To Be or Not To Be: A Therapist’s Burden in the Theatre of Suicidal Despair

Dealing with suicidal clients is an extremely challenging task, especially in current times where a lot of people exercise autonomy, saying they do have the right to kill themselves. But what stands in the face of a Therapist who is trying to save a life? When sitting face to face with a client, that one is so sure, feels helpless and is stubborn about their decision, a therapist might face extreme emotional burden too. Because as long as a client is theirs, they would feel responsible for their death as much as they feel for their healing. How do therapists navigate their way through this emotional dilemma of respecting client’s autonomy, sometimes going as far as comforting them or intervening in saving their life. This study is for therapists, psychologists, counsellors and other mental health professionals, the ones seeking to become like them, and for anyone seeking to understand them. This study aims to understand and put to light the emotional dilemma a mental health professional faces while the client declares their decision to suicide. And it might just be the beginning of a revolution because this research’s core lies in making therapists feel understood and seen. Using a qualitative approach, semi-structured interviews were conducted with (8) licensed therapists experienced in crisis intervention. Thematic analysis revealed key patterns in therapists’ decision-making, the emotional impact they face, and their personal beliefs and drives. Each participant seemed to have different ways to cope with dealing with extreme suicidal cases, however, they all emphasised the importance of practicing “attachment with detachment.” Findings indicate that while therapists strive to balance their emotions as humans and duties as emphasized professional, many experience emotional distress, burnout, and feelings of anxiety, helplessness and frustration. This study highlights the need for enhanced support systems and training for therapists, while also bringing to notice the emotional and psychological impact they face behind the scenes.