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Full-Text Articles in Counseling

Subthreshold Depression In The National Epidemiologic Survey On Alcohol And Related Conditions Iii (Nesarc-Iii): A Quantitative Analysis Of Prevalence, Characteristics, And Burden In A Nationally Representative Sample, Scott T. Young Jan 2025

Subthreshold Depression In The National Epidemiologic Survey On Alcohol And Related Conditions Iii (Nesarc-Iii): A Quantitative Analysis Of Prevalence, Characteristics, And Burden In A Nationally Representative Sample, Scott T. Young

Antioch University Dissertations & Theses

While subthreshold depression (subD) is relatively young for a diagnostic concept at a mere half century old, it has burdened individuals and societies for far longer. Research has established that it is a highly prevalent, clinically important entity with clear links to personal distress and impairment (including increased suicidal ideation and behavior), societal burden (e.g., increased reliance on public assistance programs), and economic costs (both personal and public). Research has also demonstrated that it represents a significant risk factor for incident major depression (MD) and that it likely represents both a prodromal and residual state in the normal course of …


Inside The Circle 2025: Exploring The Ontario Cpe Supervisors' Lived Experience Of The Interpersonal Relations Group Process Portion Of Cpe, Kelly L. Collins Jan 2025

Inside The Circle 2025: Exploring The Ontario Cpe Supervisors' Lived Experience Of The Interpersonal Relations Group Process Portion Of Cpe, Kelly L. Collins

Theses and Dissertations (Comprehensive)

This research used a philosophical phenomenological (primarily Gadamer) methodology and asked the question, “What is the lived experience of Ontario Clinical Psychospiritual Education (CPE) Supervisors in the Interpersonal Relationships (IPR) group process portion of CPE?” It used a 90-minute, semi-structured interview format as it sought to understand the supervisor experience of safety in the group. 11 Ontario Certified Supervisors were interviewed and explored this question in relationship to participant supervisors’ experience as students and/or as educators. In the history of CPE, there has been significant harm done to students by some supervisors who were well-meaning, but unaware of their impact …


What Works In Telehealth Play Therapy? An Appreciative Heuristic Inquiry, Veronica Ann Ball Jan 2025

What Works In Telehealth Play Therapy? An Appreciative Heuristic Inquiry, Veronica Ann Ball

Dissertations

With the onset of coronavirus disease 2019 (COVID-19) in the United States in March 2020 (World Health Organization, 2020), professional counselors providing traditional in-person play therapy found themselves in a quandary regarding the delivery of services during a global pandemic (Evans, 2022; Mitchell, 2020; Whaibeh et al., 2020). Online counseling proffered a means to prevent the disruption of services, respond to the need for emerging counseling services, and comply with social restrictions (Evans, 2022). Prior to the pandemic, telehealth play therapy was used sparingly (Haslam & Harris, 2011; Smith et al., 2021), and many child-serving mental health professionals lacked training …


Predictors Of General Education Teachers' Self-Efficacy For Educating Autistic Students: Enactive Mastery Experiences, Vicarious Experiences, Verbal/Social Persuasions, And Physiological And Affective States, Renette Portecop-Prentice Jan 2025

Predictors Of General Education Teachers' Self-Efficacy For Educating Autistic Students: Enactive Mastery Experiences, Vicarious Experiences, Verbal/Social Persuasions, And Physiological And Affective States, Renette Portecop-Prentice

Dissertations

Problem

Autism is a complex neurodevelopmental condition that presents challenges not only for autistic individuals, but also for their families, healthcare providers and school professionals. A significant number of children with autism spend most of their school day in general education classrooms with teachers who may lack autism-specific training and are unfamiliar with evidence-based practices for supporting autistic students. This lack of training or relevant resources specific to autism may impact teacher self-efficacy for educating autistic students, which in turn may affect instructional decisions and student outcomes. Guided by Bandura’s theoretical framework, this study examined the relationships among autism-specific training …


Parental Stress, Self-Compassion, And Meaning In Life Among Mothers Of Children With Autism Spectrum Disorder, Hyun-Ju Ju Jan 2025

Parental Stress, Self-Compassion, And Meaning In Life Among Mothers Of Children With Autism Spectrum Disorder, Hyun-Ju Ju

Theses and Dissertations--Early Childhood, Special Education, and Counselor Education

Mothers of children with autism spectrum disorder (ASD) often experience higher levels of parenting stress than mothers of typically developing children or children with other developmental disabilities, which can undermine their psychological well-being. Additionally, parental stress among mothers of children with ASD is influenced by various demographic factors. This study primarily identified the relationship between parental stress and demographic factors. It also examined the correlations among parental stress, self-compassion, and meaning in life of mothers raising children with ASD within a positive psychology context. Finally, this study investigated whether self-compassion mediates the relationship between parenting stress and two distinct dimensions …


Engendering The Trans Cft: Gender Diverse Experiences Of Couple And Family Therapy Training Programs, Coltan J. Schoenike Jan 2025

Engendering The Trans Cft: Gender Diverse Experiences Of Couple And Family Therapy Training Programs, Coltan J. Schoenike

Antioch University Dissertations & Theses

Mental health literature, including in couple and family therapy (CFT), is sparse when it comes to transgender and gender diverse (TGD) topics. This is all the more the case when it is discussing instances where the provider themself is the one who is TGD. Very little literature exists that acknowledges the existence of trans clinicians and often focuses solely on whether their transness should even be disclosed. This study aimed to address this gap and explore the experiences of TGD CFTs, particularly focusing on training experiences in programs accredited by the Commission on Accreditation for Marriage and Family Therapy Education …


Exploring The Use Of Somatic Skills And Techniques In Clinical Supervision, Areka D. Foster Jan 2025

Exploring The Use Of Somatic Skills And Techniques In Clinical Supervision, Areka D. Foster

Antioch University Dissertations & Theses

This study explores the lived experiences of clinical supervisors who engage in somatically oriented supervision. Informed by relational-cultural theory and polyvagal theory, the research employs a grounded theory methodology to investigate the potential development of a somatic supervision framework. Eleven participants completed semi-structured interviews and data were analyzed using both thematic analysis and grounded theory techniques. Eleven core themes emerged: (a) conceptualizations of somatic supervision, (b) integration of somatic techniques in supervisory practice, (c) theoretical foundations for somatic supervision, (d) attunement to countertransference, (e) the supervisory relationship, (f) trauma-informed approaches, (g) somatic techniques and practices, (h) initiating and structuring somatic …


Inheriting Power And Pain: An Examination Of Intergenerational Influences In The Stories Of Black Women In Professional Leadership Positions, Angela Banks Jan 2025

Inheriting Power And Pain: An Examination Of Intergenerational Influences In The Stories Of Black Women In Professional Leadership Positions, Angela Banks

Antioch University Dissertations & Theses

This study aimed to explore the stories of Black women in professional leadership roles. Grounded in a Black feminist perspective (Crenshaw, 1989) and informed by historical and intergenerational trauma (Brave Heart, 1999), this study utilized Black storytelling as a methodological framework and employed thematic analysis to examine the narratives of participants. A total of nine Black women in leadership positions across various industries participated in one-on-one interviews. The findings revealed four key themes: (1) What I saw and what others saw in me: Community leadership, (2) Instilled values: The Strong Black Woman Schema, (3) The only one: Sole representation and …


Reimagining Care: Experiences Of Trauma-Informed Approaches And Deinstitutionalization In Caribbean Child Welfare, Sarah L. Subhan Jan 2025

Reimagining Care: Experiences Of Trauma-Informed Approaches And Deinstitutionalization In Caribbean Child Welfare, Sarah L. Subhan

Antioch University Dissertations & Theses

This study explored the perceptions and experiences of child welfare professionals on trauma-informed care and implications for deinstitutionalization in Trinidad and Tobago. The qualitative study utilized research interviews from 21 participants to inform findings. The participants included professionals from various agencies who work with children in care and protection. Thematic analysis was used to analyze the data, yielding six overarching themes (1) the need for training and capacity building in child protection, (2) systemic and organizational challenges to trauma informed care, (3) cultural and community factors impacting child protection, (4) the need to support family units as a pathway to …


The Nohs 2024 Code Of Ethics Update, Kevin C. Snow, Christian Williams, Ed Neukrug, Kristin Barker, Kristin Ballard, Braxton A. Morrison, Leslie C.M. Mcclane, Meghan N. Morgan, Stephanie Collins Jan 2025

The Nohs 2024 Code Of Ethics Update, Kevin C. Snow, Christian Williams, Ed Neukrug, Kristin Barker, Kristin Ballard, Braxton A. Morrison, Leslie C.M. Mcclane, Meghan N. Morgan, Stephanie Collins

Counseling & Human Services Faculty Publications

The NOHS Ethics committee engaged in a revision of the Ethical Standards for Human Services Professionals (2024). This update focused on significant changes in the field of human services as they relate to a broad group of human services professionals. The article explores interviews with key members of the revision committee sharing their thoughts on the necessity for the current revision and the ever-present importance for human service professionals to understand and engage with the NOHS ethics code as an essential living document for the benefit of client well-being, to promote the integrity of the human services profession, and to …


Doctoral Student Supervisors' Experiences With Broaching Race And Race-Related Issues, Judith Wambui Preston, Gülşah Kemer Jan 2025

Doctoral Student Supervisors' Experiences With Broaching Race And Race-Related Issues, Judith Wambui Preston, Gülşah Kemer

Counseling & Human Services Faculty Publications

In this descriptive phenomenological study, we explored 13 doctoral student supervisors’ experiences with broaching race and race-related issues in supervision with counselors-in-training. Three themes emerged: the function of broaching; self-perceived attributes affecting broaching; and experiences of programmatic support and challenges. We discussed practical and research implications with study limitations.


A Case Of Interpretive Assistance And School Choice Counseling, Jason E. Saltmarsh Jan 2025

A Case Of Interpretive Assistance And School Choice Counseling, Jason E. Saltmarsh

Educational Leadership & Workforce Development Faculty Publications

Drawing on notions of social capital, insider knowledge embedded in "the grapevine", and the "labor of choice", this study examines interpretive assistance in the context of families' K-12 school decisions. It uses a qualitative case study of NGO navigator services, which provide school choice counselling primarily to low-income families of colour, to develop theoretical propositions related to the characteristics and potential benefits of interpretive assistance. As some researchers and conservative-leaning think tanks call for investing in navigator services, it is important to deepen our understanding of "high-touch" informational supports aimed at mitigating demand-side inequities in school choice.


Groundbreaking Insights On Trauma And Justice: A Review Of Sexual Violence, Dissociation, And Inequality: A Guide To Understanding Traumatic Memory By Muriel Salmona, Kate Rose Jan 2025

Groundbreaking Insights On Trauma And Justice: A Review Of Sexual Violence, Dissociation, And Inequality: A Guide To Understanding Traumatic Memory By Muriel Salmona, Kate Rose

Dignity: A Journal of Analysis of Exploitation and Violence

No abstract provided.


“Democracy,” Usa, Marc Edelman Jan 2025

“Democracy,” Usa, Marc Edelman

Publications and Research

What does it mean to be an effective citizen in a democracy? Answering this question requires unpacking “democracy” and an analysis of institutions that systematically disempower and alienate citizens. This paper briefly examines the contributions of psychoanalysis to understanding democracy and authoritarianism. It scrutinizes U.S. governance institutions and points to democratic deficits and backsliding present even before Trump 1.0 and 2.0. These range from the Electoral College, the Senate, and the Supreme Court to the Federal Communications Commission. All contributed to institutionalizing minority rule and elite capture. Governance institutions failed to deliver what the American people tell opinion pollsters they …


Counselors’ Role In Supporting Lgbtgeqiap+ Teens Living In The Foster Care System, Elizabeth K. Kurt Jan 2025

Counselors’ Role In Supporting Lgbtgeqiap+ Teens Living In The Foster Care System, Elizabeth K. Kurt

Graduate Research Posters

Background: Queer youth in the United States are overrepresented and simultaneously unseen in the foster care system. They experience more negative mental health outcomes than their non-queer peers, and the child welfare system does not always provide safe or affirming care for these marginalized youth. LGBTGEQIAP+ teens are placed in congregate care at high rates and face a myriad of challenges in these settings that exasperate existing mental health concerns. This poster examines the injustices of out-of-home care and the maltreatment that gender and sexual minority youth experience in the foster care system, as well as exploring factors that improve …


Social-Emotional Learning In Out-Of-School Time Settings: A Mixed Methods Investigation Of Perceived Need, Kaitlin Halbert Jan 2025

Social-Emotional Learning In Out-Of-School Time Settings: A Mixed Methods Investigation Of Perceived Need, Kaitlin Halbert

Dissertations and Theses

This study examines the integration of Social and Emotional Learning (SEL) into Out-of-School Time (OOST) settings. It evaluates the perceived need for SEL curricula among OOST professionals, highlights potential benefits and barriers to implementation, and identifies necessary adaptations to tailor these programs for the unique OOST environment. Using a mixed-methods explanatory sequential design, including surveys (BIRS, URP-NEEDS, URP-IR) completed by 115 OOST providers and interviews with 10 providers, the research analyzes both quantitative and qualitative data. The results demonstrate a strong consensus among OOST professionals on the importance and value of SEL, acknowledging its potential to enhance student behavior, social …


From Street Codes To School Codes: Transformative Educational Intervention For Gang Affiliated Student. An Active Research Study, Alexandra Saldivar Jan 2025

From Street Codes To School Codes: Transformative Educational Intervention For Gang Affiliated Student. An Active Research Study, Alexandra Saldivar

University of the Pacific Theses and Dissertations

Gang-affiliated youth face significant challenges in educational and community settings, often resulting in lower graduation rates, limited career opportunities, and an increased risk for behavioral problems. While gang activity on school campuses has increased in recent years, there is limited research and little effort specifically tailored to meet the needs of this vulnerable population. This study aims to evaluate the effectiveness of the WhyTry intervention, a resilience-focused program designed for at-risk populations, modified with additional counseling and a gang-intervention emphasis to address the unique challenges gang-affiliated students face. The study explores whether the modified WhyTry program can improve academic performance, …


The Long-Term Psychological Effects Of Violent Crime On Victims: A Review Of Evidence And Supportive Interventions, Jayden E. Oleksyn-Lamb Jan 2025

The Long-Term Psychological Effects Of Violent Crime On Victims: A Review Of Evidence And Supportive Interventions, Jayden E. Oleksyn-Lamb

Graduate Theses/Dissertations

This study utilizes anonymous survey data collected from 26 mental health professionals in various regions of Canada to understand which psychological disturbances are the most prevalent among victims of violent crime as well as which psychological interventions are most beneficial for treating violent crime victims. The data revealed that Post-Traumatic Stress Disorder (PTSD), Major Depressive Disorder (MDD), Generalized Anxiety Disorder (GAD), anger, guilt, self-blame, and shame are each highly prevalent. Findings also revealed that certain therapeutic methods including Eye Movement Desensitization Reprocessing (EMDR), Supportive Counselling (SC), Progressive Relaxation (PR), Cognitive Reprocessing Therapy (CPT) and Cognitive Restructuring (CR) are associated with …


Can Deliberate Practice For Inner Skills Enhance Therapist Trainees’ Mindfulness And Presence When Working With Clients?, Edmund W. Orlowski Iii Jan 2025

Can Deliberate Practice For Inner Skills Enhance Therapist Trainees’ Mindfulness And Presence When Working With Clients?, Edmund W. Orlowski Iii

Electronic Theses & Dissertations (2024 - present)

A replicated single-case design was used to assess the effectiveness of therapist trainees’ engagement in deliberate practice for inner psychotherapy skills (Rousmaniere, 2019). Deliberate practice (DP) is a structured approach to therapist skill development that involves repeatedly observing and responding to real or simulated clients (Rousmaniere, 2016). It was reasoned that by attending to their inner experience while repeatedly being exposed to challenging clinical material (e.g., a client’s suicidal ideation) outside of therapy, trainees may reduce their experiential avoidance and thus be more mindful and present in sessions with actual clients.

During the five-week baseline phase of the study, four …


How Do Young Adults With Drug Use Disorder (Dud) Utilize Treatment? Exploring And Examining Lived Experiences Towards Treatment Completion In Indonesia, Dewi Kartikawatiningsih Jan 2025

How Do Young Adults With Drug Use Disorder (Dud) Utilize Treatment? Exploring And Examining Lived Experiences Towards Treatment Completion In Indonesia, Dewi Kartikawatiningsih

Electronic Theses & Dissertations (2024 - present)

In Indonesia which has the highest rate of drug addiction in Southeast Asia, there is currently little knowledge about how young adults perceive the barriers faced when completing treatment or how treatment providers' perspectives influence their treatment completion. Understanding and identifying barriers to treatment completion is essential to making drug treatment more effective. The purpose of this study is to explore the perspectives and live experiences of young adults with DUD and their addiction counselors to develop a deeper understanding of treatment needs. This study interviewed 33 clients and 15 counselors from the rehabilitation center of the Badan Nasional Narkotika …


Studying Associations Among Mental Health And Psycap In Persons With Stuttering, Jasmine Lydia Selvaraj, James R. Spears, Priscilla Rose Prasath, Gayathri Purushothaman Jan 2025

Studying Associations Among Mental Health And Psycap In Persons With Stuttering, Jasmine Lydia Selvaraj, James R. Spears, Priscilla Rose Prasath, Gayathri Purushothaman

Counseling Faculty Publications and Presentations

This cross-sectional, psychometric validation and comparative analysis study investigates the associations between mental health and Psychological Capital (PsyCap) in persons with stuttering (PWS; n = 60) and fluent speakers (FS; n = 60), while validating the Tamil translations of the Mental Health Continuum-Short Form (MHC-SF) and Psychological Capital Questionnaire (PCQ). Exploratory Factor Analyses, Cronbach’s alphas, and item-total correlations were used to evaluate the scales with a sample size of 120 participants. The conducted factor analyses demonstrated that the translated MHC-SF aligns structurally with prior studies, as compared to the PCQ, which diverged in factor loadings. The study also applied Independent …


Cohesive Model Of Supervision: An Empirically Based Approach, Gülşah Kemer Jan 2025

Cohesive Model Of Supervision: An Empirically Based Approach, Gülşah Kemer

Counseling & Human Services Faculty Publications

Supervision models are fundamental to our supervision practices and criticized for lacking empirical support. As a data-driven approach based on research with expert supervisors, Cohesive Model of Supervision unifies existing models’ central premises in a meaningful manner and emphasizes the understated areas of supervision practice.


School Counseling District Leaders' Experiences With Anti-Dei Laws And Policies: A Phenomenological Investigation, Emily Goodman-Scott, Darrell J. Sampson, Kaprea F. Johnson, Dehaven Sawyer-Mays Jan 2025

School Counseling District Leaders' Experiences With Anti-Dei Laws And Policies: A Phenomenological Investigation, Emily Goodman-Scott, Darrell J. Sampson, Kaprea F. Johnson, Dehaven Sawyer-Mays

Counseling & Human Services Faculty Publications

School counseling district leaders (SCDLs) are instrumental in shaping district policy, supporting school counselors, and interfacing with both internal and external constituents; as such, their systemic lens is of particular importance, given the K-12 pushback on diversity, equity, and inclusion (DEI) occurring at the state- and district-levels. As a result, we conducted a critical application of Husserl’s phenomenology to understand the collective experience of a sample of SCDLs (N = 10) working in locations with anti-DEI laws and/or policies, specifically those restricting Black, indigenous, and people of color and lesbian, gay, bisexual, transgender, and queer/questioning rights and topics. Through the …


Confidentiality In Addiction Treatment: Navigating 42 Cfr Part 2 Within Human Services, Chaniece Winfield, Jessica Huffman Jan 2025

Confidentiality In Addiction Treatment: Navigating 42 Cfr Part 2 Within Human Services, Chaniece Winfield, Jessica Huffman

Counseling & Human Services Faculty Publications

Recent federal legislation, including the Mental Health Parity and Addiction Equity Act (MHPAE) and the Comprehensive Addiction and Recovery Act (CARA), has placed greater emphasis on quality integrated health care, with a focus on access, treatment options, and evidence-based practices. Changes to Federal 42 CFR privacy protections also impact individuals seeking substance use disorder treatment, either as a primary diagnosis or comorbidity. Human service professionals, as generalists in the behavioral health field, provide vital treatment, recovery, and prevention services for individuals with substance use and addictive disorders. This paper explores the implications of these legislative changes, particularly regarding privacy protections …


19.2 Ceus, Albright Aaron, Peighton Corley, Yusuf Barburoglu, Jeff Moe Jan 2025

19.2 Ceus, Albright Aaron, Peighton Corley, Yusuf Barburoglu, Jeff Moe

Counseling & Human Services Faculty Publications

[Introduction] WLCO-2024-0077.R1 Heteronormative and cisnormative language in Southern University counseling and Title IX Offices

1. This study utilized the document analysis is a five step process including all EXCEPT

a. Gaining access to the documents via the web

b. Understanding hope and why the texts are produced.

c. Utilizing previous research to validate ideas or themes in the texts.

d. Determining the accuracy of the documents

e. Linking the documents with other website observations to triangulate results

f. Deconstructing the texts using a code book.

2. One of the most commun issues the research found was that the University websites …


19.3 Ceus, Albright Aaron, Peighton Corley, Yusuf Barburoglu, Jeff Moe Jan 2025

19.3 Ceus, Albright Aaron, Peighton Corley, Yusuf Barburoglu, Jeff Moe

Counseling & Human Services Faculty Publications

[Introduction] Navigating the Complexities in Gender-Diverse Counseling: Understanding the Interplay of Gender Identity, Racial Inequities, Economic Marginalization, and Aging

1. Which counseling approach discussed in the article explicitly weaves systemic oppression into cognitive restructuring for transgender clients?

A. Narrative Therapy

B. Gestalt Therapy

C. Intersectional Cognitive Behavioral Therapy

D. Dialectical Behavior Therapy

2. According to the article, identity-integrated support networks are valuable because they:

A. Provide financial assistance for medical transition only

B. Affirm multiple intersecting identities, offering validation and belonging

C. Limit social interaction to reduce microaggressions

D. Operate exclusively in online spaces


From The Editor, Jeff Moe Jan 2025

From The Editor, Jeff Moe

Counseling & Human Services Faculty Publications

[Introduction] Welcome to issue 19(4) of the Journal of LGBTQ Issues in Counseling. The mission and purpose of this journal is to illuminate the lived experiences of people who are sexual, affectional, intersex, and gender-expansive diverse and how these experiences relate to counseling, counselor education, mental health, and social justice. Throughout the nearly 20-year history of the journal research on affirming care best practice, scholarship that centers the stories of LGBTGEQIAP + individuals, groups and communities, and innovative research on multiple-minority communities have all been regular features. In addition to the focus of the published scholarship, which includes over …


Navigating Recovery: Insights From Distance Learning Human Services Students' Abstinence Experience, Chaniece Winfield, Jill Kivikoski, Catalina Kraft Jan 2025

Navigating Recovery: Insights From Distance Learning Human Services Students' Abstinence Experience, Chaniece Winfield, Jill Kivikoski, Catalina Kraft

Counseling & Human Services Faculty Publications

With the rise in overdose and problematic drug use in the United States, it is crucial to develop competent human service practitioners in addiction treatment and recovery settings. This qualitative study explores the virtual abstinence experience of distance learning human services students, using Mezirow’s transformative learning theory to examine how a 21-day experiential abstinence prompts critical reflection and perspective transformation. The study investigates the socio-emotional and physiological factors influencing participants' progress toward sobriety, including cravings, withdrawal, isolation, and relapse triggers. Findings highlight how participants' critical reflection leads to a deeper understanding of addiction and recovery, as well as an enhanced …


Engaging African American Families: Suggestions To Improve Treatment Utilization For Opioid Use Disorders, Martina S. Moore, Tanya J. Middleton Jan 2025

Engaging African American Families: Suggestions To Improve Treatment Utilization For Opioid Use Disorders, Martina S. Moore, Tanya J. Middleton

2025 Faculty Bibliography

Substance use disorders have been considered a “family disease,” and the impact of opioid use in African American communities is evident. African American overdose-related deaths now exceed that of White Americans in the United States. Despite the need, they engage in treatment at lower rates than White Americans. Research has called for more culturally responsive approaches to improve treatment outcomes. However, efforts to consider family and the community are not robust. This article reviews the impact of opioid use in the African American community while offering suggestions for counselors and therapists working with families to improve engagement.


Broaching For Culturally Responsive Suicide Risk Assessment, Mykka L. Gabriel, Laura Caputo, Jenny L. Cureton Jan 2025

Broaching For Culturally Responsive Suicide Risk Assessment, Mykka L. Gabriel, Laura Caputo, Jenny L. Cureton

2025 Faculty Bibliography

Despite rising suicide rates and disparities in minoritized communities as well as calls from experts and community leaders to address cultural factors, most suicide risk assessment (SRA) approaches remain acultural. Counselors who use acultural SRA can cause harm by neglecting to address crucial factors that may heighten or protect clients from suicide risk. This article provides guidance for proactive and responsive broaching in SRA using the four dimensions of the Multidimensional Model of Broaching Behavior (DayVines et al., 2020). The model provides an overview of key concepts, explicit recommendations for counselors in diverse settings, and an illustrative case example. Concerns, …