Engaging suicidal clients in treatment and recovery is intense and challenging. Robert J. Gregory and Rebecca J. Shields share principles and techniques grounded in research and extensive front-line experience in this concise, pragmatic guide. The book is uniquely structured around specific dilemmas or sticking points that frequently arise in the treatment of suicidal clients. It provides a roadmap for responding skillfully when a client says, for example, "I just want to die," "Nothing is going to help," or "If you discharge me, I'll kill myself." Rich clinical vignettes and transcripts illuminate the underlying dynamics of each dilemma and demonstrate effective ways to move through it, regardless of treatment modality.