CHAPTER TWO
Trigger Warning: Video may contain sensitive topics
GUIDED MENTAL HEALTH COMMENTARY
We’ve arrived at Eva’s first therapy session.

In this space, the disembodied voice of her therapist is conducting a suicide risk assessment — to ascertain if she has any active suicidal intent or plans.


We see Eva becoming a bit defensive against this therapist’s line of questioning. She subsequently tries to gain back control of the conversation with the therapist. This is normal, especially when one is confronted with difficult questions in a therapeutic setting. After all, it is natural for triggers to make us feel unworthy, unloved, unwanted.

Purely from Eva’s response (and remember, we are only reviewing that which can be gleaned from this particular video) — it may be fair to assume that she has fleeting suicidal ideation. Her answers to the therapist’s questions lack specificity.


On the other hand, an actively suicidal person usually has extremely specific proposals - down to the time, location and the giving away of assets. Therefore, Eva at this stage might be considered passively suicidal.

As with most things, suicidal ideation exists on a continuum. This continuum can indicate to us the level of danger, and the different therapeutic methods that best fit the individual.

There is no need for any moral judgment on Eva’s suicidal ideation. She is in despair, in need of help.
In a school context, it would be necessary to get a school counsellor involved. While not all counsellors are trained as mental health professionals, they are equipped to screen for deeper mental health concerns and offer the best route to recovery.

In any out-of-school context, it is imperative to seek professional counselling.

For those interested, here are some tips before your first session.
1 This is a video of Eva’s memory.

As we walk with you through Eva’s room, you will find “home” videos of Eva’s memories. Here, we have an actress playing Eva, reading out the words of excerpts of 4.48 Psychosis (a favourite text of ours).
2 Click on the label for guided mental health commentary from accredited psychologists

3 The orange keywords are linked to a compendium for more in-depth reading.