To What Extent Are Therapists Willing to Treat Suicide-Loss Survivors With Suicide Risk? A Case Vignette Study

Introduction: Managing individuals at suicide risk poses significant challenges for mental health professionals (MHPs), particularly when these clients are also coping with the sudden loss of a loved one. Existing research suggests that stigma and perceived lack of competence often affect MHPs’ willingness to treat such cases. However, the extent to which symptom severity and the cause of loss (suicide vs. accident) influence MPHs’ decisions remains unclear. In this study, we examined these factors and whether suicide prevention training moderates MHPs’ willingness to treat and their perceived competence. Method: Using a vignette-based design, we presented 413 MHPs (e.g., clinical psychologists, clinical social workers, and psychiatrics) from Israel with hypothetical cases manipulated by suicidal risk (no risk, depression, or high risk) and cause of loss (suicide or accident). Participants rated their willingness to treat, likelihood of referral, and perceived competence. Results: As suicide risk increased, MHPs showed a decreased willingness to treat and increased referral inclinations, regardless of the cause of loss. Suicide prevention training significantly increased willingness to treat and enhanced perceived competence. The cause of loss (suicide vs. accident) had no significant effect on willingness to treat or perceived competence. Limitations: The study relied on hypothetical vignettes and self-report measures, which may not fully capture the complexities of real-world clinical decision-making. Conclusions: These findings highlight the significance of targeted training programs during MHPs’ academic studies and among experienced professionals to boost their competence and reduce stigma when treating individuals at suicide risk.