title: Not at Imminent Risk. A Systematic Literature Review.
abstract: BACKGROUND
  Suicide is a pervasive and complex issue that can challenge counselors through the course of their careers. Research and practice focus heavily on crisis management and imminent risk rather than early intervention strategies. Early intervention strategies can assist counselors working with clients who have suicidal ideation, but are not at imminent risk, or with clients whose risk factors identify them as having a stronger trajectory for suicidal ideation.
  
  
  OBJECTIVE
  This systematic literature review examines the current literature on working with clients with suicidal ideation who are not at imminent risk, to ascertain the types of information and strategies available to counselors working with this client group.
  
  
  METHODS
  An initial 622 articles were identified for analysis and from these 24 were included in the final review, which was synthesized using a narrative approach.
  
  
  RESULTS
  Results indicate that research into early intervention strategies is extremely limited.
  
  
  CONCLUSIONS
  It was possible to describe emergent themes and practice guidelines to assist counselors working with clients with suicidal ideation but not at imminent risk.
authors.affiliation: 1 University of Tasmania, School of Health Sciences, Faculty of Health, Launceston, Tasmania, Australia.
authors.forename: Kate
authors.initials: K
authors.lastname: Monaghan
authors.affiliation: 2 University of Tasmania, Centre for Rural Health, School of Health Sciences, Faculty of Health, Launceston, Tasmania, Australia.
authors.forename: Martin
authors.initials: M
authors.lastname: Harris
mesh_terms: D061345:Early Medical Intervention; D006801:Humans; D018570:Risk Assessment; D012307:Risk Factors; D059020:Suicidal Ideation; D000092864:Suicide Prevention
keywords: clinical pathways; counseling; early intervention; suicide risk