How should a counselor respond to a client who is at imminent risk of self-harm?

• A. Dismiss concerns and continue session.
• B. Inform the client that safety is their responsibility.
• C. Conduct a risk assessment, ensure safety, involve supervisors, and contact emergency services if needed.
• D. Wait until the client agrees to seek help.

Answer: (C)

When a client is at imminent risk of self-harm, the priority is to act quickly to protect their safety through a structured response. That means rapidly assessing the level of danger by considering intent, plan, access to means, and the immediacy of risk. If the assessment indicates high risk, you put safety first: do not leave the client alone, mobilize resources, and follow your agency’s safety protocols. Involve supervisors to verify the plan and ensure you’re following ethical and legal requirements, and if needed escalate to emergency services or crisis resources to secure immediate help. This approach reflects professional responsibility to protect life while coordinating appropriate support and supervision.

Dismissal of concerns and continuing the session ignores a life-threatening situation and bypasses necessary safety actions. Telling the client that safety is their responsibility places the burden on them rather than on a trained professional who must intervene. Waiting for the client to agree to seek help is passive and dangerous in the face of imminent risk. The chosen approach combines assessment, safety measures, supervision, and escalation when necessary, which is the most responsible and effective course of action.