As a Personal Support Worker (PSW), you play a vital role in the lives of the clients you support. Beyond providing care and assistance with daily activities, you are often a trusted companion. This means you may be one of the first to notice if a client is struggling emotionally or exhibiting warning signs of suicidal ideation.

Understanding how to identify these warning signs and knowing what steps to take can make a significant difference in helping someone receive the support they need.

Recognizing the Warning Signs

Suicidal ideation can present in different ways, and not all individuals will express their thoughts directly. Here are some key signs to watch for:

Verbal Cues:

• Expressing feelings of hopelessness (e.g., “I feel like a burden” or “There’s no point anymore.”)
• Talking about wanting to die or discussing suicide, even in a seemingly casual or joking manner
• Saying goodbye to people or giving away personal items

Behavioral Changes:

• Withdrawing from social activities and isolating themselves
• Sudden changes in mood—either extreme sadness or, in some cases, an unusual sense of calm after a period of distress
• Loss of interest in hobbies, self-care, or daily routines
• Increased use of alcohol or drugs
• Engaging in risky or self-destructive behaviors

Physical and Emotional Signs:

• Significant changes in sleep patterns (too much or too little)
• Noticeable weight loss or gain
• Expressing feelings of being trapped, helpless, or in unbearable pain
• Unexplained crying spells or irritability

What Should You Do?

If you suspect a client is experiencing suicidal thoughts, it is crucial to act. However, as a PSW, your role is not to diagnose or counsel but to recognize warning signs and escalate concerns appropriately.

Immediate Steps:

1. Stay Calm and Listen – If a client expresses suicidal thoughts, listen with empathy and without judgment. Avoid dismissing their feelings or offering solutions like “Just think positively.” Instead, validate their emotions: “That sounds really difficult. I’m here to help.”
2. Ensure Immediate Safety – If a client has made a direct threat or has a plan in place, do not leave them alone. Seek immediate assistance from emergency services (911) if necessary.
3. Follow Company Policy on Reporting – Every PSW should be familiar with their company’s reporting structure. If you are concerned about a client’s mental well-being:
   • Report your concerns immediately to our office.
   • If unsure about your concerns, call your supervisor for guidance.

Understanding Your Role Within the Rehab Team

Your rehab team likely includes a variety of healthcare professionals who can take further action, including:

• Case Managers – Oversee care plans and can escalate concerns to the appropriate medical professionals.
• Social Workers or Psychologists – Trained to assess mental health concerns and provide crisis intervention.
• Occupational Therapists or Nurses – May work with clients on coping strategies and mental health support.

Your role is to observe, document, and report—ensuring the right professionals can step in and provide the necessary interventions.

Final Thoughts

You are not alone in handling these situations. By staying observant and reporting concerns to the appropriate team members, you are playing an essential part in keeping clients safe. Remember, small actions—like listening, offering support, and ensuring concerns are addressed—can make a life-saving difference.

If you have any questions about our specific policies, take the time to review them or speak with your supervisor. Your awareness and proactive approach could be exactly what someone needs to get the help they deserve.

Your role matters. Your actions can save lives.