What is the best approach when a client expresses feelings of worthlessness?

When a client expresses feelings of worthlessness, it is crucial to ask them directly about suicidal thoughts because this approach prioritizes their safety and mental health. Feelings of worthlessness can be associated with severe depression and may lead to suicidal ideation. Engaging the client in a direct conversation about their thoughts can help assess their risk of self-harm and determine the level of crisis they may be experiencing. This action demonstrates sensitivity and validates their feelings, which can encourage the client to open up about their experiences and thoughts, allowing for further evaluation and support.

By addressing potential suicidal thoughts directly, caregivers can gauge the urgency of the situation and decide on appropriate interventions. This could involve developing a safety plan, providing emotional support, or connecting the client to appropriate mental health resources.

Other approaches, such as encouraging positive thinking or dismissing their feelings, may not take the client's emotional state seriously and can minimize their distress. Immediate referral to a psychiatrist might be necessary in some cases, but first assessing the client’s thoughts about self-harm is crucial to decide the best course of action. Therefore, asking directly about suicidal thoughts is the most fundamental and responsible step in addressing these feelings.