barry A.·2020·Psychotherapy Research

DOI 10.1080/10503307.2018.1543977

Open this paper in CoChat — free account

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

Crossref · 10.1080/10503307.2018.1543977

Cites

42 of 42 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

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?

The Coding Manual for Qualitative Researchers
Saldaña, J. (2025) · SAGE Publications Ltd eBooks · doi:10.4135/9781036235611 · Cited by 19,193
The Content Analysis Guidebook
Neuendorf, K. A. (2017) · doi:10.4135/9781071802878 · Cited by 9,286 · cited 2×
“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.”
BackgroundMethod
Risk 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
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
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
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
Differentiating suicide attempters from suicide ideators: a critical frontier for suicidology research
Klonsky, E. D., & May, A. M. (2014) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12068 · Cited by 740
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 532
The integrated motivational-volitional model of suicidal behavior
O’Connor, R. C. (2011) · Crisis · doi:10.1027/0227-5910/a000120 · Cited by 491
Evaluating factors and interventions that influence help-seeking and mental health service utilization among suicidal individuals: A review of the literature
Hom, M. A., Stanley, I. H., & Joiner, T. E. (2015) · Clinical Psychology Review · doi:10.1016/j.cpr.2015.05.006 · Cited by 462

Show all 42 references

Research works printed but not linked: 2

Martin L. E. (2006). Lying in psychotherapy: Results of an exploratory study (Doctoral dissertation). Retrieved from ProQuest dissertations and Theses database. (UMI No. 3253137).
Suicide Prevention Resource Center. (2006). Core competencies in the assessment and management of suicidality. Newton, MA: SPRC.

Sorted by citations

The revised suicide crisis inventory (SCI-2): Validation and assessment of prospective suicidal outcomes at one month follow-up
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
“Nobody hears a silent cry for help”: Suicide attempt survivors’ experiences of disclosing during and after a crisis
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
The relationship between the therapeutic alliance in psychotherapy and suicidal experiences: A systematic review
Huggett, C., Gooding, P. A., Haddock, G., Quigley, J., & Pratt, D. (2022) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2726 · Cited by 62
How Common is Recent Denial of Suicidal Ideation among Ideators, Attempters, and Suicide Decedents? A Literature Review
Obegi, J. H. (2021) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2021.07.009 · Cited by 60
One Size Does Not Fit All: A Comprehensive Clinical Approach to Reducing Suicidal Ideation, Attempts, and Deaths
Jobes, D. A., & Chalker, S. A. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16193606 · Cited by 52
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 55
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
Suicide-related stigma and its relationship with help-seeking, mental health, suicidality and grief: scoping review
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
Links between suicidal intent, polysubstance use, and medical treatment after non-fatal opioid overdose
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
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 44
Re-Thinking Ethics and Politics in Suicide Prevention: Bringing Narrative Ideas into Dialogue with Critical Suicide Studies
White, J. H., & Morris, J. (2019) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph16183236 · Cited by 36
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
Social and circadian rhythm dysregulation and suicide: A systematic review and meta-analysis
Walsh, R. F. L., Maddox, M. A., Smith, L. T., Liu, R. T., & Alloy, L. B. (2024) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2024.105560 · Cited by 35
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
Genetics and epigenetics of self‐injurious thoughts and behaviors: Systematic review of the suicide literature and methodological considerations
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 33
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
Who are the patients who deny suicidal intent? Exploring patients' characteristics associated with self‐disclosure and denial of suicidal intent
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
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
Client deception in therapy is associated with worse therapeutic relationships and perceived therapeutic outcomes
Hart, C. L., Barnett, M., & Curtis, D. A. (2024) · Counselling and Psychotherapy Research · doi:10.1002/capr.12767 · Cited by 25
“What Will Happen If I Say Yes?” Perspectives on a Standardized Firearm Access Question Among Adults With Depressive Symptoms
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
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
Greater Minority Stress is Associated with Lower Intentions to Disclose Suicidal Thoughts among LGBTQ + Youth
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
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 28
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 24
Differential disclosure of suicidal intent to clinicians versus researchers: Associations with concurrent suicide crisis syndrome and prospective suicidal ideation and attempts
Rogers, M. L., Bloch‐Elkouby, S., & GALYNKER, I. I. (2022) · Psychiatry Research · doi:10.1016/j.psychres.2022.114522 · Cited by 22
Suicide‐related disclosure patterns among culturally minoritized youth: Examining differences across race, ethnicity, gender identity, and sexual orientation
Shin, K. E., Spears, A. P., Zhang, R., & Christine, B. W. (2023) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.13026 · Cited by 21
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 20
Predictive validity and symptom configuration of proposed diagnostic criteria for the Suicide Crisis Syndrome: A replication study
Bafna, A., Rogers, M. L., & Galynker, I. I. (2022) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2022.10.027 · Cited by 21
Intervening on high-risk responses during ecological momentary assessment of suicidal thoughts: Is there an effect on study data?
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 21
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
Considerations in the assessment of help‐seeking and mental health service use in suicide prevention research
Hom, M. A., & Stanley, I. H. (2021) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.12667 · Cited by 16
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
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
Machine learning approach for the development of a crucial tool in suicide prevention: The Suicide Crisis Inventory-2 (SCI-2) Short Form
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 18
The model of dynamic balance in therapists' experiences and views on working with suicidal clients: A qualitative study
Podlogar, T., Poštuvan, V., Leo, D. D., & Žvelc, G. (2020) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.2484 · Cited by 15
Female Veterans' Willingness to Seek Veterans Health Administration and Non-Veterans Health Administration Services for Suicidal Thoughts and Mental Health Concerns.
Monteith, L. L., Holliday, R., Hoffmire, C. A., & Bahraini, N. H. (2021) · Medical Care · doi:10.1097/mlr.0000000000001480 · Cited by 12
Commonsense Recommendations for Standard Care of Suicidal Risk
Jobes, D. A. (2020) · Journal of Health Service Psychology · doi:10.1007/s42843-020-00020-3 · Cited by 17
Readiness of Allied Professionals to Join the Mental Health Workforce: A Qualitative Evaluation of Trained Lay Trauma Counsellors’ Experiences When Refugee Youth Disclose Suicidal Ideation
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
Suicide Cognitions Scale: Psychometric Support in a Community Sample Using Bifactor Modeling and Altered Item Content
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
Toward objective characterizations of suicide risk: A narrative review of laboratory-based cognitive and behavioral tasks
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
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
A systematic review and meta-ethnography of client and therapist perspectives of the therapeutic alliance in the context of psychotherapy and suicidal experiences
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
Crisis-line workers’ perspectives on AI in suicide prevention: a qualitative exploration of risk and opportunity
Greaves, J., & Colucci, E. (2025) · BMC Public Health · doi:10.1186/s12889-025-23298-8 · Cited by 12
Using network analysis to personalize treatment for individuals with co-occurring restrictive eating disorders and suicidality: a proof-of-concept study
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
The interplay between suicidal experiences, psychotic experiences and interpersonal relationships: a qualitative study
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 13
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
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
Exploring Counselor Practices and Risk Assessment in a Proactive Digital Intervention Through Instagram in Young People: Qualitative Study
Peart, N., Hetrick, S. E., Gibson, K. L., & Stasiak, K. (2023) · JMIR Formative Research · doi:10.2196/46579 · Cited by 11
Exposure to Neighborhood Violence and Suicidal Thoughts and Behaviors Among Adolescents in the USA: Findings from a Population-Based Study
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
Characterizing Silence: Adolescents’ Nondisclosure of Their Suicidal Thoughts and Behaviors to Their Family and Peers
Spears, A. P., Shin, K. E., & Christine, B. W. (2025) · JAACAP Open · doi:10.1016/j.jaacop.2024.12.005 · Cited by 9
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 12
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
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
Past Levels of Mental Health Intervention and Current Nondisclosure of Suicide Risk Among Men Older Than Age 50
Podlogar, M. C., Gutierrez, P. M., & Joiner, T. E. (2021) · Assessment · doi:10.1177/10731911211023577 · Cited by 7
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
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
“They’ll Talk About Everything Else… But Suicidal Ideation”: Clinician Experiences Addressing Non-Disclosure of Suicidal Ideation Among Military-Affiliated Clients
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
Wavering between life and death: a qualitative study into the perceived causes and needs of persons with persistent suicidality
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
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
Veterans’ lived experiences with the VA's Whole Health system and perceived impact on dimensions of wellness
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
Constructing prediction models and analyzing factors in suicidal ideation using machine learning, focusing on the older population
Jung, H. W., & Jang, J. S. (2024) · PLoS ONE · doi:10.1371/journal.pone.0305777 · Cited by 6
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
Ethical considerations for the use of ecological momentary assessment in non-suicidal self-injury research
Hoelscher, E. C., Victor, S. E., Kiekens, G., & Ammerman, B. A. (2025) · Ethics & Behavior · doi:10.1080/10508422.2025.2456714 · Cited by 7
Addressing Concealed Suicidality: A Flexible and Contextual Approach to Suicide Risk Assessment in Adults
Nagdimon, J., McGovern, C., & Craw, M. (2021) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-021-09493-9 · Cited by 6
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
Network-based prediction of the disclosure of ideation about self-harm and suicide in online counseling sessions
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
Impact of Perceived Responses to Suicide-Related Disclosure on Future Suicide Ideation and Attempts among Adolescents
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
A Qualitative Examination of Clinician Anxiety about Suicide Prevention and Its Impact on Clinical Practice
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
An exposure-based implementation strategy to decrease clinician anxiety about implementing suicide prevention evidence-based practices: protocol for development and pilot testing (Project CALMER)
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
The Relationship between the Therapeutic Alliance and Suicidal Experiences in People with Psychosis Receiving Therapy
Huggett, C., Gooding, P. A., Haddock, G., & Pratt, D. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182010706 · Cited by 7
Despite Higher Rates of Minimally Recommended Depression Treatment, Transgender and Gender Diverse Medicare Beneficiaries with Depression Have Poorer Mental Health Outcomes: Analysis of 2009–2016 Medicare Data
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
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
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
Firearm use risk factors and access restriction among suicide decedents age 75 and older who disclosed their suicidal intent
Choi, N. G., Marti, C. N., & Choi, B. Y. (2023) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1255519 · Cited by 5
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
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
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
Inaccurate Disclosure of Suicidal Thoughts During Population-Based Suicide Risk Screening in Primary Care in the Veterans Health Administration
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 4
Can clinician’s risk assessments distinguish those who disclose suicidal ideation from those who attempt suicide?
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
Intentions to use mental health and suicide prevention resources among individuals with symptoms of the suicide crisis syndrome and/or suicidal ideation
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
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
Healthcare Utilization 12 Months Prior to Fatal and Non-fatal Suicidal Behaviour in Cape Town, South Africa
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
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
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
Psychometric properties and factor structure of the suicidal narrative inventory in major depression: A multicentric evaluation
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
Beliefs about the uncontrollability of emotions and interpersonal needs as predictors of Suicide Crisis Syndrome
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
Effect of enhanced informed consent on veteran hesitancy to disclose suicidal ideation and related risk factors
Tucker, B. C., & Gonzalez, V. M. (2024) · Suicide and Life-Threatening Behavior · doi:10.1111/sltb.13053 · Cited by 2
The decision to help-seek within 24-hours following a suicide attempt: Rate and proximal correlates within an emergency department sample
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
Suicide Risk Management in Ecological Momentary Assessment: Participant Concealment of Suicidal Thoughts and Experiences with Safety Procedures
Knorr, A. C., & Ammerman, B. A. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.120361 · Cited by 2
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
Predictive Properties of the C-SSRS Suicide Screen Among Individuals in Veterans Health Administration Care
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
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
Evaluating sensitive symptoms in young adult cancer survivors: acceptability of suicidal ideation and sexual health items across administration modes
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
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
The drive to escape: Uncovering the motivational dynamics of suicide-related cognitive accessibility in everyday life
Selimbegović, L., & Chatard, A. (2024) · Advances in motivation science · doi:10.1016/bs.adms.2024.12.001 · Cited by 3
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
Adolescent Depression and Cognition Risk for Suicide: An Investigation of Risk Factors and Gene Environment Interactions
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
A Call for Indiscriminate Caritas: Proposed Nondiscrimination Clause in the Ethics Code of the Catholic Psychotherapy Association
Zepeda, S. G., & Loredo, S. (2024) · Integratus · doi:10.1521/intg.2024.2.2.165 · Cited by 2
Assessment of Suicide Risk
Stolberg, R. A., Bongar, B. M., & Thach, T. (2024) · Oxford University Press eBooks · doi:10.1093/oxfordhb/9780190092689.013.22 · Cited by 1
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

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
DOI: 10.1080/10503307.2018.1543977
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
Health Sciences › Medicine › Psychiatry and Mental health › 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

“It is never okay to talk about suicide”: Patients’ reasons for concealing suicidal ideation in psychotherapy

Abstract

Overview

Integrity signals

Verification

Claims the paper makes

Claims other papers make about this one

Citations

Cites

Cited by

Related

Metadata

Record

About these checks