Licensed Clinical Social Worker (LCSW) Practice Exam

How should a social worker handle a client who expresses intentions of self-harm?

1. Dismiss the comments as exaggeration

2. Discuss the feelings in a future session

3. Create a safety plan with the client

4. Encourage the client to seek immediate hospitalization

The correct answer is: Create a safety plan with the client

Creating a safety plan with the client is the most appropriate response for a social worker when a client expresses intentions of self-harm. A safety plan is a personalized plan that helps address the client's thoughts and feelings associated with self-harm, identifies triggers, outlines coping strategies, and includes emergency contacts. This approach encourages active participation from the client, promoting their autonomy while providing a structured way to manage risk and enhance safety. Developing a safety plan emphasizes the importance of immediate actionable steps rather than leaving the client to cope alone. It fosters trust between the client and the social worker, demonstrating support and a commitment to their well-being. This strategy is in line with best practices in crisis intervention and mental health care, as it prioritizes safety while allowing clients to explore their feelings in a supportive environment. Engaging in such a collaborative process can significantly reduce immediate risks and empower clients with tools for self-management, which is essential in any therapeutic relationship.