Suicidal Ideation Counselling in Iver Heath

Photo of Sarah Keller, Counsellor, MSc, MBACP
Sarah Keller
Counsellor, MSc, MBACP
Serves Area
Sometimes life is confusing, painful and problematic and we are troubled, distressed and not at peace with our lives or, ourselves. I fully believe that therapy is a setting in which we are able to speak freely and not feel judged; a place where we are met with empathy and understanding. I truly believe a setting such as this provides the basis from which healing can begin. It is absolutely my belief that the answers to our questions lie within us and we just need some assistance in navigating to those answers. Whatever it is you are seeking help with, I would love to work with you to find your answers, clarity and peace.
Sometimes life is confusing, painful and problematic and we are troubled, distressed and not at peace with our lives or, ourselves. I fully believe that therapy is a setting in which we are able to speak freely and not feel judged; a place where we are met with empathy and understanding. I truly believe a setting such as this provides the basis from which healing can begin. It is absolutely my belief that the answers to our questions lie within us and we just need some assistance in navigating to those answers. Whatever it is you are seeking help with, I would love to work with you to find your answers, clarity and peace.
01895 545631 View 01895 545631
Photo of Nomir Ahmed, Psychologist, HCPC - Couns. Psych.
Nomir Ahmed
Psychologist, HCPC - Couns. Psych.
Serves Area
I offer psychological therapy and counselling sessions to clients with a wide range of mental health problems. There is no one-size-fits-all. I believe in creating a safe space for transformational conversations that will help you move forward through the challenges that you are facing. I hold an open mind when asking about what a person requires help with and strive to identify strengths alongside areas they are struggling in. I provide tailored evidence-based psychological interventions which draws from cognitive behavioural therapy, attachment theory and systemic practice to help you find your own ‘fit’.
I offer psychological therapy and counselling sessions to clients with a wide range of mental health problems. There is no one-size-fits-all. I believe in creating a safe space for transformational conversations that will help you move forward through the challenges that you are facing. I hold an open mind when asking about what a person requires help with and strive to identify strengths alongside areas they are struggling in. I provide tailored evidence-based psychological interventions which draws from cognitive behavioural therapy, attachment theory and systemic practice to help you find your own ‘fit’.
020 3870 2497 View 020 3870 2497
Photo of Vanita Chamdal - Vanita Therapy, Counsellor, PhD, MBACP
Vanita Therapy
Counsellor, PhD, MBACP
Serves Area
Therapy can help you to work through your issues and goals in an environment with a trained professional. I have worked on issues that involve significant life changes including: changing schools/areas, marriage, having a baby, bereavement/loss, breakdown of relationships, etc. Other areas of expertise include working with anxiety, panic, stress, low mood, depression, self-harm, trauma, building resilience and preparing for significant changes. Sessions can be held as regularly as necessary to support the changes you want to make.
Therapy can help you to work through your issues and goals in an environment with a trained professional. I have worked on issues that involve significant life changes including: changing schools/areas, marriage, having a baby, bereavement/loss, breakdown of relationships, etc. Other areas of expertise include working with anxiety, panic, stress, low mood, depression, self-harm, trauma, building resilience and preparing for significant changes. Sessions can be held as regularly as necessary to support the changes you want to make.
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More Therapists Nearby

Photo of Samantha McEwan, Counsellor, BACP
Samantha McEwan
Counsellor, BACP
I have supported many children who are struggling with self-harm and suicidal ideation.
Hello, and welcome to Reviresco Counselling. I’m glad you’re here. My name is Sam. I chose the name Reviresco for my counselling practice because it has a very important meaning to me. It is the clan motto of my family, and loosely translated it means “I grow strong again“. People seek counselling for many different reasons with a wide range of different issues. I hope that together, we can work through these issues and help you to feel strong once more.
I have supported many children who are struggling with self-harm and suicidal ideation.
Hello, and welcome to Reviresco Counselling. I’m glad you’re here. My name is Sam. I chose the name Reviresco for my counselling practice because it has a very important meaning to me. It is the clan motto of my family, and loosely translated it means “I grow strong again“. People seek counselling for many different reasons with a wide range of different issues. I hope that together, we can work through these issues and help you to feel strong once more.
01442 502350 View 01442 502350
Photo of Claudine Therese Astles - Claudine Astles, Counsellor, MSc, MBACP
Claudine Astles
Counsellor, MSc, MBACP
London SW1W
I have worked with adult survivors of sexual abuse and people struggling with ideas of suicide as well as supporting clients to overcome low self esteem, anxiety, and manage the pressures life brings to us all.
The first step towards asking for help can be the hardest. Get in touch and we can take it together. My name is Claudine Astles and I work with clients in the Victoria area of central London, SW1, and also online. I am committed to offering a safe, non-judgemental space in which we can use counselling and therapy to explore your concerns, fears, and anxieties, and work together to help you reconnect with joy. I work with individuals on an open-ended basis or for an agreed time period, with the aim of enabling you to enhance your life and to live it more fully.
I have worked with adult survivors of sexual abuse and people struggling with ideas of suicide as well as supporting clients to overcome low self esteem, anxiety, and manage the pressures life brings to us all.
The first step towards asking for help can be the hardest. Get in touch and we can take it together. My name is Claudine Astles and I work with clients in the Victoria area of central London, SW1, and also online. I am committed to offering a safe, non-judgemental space in which we can use counselling and therapy to explore your concerns, fears, and anxieties, and work together to help you reconnect with joy. I work with individuals on an open-ended basis or for an agreed time period, with the aim of enabling you to enhance your life and to live it more fully.
020 3974 2441 View 020 3974 2441
Photo of Lynette Brice (In Safe Hands Counselling), Counsellor, MBACP
Lynette Brice (In Safe Hands Counselling)
Counsellor, MBACP
Online Only
I have witnessed the high mental health conditions, suicidal ideation, including self-harm, and loss faced by LGBT+ individuals that I have counselled, along with the hurdles my son has encountered during his transition.
Accepting, safe and non-judgemental counselling service from an LGBT+ ally - I work towards my clients sensing acceptance, warmth, and safety when joining me in sessions. I possess an equal and inclusive belief, which conveys into my professional practice.
I have witnessed the high mental health conditions, suicidal ideation, including self-harm, and loss faced by LGBT+ individuals that I have counselled, along with the hurdles my son has encountered during his transition.
Accepting, safe and non-judgemental counselling service from an LGBT+ ally - I work towards my clients sensing acceptance, warmth, and safety when joining me in sessions. I possess an equal and inclusive belief, which conveys into my professional practice.
01275 409794 View 01275 409794
Photo of Pippa Moye, Psychotherapist, MBACP
Pippa Moye
Psychotherapist, MBACP
Loughton IG10
I support men and women in addiction recovery, those in suicidal crisis and other distress such as trauma, bereavement, OCD or panic attacks.
I interpret the world in terms of energy. This helps me to read individuals and situations accurately, and understand the feelings of others. My approach is spiritual. Yours does not have to be. I accept all paths that are based on respect for living things. I specialise in spiritual crisis and symptoms such as hearing voices or changes in sensory perception
I support men and women in addiction recovery, those in suicidal crisis and other distress such as trauma, bereavement, OCD or panic attacks.
I interpret the world in terms of energy. This helps me to read individuals and situations accurately, and understand the feelings of others. My approach is spiritual. Yours does not have to be. I accept all paths that are based on respect for living things. I specialise in spiritual crisis and symptoms such as hearing voices or changes in sensory perception
020 4538 2602 View 020 4538 2602
Photo of Catherine Salvi Coombs - Surrey's Learning and Counselling Centre, Counsellor, SNCPS Acc.
My personal journey has been painful, blighted and life changing so I can relate to most issues especially suicide.
I am a Senior Accredited Integrative Counsellor, Clinical Counselling Supervisor & Child & Young People's Therapist (CYPT) supporting individuals & families. Specialising in Neurodiversity; the range of brain function & differences, behavioural traits such as Autism A.S.D, ADHD/ADD, & SpLD supporting a wide range of issues. My approach to Well-being combines a unique blend of Person-centre, Psychodynamic & Psychoeducation. I also offer official diagnoses of Dyslexia and advise corporate & educational settings on mental health issues. I strive for equality & diversity creating an inclusive atmosphere for everyone.
My personal journey has been painful, blighted and life changing so I can relate to most issues especially suicide.
I am a Senior Accredited Integrative Counsellor, Clinical Counselling Supervisor & Child & Young People's Therapist (CYPT) supporting individuals & families. Specialising in Neurodiversity; the range of brain function & differences, behavioural traits such as Autism A.S.D, ADHD/ADD, & SpLD supporting a wide range of issues. My approach to Well-being combines a unique blend of Person-centre, Psychodynamic & Psychoeducation. I also offer official diagnoses of Dyslexia and advise corporate & educational settings on mental health issues. I strive for equality & diversity creating an inclusive atmosphere for everyone.
01306 773115 View 01306 773115
Photo of Lorna Ashley, Counsellor, MBACP Accred
Lorna Ashley
Counsellor, MBACP Accred
Serves Area
Extensive experience of loss as a Cruse bereavement volunteer & supervisor shift lead for a charity providing space for those feeling profoundly suicidal
Life can sometimes becomes overwhelming, what you thought you had a handle on can suddenly feel incredibly unbearable. Conflicting emotions or unhealthy behaviours can arise from self-expectations, family or peer pressure and the never ending demands of a 24/7 world. Whatever your age, background, race or culture, being heard and talking freely in a safe, confidential, non-judgemental space can be incredibly empowering in understanding who you are and making sense of the thoughts and feelings that arise. As an integrative counsellor, I am flexible in working with the best possible approach to achieve the best outcome for you.
Extensive experience of loss as a Cruse bereavement volunteer & supervisor shift lead for a charity providing space for those feeling profoundly suicidal
Life can sometimes becomes overwhelming, what you thought you had a handle on can suddenly feel incredibly unbearable. Conflicting emotions or unhealthy behaviours can arise from self-expectations, family or peer pressure and the never ending demands of a 24/7 world. Whatever your age, background, race or culture, being heard and talking freely in a safe, confidential, non-judgemental space can be incredibly empowering in understanding who you are and making sense of the thoughts and feelings that arise. As an integrative counsellor, I am flexible in working with the best possible approach to achieve the best outcome for you.
01322 923862 View 01322 923862
Photo of Flossie Budu-Frimpong - Bettertherapy Clinic (Remote), Counsellor, MSc, MBACP
Bettertherapy Clinic (Remote)
Counsellor, MSc, MBACP
Online Only
I can support people with anxiety, depressing, beareavement, end of life, having suicidal thoughts, selfharming, addiction,parenting,anti-social behaviours, developmental issues.
I am an Integrative systemic Counsellor Therapist with 6 years of experience supporting and addressing mental health and well being matters at hospitals, schools and communities through counselling, Therapy s and Coervices. I work with children, Young people, adults and families in various capacities providing and supporting their psychosocial and mental health needs. I provide individial and Group Coaching and therapy services to the Armed forces personals and their immediate families, migrants, and communities addressing their mental health and well being needs through coaching activites, counselling and therapy services.
I can support people with anxiety, depressing, beareavement, end of life, having suicidal thoughts, selfharming, addiction,parenting,anti-social behaviours, developmental issues.
I am an Integrative systemic Counsellor Therapist with 6 years of experience supporting and addressing mental health and well being matters at hospitals, schools and communities through counselling, Therapy s and Coervices. I work with children, Young people, adults and families in various capacities providing and supporting their psychosocial and mental health needs. I provide individial and Group Coaching and therapy services to the Armed forces personals and their immediate families, migrants, and communities addressing their mental health and well being needs through coaching activites, counselling and therapy services.
020 3947 9643 View 020 3947 9643
Photo of Irene Brown-Martin, Psychotherapist, MA, MBACP
Irene Brown-Martin
Psychotherapist, MA, MBACP
London SE14
I have extensive experience in the assessment and management of self harm and suicidal ideation.
I am a clinical lead with 14 years of experience in working in NHS services. My years of experience has taught me that effective psychotherapy involves treatment that includes a bio psychosocial approach. Clients receive a comprehensive assessment, then collaboratively outline treatment goals. Treatment is always tailored to the individual person.
I have extensive experience in the assessment and management of self harm and suicidal ideation.
I am a clinical lead with 14 years of experience in working in NHS services. My years of experience has taught me that effective psychotherapy involves treatment that includes a bio psychosocial approach. Clients receive a comprehensive assessment, then collaboratively outline treatment goals. Treatment is always tailored to the individual person.
020 4538 8269 View 020 4538 8269
Photo of Lynda Chebbihi Msc Gmbpss Mbacp, Psychotherapist, MBACP
Lynda Chebbihi Msc Gmbpss Mbacp
Psychotherapist, MBACP
Serves Area
These adverse events can ultimately shatter everything you believe in, leaving you feeling lost, suicidal, and not knowing who you are anymore.
I am a qualified Psychologist / Psychotherapist / Person-Centred Counsellor, specialised in complex trauma and PTSD. I offer you a safe and confidential space to explore any posttraumatic responses, suicidal thoughts, relationship issues and grief. I engage to meet your experiences with full acceptance, care and empathic understanding.
These adverse events can ultimately shatter everything you believe in, leaving you feeling lost, suicidal, and not knowing who you are anymore.
I am a qualified Psychologist / Psychotherapist / Person-Centred Counsellor, specialised in complex trauma and PTSD. I offer you a safe and confidential space to explore any posttraumatic responses, suicidal thoughts, relationship issues and grief. I engage to meet your experiences with full acceptance, care and empathic understanding.
01224 007819 View 01224 007819
Photo of Claire Ballard, Counsellor, MSc, MBACP
Claire Ballard
Counsellor, MSc, MBACP
Bromley BR1
I have worked with clients experiencing a wide range of challenges, with a particular focus on anxiety, relationship difficulties, low self-esteem, lack of purpose, suicidal thoughts and living with neurodivergence (e.g. ADHD and autism).
I am a counsellor and a researcher in psychology, combining my therapy practice with my in-depth understanding of the different factors affecting our mental health. I work in-person with adult clients in a lovely room in central Bromley and at a charity in Bickley. I also work online with clients from all over the UK.
I have worked with clients experiencing a wide range of challenges, with a particular focus on anxiety, relationship difficulties, low self-esteem, lack of purpose, suicidal thoughts and living with neurodivergence (e.g. ADHD and autism).
I am a counsellor and a researcher in psychology, combining my therapy practice with my in-depth understanding of the different factors affecting our mental health. I work in-person with adult clients in a lovely room in central Bromley and at a charity in Bickley. I also work online with clients from all over the UK.
020 3974 2304 View 020 3974 2304
Photo of Mervyn Reid, Counsellor, MBACP Accred
Mervyn Reid
Counsellor, MBACP Accred
London SE1
As an Adult, Child, Young Person, Couple and Family/Systemic Counsellor, I bring a lot of experience and a vast range of skills to support a wide range of people and presentations, from suicide and self-harm, depression and anxiety to trauma and self-identity work.
Hello, and well done making it this far. I am a light-hearted Counsellor, Trainer & Supervisor who is very easy to talk with. I have 20+ years of experience working with couples, young people, children, individuals, and families. I work via face-to-face, telephone or online sessions using an integrative approach that helps us apply the best support at the best time. As a client-directed Counsellor, I take your lead, tailoring our sessions to suit your needs—Telephone & Online services across the UK and Ireland. Give me a call or a text to arrange your free 15-minute consultation. Clinical Supervision & Consultation offered.
As an Adult, Child, Young Person, Couple and Family/Systemic Counsellor, I bring a lot of experience and a vast range of skills to support a wide range of people and presentations, from suicide and self-harm, depression and anxiety to trauma and self-identity work.
Hello, and well done making it this far. I am a light-hearted Counsellor, Trainer & Supervisor who is very easy to talk with. I have 20+ years of experience working with couples, young people, children, individuals, and families. I work via face-to-face, telephone or online sessions using an integrative approach that helps us apply the best support at the best time. As a client-directed Counsellor, I take your lead, tailoring our sessions to suit your needs—Telephone & Online services across the UK and Ireland. Give me a call or a text to arrange your free 15-minute consultation. Clinical Supervision & Consultation offered.
028 9694 3156 View 028 9694 3156
Photo of Ewan Sinclair, Counsellor, MBACP
Ewan Sinclair
Counsellor, MBACP
Ascot SL5
Working through what motivates your thoughts or actions around self harm and/or suicide can be painful, but ultimately deeply beneficial.
At its core, counselling tries to provide a space where you can feel both seen and heard, where you can learn more about your self and about how you approach the people and situations you encounter in your life. This type of support can be helpful when working on internal conflicts and challenges, such as persistent and strong anxiety, anger, or hopelessness. It can also help address frictions within your relationships, by looking at how you relate to your own self and to those around you, helping you learn more about why you feel what you feel.
Working through what motivates your thoughts or actions around self harm and/or suicide can be painful, but ultimately deeply beneficial.
At its core, counselling tries to provide a space where you can feel both seen and heard, where you can learn more about your self and about how you approach the people and situations you encounter in your life. This type of support can be helpful when working on internal conflicts and challenges, such as persistent and strong anxiety, anger, or hopelessness. It can also help address frictions within your relationships, by looking at how you relate to your own self and to those around you, helping you learn more about why you feel what you feel.
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Photo of Georgie Morris, Counsellor, MBACP
Georgie Morris
Counsellor, MBACP
London EC1V
Supporting communities of people experiencing, addictions, neurodivergence, behavioural challenges, homelessness, crisis and suicidal ideation.
Hello and thank you for your curiosity. Perhaps you are questioning is this really it? Why am I yet to feel fulfilled, joyful and whole? You may be feeling misunderstood by your friends and family, or something is just ‘a little off’. Maybe you have visited your GP and now you have collected a psychiatric diagnosis, been prescribed medication however still don’t feel supported in ways in which you hoped. However you find yourself here and whatever tricky terrain you appear to be experiencing, you are Warmly Welcome!
Supporting communities of people experiencing, addictions, neurodivergence, behavioural challenges, homelessness, crisis and suicidal ideation.
Hello and thank you for your curiosity. Perhaps you are questioning is this really it? Why am I yet to feel fulfilled, joyful and whole? You may be feeling misunderstood by your friends and family, or something is just ‘a little off’. Maybe you have visited your GP and now you have collected a psychiatric diagnosis, been prescribed medication however still don’t feel supported in ways in which you hoped. However you find yourself here and whatever tricky terrain you appear to be experiencing, you are Warmly Welcome!
020 4538 6196 View 020 4538 6196
Photo of Ian Murdoch, Counsellor, MBACP
Ian Murdoch
Counsellor, MBACP
1 Endorsed
I have particular experience in anxiety, reactions to trauma, suicidal ideation and bereavement by suicide but in all cases, will work collaboratively with you to find a way forward.
Taking the decision to seek therapy is daunting, but you're here because something is not right. Maybe you know what it is, maybe you're not sure. You may not be certain that you want to talk about it or it might be constantly at the front of your mind, but no-one's listening. You could also be confused about what therapy is or what type you think you might need. Imagine a safe, confidential space where you could talk without any fear of being judged and knowing that the person listening to you will always respond genuinely to you. This is what I will endeavour to offer you if you felt we could work together.
I have particular experience in anxiety, reactions to trauma, suicidal ideation and bereavement by suicide but in all cases, will work collaboratively with you to find a way forward.
Taking the decision to seek therapy is daunting, but you're here because something is not right. Maybe you know what it is, maybe you're not sure. You may not be certain that you want to talk about it or it might be constantly at the front of your mind, but no-one's listening. You could also be confused about what therapy is or what type you think you might need. Imagine a safe, confidential space where you could talk without any fear of being judged and knowing that the person listening to you will always respond genuinely to you. This is what I will endeavour to offer you if you felt we could work together.
01494 302655 View 01494 302655
Photo of Eleanor (Ellie) Higginson, Counsellor, MBACP
Eleanor (Ellie) Higginson
Counsellor, MBACP
Tring HP23
I have experience working with bereavement and loss, suicidal ideation, self-harm, trauma, PTSD, anxiety, depression, LGBTQIA+, substance abuse, personality disorders, shame and attachment/relationship issues.
Life can be really tough sometimes. During difficult periods it can help to have someone to talk to, a different relationship to that of friends and family. I can offer a safe, confidential space offering a warm, empathic, supportive and non-judgemental environment for us to explore what’s going on for you. The trust and relationship that you have with your therapist is so important and will be the centre of our work together. I am an integrative counsellor trained in humanistic, behavioural and psychodynamic approaches. Working with these different modalities means that we can find the most suitable approach for you.
I have experience working with bereavement and loss, suicidal ideation, self-harm, trauma, PTSD, anxiety, depression, LGBTQIA+, substance abuse, personality disorders, shame and attachment/relationship issues.
Life can be really tough sometimes. During difficult periods it can help to have someone to talk to, a different relationship to that of friends and family. I can offer a safe, confidential space offering a warm, empathic, supportive and non-judgemental environment for us to explore what’s going on for you. The trust and relationship that you have with your therapist is so important and will be the centre of our work together. I am an integrative counsellor trained in humanistic, behavioural and psychodynamic approaches. Working with these different modalities means that we can find the most suitable approach for you.
01442 504374 View 01442 504374
Photo of Olly Hunt, Psychotherapist, MSc, MUKCP
Olly Hunt
Psychotherapist, MSc, MUKCP
Iver SL0
I have experience in helping people with concerns such as anxiety, depression, relationship difficulties, low self-esteem, troubling thoughts and feelings, panic attacks, trauma, sexual abuse and suicidal thoughts.
Life can throw challenges at us that prove too much for us to cope with on our own. I believe that we are not to blame for the difficulties we might face, and that they are the natural consequences of what we have experienced in life. If you are feeling stuck and unable to change things yourself, or repeating difficult and destructive patterns of behaviour, working with and talking with someone not involved in your life can help make profound change. Together we can explore what has helped to shape the way you are now, and how you want to be in the future, in a safe, confidential and non-judgemental space.
I have experience in helping people with concerns such as anxiety, depression, relationship difficulties, low self-esteem, troubling thoughts and feelings, panic attacks, trauma, sexual abuse and suicidal thoughts.
Life can throw challenges at us that prove too much for us to cope with on our own. I believe that we are not to blame for the difficulties we might face, and that they are the natural consequences of what we have experienced in life. If you are feeling stuck and unable to change things yourself, or repeating difficult and destructive patterns of behaviour, working with and talking with someone not involved in your life can help make profound change. Together we can explore what has helped to shape the way you are now, and how you want to be in the future, in a safe, confidential and non-judgemental space.
01753 981157 View 01753 981157
Photo of Lucy Lebrett, Psychotherapist, BPC
Lucy Lebrett
Psychotherapist, BPC
Many seek support for anxiety, depression, or suicidal thoughts, while others face challenges with social anxieties or relationships.
Throughout life, our emotional experiences shape how we see ourselves, others, and the world. At times, they can lead to psychological challenges that affect our well-being and relationships. Such difficulties can be hard to understand—not only for us but also for those closest to us. Creating change requires exploring these experiences over time and the unconscious processes that influence them.
Many seek support for anxiety, depression, or suicidal thoughts, while others face challenges with social anxieties or relationships.
Throughout life, our emotional experiences shape how we see ourselves, others, and the world. At times, they can lead to psychological challenges that affect our well-being and relationships. Such difficulties can be hard to understand—not only for us but also for those closest to us. Creating change requires exploring these experiences over time and the unconscious processes that influence them.
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Suicidal Ideation Counsellors

How does therapy for suicidal ideation work?

Stress, depression, anxiety, or upsetting circumstances can give rise to suicidal thinking. Therapy can address the events at the core of an individual’s suffering. Understanding why a person may be suicidal can help the therapist and the patient discover alternative methods of coping. A person with suicidal ideation may be mired in catastrophic thinking, and treatment like cognitive behavioural therapy is a good choice for breaking such patterns. In addition, treatment such as acceptance and commitment therapy can help a person manage their distress through better emotion regulation.

Which therapies are best for suicidal ideation?

Specific approaches used by professionals include cognitive behavioural, dialectical behaviour, psychodynamic, acceptance and commitment therapies, among others. Cognitive behavioural and dialectical behaviour therapies are two widely used therapies that can help individuals with painful thoughts and past traumas. These therapies help an individual tolerate distress, regulate emotions, and not act on dangerous urges.

Are there specific medications to be combined with therapy?

The use of medication for suicidal thoughts must be aligned with the underlying cause; conditions such as depression, anxiety, and psychosis may be at the root of suicidal ideation. A psychiatrist may prescribe medications for symptoms, which may include antipsychotics such as aripiprazole or antidepressants such as selective serotonin reuptake inhibitors.

How often and how long are therapy sessions for suicidal ideation?

As with any type of therapy, sessions depend on the individual. Patients may see improvement within 15 to 20 sessions, at an average of 50 minutes per session, while others may opt for 20 to 30 sessions over, perhaps, a six-month period. Still other patients, especially those with co-occurring conditions like major depression and anxiety, may need to continue sessions for up to 12 to 18 months. In some cases, residential treatment may be recommended for an individual who is judged to be at high risk of self-harm.