• Chloe Foster

Suicidal Ideation in LGBTQ Clients


My boss used to say to me that I was the only youth worker who had so many suicidal clients. I wondered why. Was I doing something wrong? No, I truly believe that it was because I was doing something right.

LGBTQ young people were coming to me at the drop-in youth group in Brighton and opening up about their suicidal thoughts.

As an LGBTQ youth worker back then I was very aware of the disproportionate levels of mental health issues and suicide risk of LGBTQ people. And so undertaking training to support people who were suicidal was one of the best things I could have done.

I will always remember how scared those faces were of those young people as they skirted around the subject of suicide dropping clues but being so scared to say the word. So scared that I might tell their parents and that they might somehow get in trouble.

It was my job to help alleviate those fears, listen out for hints that they might be trying to tell me something and to ask them directly if they were thinking about suicide.

When I first started to do this I was very scared too and remember worrying that I might somehow put an idea into their head, even though I had been taught that that is a complete myth.

My fear somehow got in the way and those early conversation were probably pretty clunky, but I was being real and being with each client.

Through time I became so familiar with talking about suicide in that job and was relieved that more and more young people were feeling able to speak up about those terrifying thoughts they were having. They just wanted to escape terrible situations, and suicide felt like a solution.

I remember reading that suicide is a permanent solution to a temporary problem. In fact, I often share that statement with clients as it can help remind us that delaying acting on suicidal thoughts can help keep us safe. As after a few weeks, days or even a few hours things can feel very different.

I am committed to helping people find that hope inside them and find a reason to keep living.

Since that job as an LGBTQ youth worker I have done various roles where I have worked with vulnerable adults as well as young people. In particular I remember my time at Mind in Brighton and Hove where - as a mental health advocate - it was rare to have anyone on my caseload who wasn’t talking about suicide.

Through all of these experiences I come to my counselling work today very committed to ending the stigma of talking about suicide. It is so so common for people to think about suicide, even though they might never intend to act on those thoughts. It is still though very serious and very important to talk about.

As counsellors we need to talk about suicide and be comfortable asking our clients if we think they might be suicidal, as research shows us that this can help keep people safe.


Tomorrow (10th September) is World Suicide Prevention Day, an annual event where organisations and communities around the world come together to raise awareness about how we can create a world where fewer people die by suicide.

It is my mission to try to help fellow counsellors build their confidence in asking about and talking directly about suicide.



Drawing on all my experiences working with LGBTQ clients I want to help counsellors learn more about what they might need to consider when working with LGBTQ clients.

If you would like to learn more about working with suicidal ideation in LGBTQ clients why not join us in a group online workshop I am running in October 2020 in partnership with Online Events.

Trans and non-binary clients in particular can fear their counsellor ‘outing’ or misgendering them if their counsellor were to need to break confidentiality. In this workshop we will work together to think about how as a counsellor you might contract with clients, paying particular attention to names, pronouns, titles and limits to confidentiality.

You will learn practical steps to enable you to listen for clues about suicidal thoughts and how to ask clients if they are suicidal. We will also talk about how to support clients to keep safe and what LGBTQ resources you can offer clients for extra support.

Working with Suicidal Ideation in LGBTQ Clients

Friday 9 October 2020

Starts live at 10am for 2 hours

Online interactive CPD workshop for counsellors

Fee by donation

More details click here




I look forward to meeting you.

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    ​© Sussex Rainbow Counselling  -  Chloe Foster (MNCS Accred)  -  PG Dip Humanistic Psychotherapeutic Counselling

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