Vivian: Okay, I feel much better now that I helped Sonia. She was resistant at first, but didn't have the energy or will to fight. Sonia knew that she needed help, no matter how much she didn't want it. That is why she called us and came into the clinic.

I was able to handle this situation because I already had a plan that I discussed with other members of the clinic staff. All clinicians should have an action plan for dealing with a suicide patient or other difficult situations. The plan should include identifying who stays with the patient and knowing numbers to call in the event that the patient wishes to leave (for example, the police or a psychiatrist).

Have you drafted a plan yet? If not, you should do it as soon as possible.