Psychological Experiences of Trainee Counselors Working with Clients Who Have Suicidal Ideation

Main Article Content

Chisanucha Lertpattanakultorn
Warunyu Kongchaimongkhon
Chomphunut Srichannil

Abstract

Objectives: The study gained insight regarding the psychological experiences of trainee counselors working with clients who have suicidal ideation.
Materials and methods: This qualitative research employed the Interpretative Phenomenological Analysis method. Data were collected through semi-structured in-depth interviews with five trainee counselors who have experience working with clients experiencing suicidal thoughts. Participants were selected through purposive sampling. The process was started by noting key points, identified themes and subthemes, and categorized the themes. The credibility of the data was verified by the advisor through peer debriefing.
Results: The research related to the psychological experiences and self-care of trainee counselors identified two main themes. The first major theme, "Fear and Doubt in Handling Suicidal Thoughts," consisted of two subthemes: Self-doubt stemming from perceived incompetence, and Fear of failing to prevent suicide. The second major theme, "Learning to Cope with Suicidal Thoughts," included two subthemes: Realistic Perspectives, and Self-Care and Personal Development.
Conclusion: The psychological experiences of trainee psychologists, despite feelings of fear and lack of confidence, involve learning to cope with clients experiencing suicidal ideation by adopting a realistic
perspective. They take care of themselves and engage in self-development, enabling them to continue working effectively.

Article Details

How to Cite
Lertpattanakultorn, C., Kongchaimongkhon, W., & Srichannil, C. (2025). Psychological Experiences of Trainee Counselors Working with Clients Who Have Suicidal Ideation. Thai Journal of Clinical Psychology (Online), 56(1), 17–32. retrieved from https://so03.tci-thaijo.org/index.php/tci-thaijclinicpsy/article/view/282360
Section
Original article

References

Aherne, C., Coughlan, B., & Surgenor, P. (2018). Therapists’ perspectives on suicide: A conceptual model of connectedness.

Psychotherapy Research, 28(5), 803-819.https://doi.org/10.1080/10503307.2017.1359428

Chemtob, C. M., Bauer, G. B., Hamada, R. S., Pelowski, S. R., & Muraoka, M. Y. (1989). Patient suicide: Occupational hazard for

psychologists and psychiatrists. Professional Psychology: Research and Practice, 20(5), 294-300.

Ellis, T. E., Schwartz, J. A. J., & Rufino, K. A. (2018). Negative reactions of therapists working with suicidal patients: A CBT/mindfulness

perspective on “countertransference”. International Journal of Cognitive Therapy, 11(1), 80-99. https://doi.org/10.1007/s41811-

-0005-1

Figueroa, S., & Dalack, G. W. (2013). Exploring the impact of suicide on clinicians: A multidisciplinary retreat model. Journal of Psychiatric Practice, 19(1), 72-77. https://doi.org/10.1097/01.pra.0000426330.41773.15

Friedlander, M. L., & Ward, D. E. (1984). Development and validation of the supervisory styles inventory. Journal of Counseling Psychology, 3(4), 541-557. https://doi.org/10.1037/0022-0167.31.4.541

Gilroy, P., Carroll, L., & Murra, J. (2002). A preliminary survey of counseling psychologists'personal experiences with depression and

treatment. Professional Psychology: Research and Practice, 33(4), 402-407. https://doi.org/10.1037/0735-7028.33.4.402

Hendin, H., Haas, A. P., Maltsberger, J. T., Koestner, B., & Szanto, K. (2006). Problems in psychotherapy with suicidal patients. Am J

Psychiatry, 163(1), 67-72. https://doi.org/10.1176/appi.ajp.163.1.67

Hendin, H., Lipschitz, A., Maltsberger, J. T., Haas, A. P., & Wynecoop, S. (2000). Therapists'reactions to patients' suicides. The American

Journal of Psychiatry, 157(12), 2022-2027.https://doi.org/10.1176/appi.ajp.157.12.2022

Hepker, N. (2007). A qualitative investigation into the determinants of perceived stress by intern clinical/counselling psychologists in

consultation with a non-fatal suicidal client [Doctoral dissertation, University of KwaZuluNatal]. University of KwaZulu-Natal Research

Space. https://researchspace.ukzn.ac.za/items/0c66d631-aab3-48bf-a844-5ee2e3dd16a3

Hill, C. E., Sullivan, C., Knox, S., & Schlosser, L. Z. (2007). Becoming psychotherapists: Experiences of novice trainees in a beginning graduate class. Psychotherapy: Theory, Research, Practice, Training, 44(4), 434-449. https://doi.org/10.1037/0033-3204.44.4.434

Johnson, K., & Brookover, D. (2020). Counselors' role in decreasing suicide in mental health professional shortage areas in the United

States. Journal of Mental Health Counseling, 42(2). https://doi.org/10.17744/mehc.42.2.06

Karthick, S., & Barwa, S. (2017). A review on theoretical models of suicide. International Journal of Advances in Scientific Research,

(9), 101. https://doi.org/10.7439/ijasr.v3i9.4382

Kleespies, P. M., Penk, W. E., & Forsyth, J. P. (1993). The stress of patient suicidal behavior during clinical training: Incidence, impact, and recovery. Professional Psychology: Research and Practice, 24(3), 293-303. https://doi.org/10.1037/0735-7028.24.3.293

Lent, R. W., Cinamon, R. G., Bryan, N. A., Jezzi, M. M., Martin, H. M., & Lim, R. (2009). Perceived sources of change in trainees’ self-efficacy beliefs. Psychotherapy: Theory, Research Practice, Training, 46(3), 317-327. https://doi.org/10.1037/a0017029

McCrea, K. T., & Bulanda, J. J. (2008). The practice of compassion in supervision in residential treatment programs for clients with severe mental illness. The Clinical Supervisor, 27, 238-267. https://doi.org/10.1080/0732522080248790

McGlothlin, J. M., Rainey, S., & Kindsvatter, A. (2005). Suicidal clients and supervisees: A model for considering supervisor roles.

Counselor Education and Supervision, 45(2), 135-146. https://doi.org/10.1002/j.1556-6978.2005.tb00136.x

Moerman, M. (2012). Working with suicidal clients: The person-centred counsellor's experience and understanding of risk assessment.

Counselling and Psychotherapy Research, 12(3), 214-223. https://doi.org/10.1080/14733145.2011.628031

Mongkol, N. (2020, April 29). Suicide in Thailand. Department of Mental Health. https://dmh.go.th/news/view.asp?id=2287 (in Thai).

Morris, C. A. W., & Minton, C. A. B. (2012). Crisis in the curriculum? New counselors' crisis preparation, experiences, and self-efficacy.

Counselor Education and Supervision, 51(4), 256-269. https://doi.org/10.1002/j.1556-6978.2012.00019.x

Pathomwichaiwat, W. (2003). Psychological experience of counseling psychologists working with high risk suicidal clients [Master’s thesis, Chulalongkorn University]. Chulalongkorn University Intellectual Repository. https://cuir.car.chula.ac.th/handle/

/42680 (in Thai).

Paulson, B. L., & Worth, M. A. (2002). Counseling for suicide: Client perspectives. Journal of Counseling and Development, 80(1), 86-93.

Pope, K. S., & Tabachnick, B. G. (1993). Therapists’ anger, hate, fear and sexual feelings: National survey of therapist responses, client

characteristics, critical events, formal complaints, and training. Professional Psychology: Research and Practice, 24(2), 142-152. https://doi.org/10.1037/0735-7028.24.2.142

Rak, C. F., MacCluskie, K. C., Toman, S. M., Patterson, L. E., & Culotta, S. (2003). The process of development among counsellor

interns: Qualitative and quantitative perspectives. Canadian Journal of Counselling, 37(2), 135-150.

Reeves, A. (2010). Understanding suicide, suicide and self-injury: Annihilation and survival, and the counsellor and suicide risk. In Counselling Suicidal Clients, 12, 91-98, 115-124.

Reeves, A., & Mintz, R. (2001). Counsellors’ experiences of working with suicidal clients: An exploratory study. Counselling and

Psychotherapy Research, 1(3), 172-176. https://doi.org/10.1080/14733140112331385030

Richardson, C. M. E., Trusty, W. T., & George, K. A. (2020). Trainee wellness: Self-critical perfectionism, self-compassion, depression,

and burnout among doctoral trainees in psychology. Counselling Psychology Quarterly, 33(2), 187-198. https://doi.org/10.1080/

2018.1509839

Rossouw, G., Smythe, E., & Greener, P. (2011). Therapists’ experience of working with suicidal clients. Indo-Pacific Journal of Phenomenology, 11(1), 1-12. https://doi.org/10.2989/IPJP.2011.11.1.4.1103

Seed, A. (2019). Can qualitative research save lives?: The lived experience of trainee therapists working with suicidal clients. In K.

Hannes, J. Wyatt, & A. Benozzo (Eds.), ECQI 2019 Proceedings - Qualitative Inquiry as

Activism (pp. 207-216). KU Leuven NQRL. https://www.researchgate.net/publication/334786236

Shapiro, S. L., Brown, K.W., & Biegel, G. M. (2007). Teaching self-care to caregivers: Effects of mindfulness-based stress reduction on the

mental health of therapists in training. Training and Education in Professional Psychology, 1(2), 105-115. https://doi.org/ 10.1037/1931-3918.1.2.105

Skovholt, T. M., & Rønnestad, M. H. (2003). Struggles of the novice counselor and therapist. Journal of Career Development, 30(1), 45-58. https://doi.org/10.1023/A:1025125624919

Smith, J. A., Flowers, P., & Larskin, M. (2022). Interpretative phenomenological analysis: Theory, method and research (2nd ed.). SAGE

Publications Ltd.

Srichannil, C. (2017). Interpretative phenomenological analysis: A qualitative methodology for psychological research. Journal of Education, 28(3), 1-13. (in Thai).

Steinberg, J. L. (2009). Managing anxiety and selfdoubt in young neophyte therapists. [Master's thesis, California State University]. ProQuest Dissertations & Theses Global.

Stillion, J. M., & McDowell, E. E. (1991). Examining suicide from a life span perspective. Death Studies, 15(4), 327-354. https://doi.org/

1080/07481189108252439

Vincent, C. (2023). Practitioners’ experiences using reflective practices following a client suicide: A qualitative study. [Doctoral dissertation, Liberty University]. ProQuest Dissertations & Theses Global.

World Health Organization. (2021). Suicide. Retrieved May 2, 2024 from https://www.who.int/news-room/fact-sheets/detail/suicide

Worthen, V., & McNeill, B. W. (1996). A phenomenological investigation of “good” supervision events. Journal of Counseling

Psychology, 43(1), 25-34. https://doi.org/10.1037/0022-0167.43.1.25