What specific action should a CISM provider take first when encountering a client expressing suicidal ideation?

The specific action a CISM provider should take *firstwhen encountering a client expressing suicidal ideation is to *assess the immediacy and severity of the risk. This involves directly asking the client about their suicidal thoughts, intentions, and plans. Specifically, the provider should inquire about: *Frequency and intensity– How often are they experiencing these thoughts? How distressing are they? *Method– Do they have a specific plan for how they would end their life? *Access– Do they have access to the means to carry out their plan (e.g., medications, weapons)? *Intent– Do they truly intend to act on their thoughts? *History– Have they attempted suicide in the past? Assessing these factors will help the provider determine the level of risk and inform the next steps. This immediate risk assessment takes precedence over other interventions because the client's safety is the paramount concern. After assessing the risk, the provider can then move on to implementing appropriate safety measures and connecting the client with higher levels of care, if necessary.