Suicidal Ideation Therapists in Upper Saddle River, NJ
![Photo of Regina Colgan, LCSW, PsyA, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0ea891d5-ea88-41cf-a498-21161d8f7d06/3/320x400.png)
Regina Colgan
Clinical Social Work/Therapist, LCSW, PsyA
Verified Verified
1 Endorsed
Upper Saddle River, NJ 07458
Have you heard the term “gaslighting"? Although a trendy psychological term, it’s a real phenomenon. Usually related to emotional abuse or "narcissistic abuse". Are you feeling depression and or anxiety? Do you feel like you’re in a codependent relationship? Do you question yourself and wonder why it's happening? Are you trying to manage a history of abuse, whether experienced during childhood or presently. Are you concerned about or have you been told you’re dealing with someone of narcissistic or borderline personality disorders?
Have you heard the term “gaslighting"? Although a trendy psychological term, it’s a real phenomenon. Usually related to emotional abuse or "narcissistic abuse". Are you feeling depression and or anxiety? Do you feel like you’re in a codependent relationship? Do you question yourself and wonder why it's happening? Are you trying to manage a history of abuse, whether experienced during childhood or presently. Are you concerned about or have you been told you’re dealing with someone of narcissistic or borderline personality disorders?
![Photo of Robin Guterman, LCSW, NCRAC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/52c73125-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Robin Guterman
Clinical Social Work/Therapist, LCSW, NCRAC
Verified Verified
Upper Saddle River, NJ 07458
I am a licensed clinical social worker and have been treating teens, adults and families for over 25 years. My goal with teens is help change emotional and behavioral patterns that become roadblocks to achieving a healthy and secure life. My focus with adults is to help change unhealthy patterns by finding new ways of thinking, behaving and responding to maximize potential. My clients struggle with mental health issues, trauma, behavioral problems and addictive disorders including: substance abuse, gambling, social media, eating, etc. I guide my clients towards establishing balance in life for lasting change and continued growth.
I am a licensed clinical social worker and have been treating teens, adults and families for over 25 years. My goal with teens is help change emotional and behavioral patterns that become roadblocks to achieving a healthy and secure life. My focus with adults is to help change unhealthy patterns by finding new ways of thinking, behaving and responding to maximize potential. My clients struggle with mental health issues, trauma, behavioral problems and addictive disorders including: substance abuse, gambling, social media, eating, etc. I guide my clients towards establishing balance in life for lasting change and continued growth.
![Photo of Lance Eric Stern - Lance Stern LCSW, BCD, LCSW, BCD, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4077205d-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Lance Stern LCSW, BCD
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Upper Saddle River, NJ 07458
I am a licensed Board Certified psychotherapist, regarded as intuitive, patient and kind. My diverse professional background in combination with my lifelong dedication to guiding others through emotional challenges has informed my unique empathetic approach to psychotherapy. I understand that most issues lie deep and it takes time for clients to work them through to find lasting relief. However, others might only need short term treatment, then I will address presenting problems to offer more immediate relief. My goal is to assist each client in finding comfort, perspective, stability and strategies to resolve inner conflicts.
I am a licensed Board Certified psychotherapist, regarded as intuitive, patient and kind. My diverse professional background in combination with my lifelong dedication to guiding others through emotional challenges has informed my unique empathetic approach to psychotherapy. I understand that most issues lie deep and it takes time for clients to work them through to find lasting relief. However, others might only need short term treatment, then I will address presenting problems to offer more immediate relief. My goal is to assist each client in finding comfort, perspective, stability and strategies to resolve inner conflicts.
![Photo of Barbara Samaan, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/b0a2cf16-a669-4fea-823f-cf76db703f98/3/320x400.jpeg)
Are you feeling tired, emotionally drained,or struggle to get out of bed? Do you experience painful emotions including anger, resentment, or shame? Are you repeating the cycle of unhealthy or self-destructive behavior? Does your child or teenager seem sad, anxious, or irritable? My name is Barbara Samaan. I am a Licensed Professional Counselor. I have over 12 years of experience counseling children, adolescents and adults and working with individuals, couples, and families. Areas of expertise include: working with individuals with chronic illnesses, disability, depression and other mood disorders, anxiety, faith based counseling, and trauma, abuse, and neglect.
Are you feeling tired, emotionally drained,or struggle to get out of bed? Do you experience painful emotions including anger, resentment, or shame? Are you repeating the cycle of unhealthy or self-destructive behavior? Does your child or teenager seem sad, anxious, or irritable? My name is Barbara Samaan. I am a Licensed Professional Counselor. I have over 12 years of experience counseling children, adolescents and adults and working with individuals, couples, and families. Areas of expertise include: working with individuals with chronic illnesses, disability, depression and other mood disorders, anxiety, faith based counseling, and trauma, abuse, and neglect.
![Photo of Tracey Waldman - Family Psychiatry and Therapy, PhD, Psychologist](https://photos.psychologytoday.com/3fef34a4-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I work with individuals and couples of all ages, backgrounds, and sexual orientations, treating depression, anxiety, PTSD, grief/loss, eating disorders, couples in crisis, professional dilemmas, parenting issues and more. I also specialize in coping with pain, fatigue, insomnia, and chronic illness including chronic fatigue, autoimmune disease, and fibromyalgia.
I work with individuals and couples of all ages, backgrounds, and sexual orientations, treating depression, anxiety, PTSD, grief/loss, eating disorders, couples in crisis, professional dilemmas, parenting issues and more. I also specialize in coping with pain, fatigue, insomnia, and chronic illness including chronic fatigue, autoimmune disease, and fibromyalgia.
![Photo of Maggee Messing, PsyD, Psychologist](https://photos.psychologytoday.com/3cb692dd-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
A key ingredient to successful therapy is having a strong therapeutic relationship. To foster this relationship I am open and honest with my client's and create an environment that allow the people I work with to feel cared for, safe, and free from judgement. My main treatment method is cognitive behavioral therapy however I take an integrative approach to treatment. I consider the individual needs of my clients, I help them regulate their emotions, manage stressors, and function effectively in their daily lives. I work with my clients collaboratively to develop interventions and coping strategies that work for them.
A key ingredient to successful therapy is having a strong therapeutic relationship. To foster this relationship I am open and honest with my client's and create an environment that allow the people I work with to feel cared for, safe, and free from judgement. My main treatment method is cognitive behavioral therapy however I take an integrative approach to treatment. I consider the individual needs of my clients, I help them regulate their emotions, manage stressors, and function effectively in their daily lives. I work with my clients collaboratively to develop interventions and coping strategies that work for them.
![Photo of Nikki Milch - Nikki Milch Counseling LLC, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9bd4ed57-cf08-4ca3-af09-53b222867bfa/2/320x400.jpeg)
Nikki Milch Counseling LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Upper Saddle River, NJ 07458
Welcome. I provide therapy services to children, adolescents, young adults, and their families. Much of my clinical experience is with youth who struggle with psychiatric concerns such as depression, anxiety, and mood disorders, as well as youth who have been victims of trauma and abuse. I also have extensive experience working with youth in the LGBTQ+ community. I aim to always provide empathy and non-judgmental support during periods of difficulty, change, and transition for youth and help them build the skills to be happy, healthy, and successful individuals with meaningful and fulfilling interpersonal relationships.
Welcome. I provide therapy services to children, adolescents, young adults, and their families. Much of my clinical experience is with youth who struggle with psychiatric concerns such as depression, anxiety, and mood disorders, as well as youth who have been victims of trauma and abuse. I also have extensive experience working with youth in the LGBTQ+ community. I aim to always provide empathy and non-judgmental support during periods of difficulty, change, and transition for youth and help them build the skills to be happy, healthy, and successful individuals with meaningful and fulfilling interpersonal relationships.
More Therapists Nearby
![Photo of Robert Mann, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/38b35c8f-40c6-427e-bb26-9e9adcfd6322/1/320x400.png)
We work closely with sensitive issues including divorce, suicide/self-injury, conflict and trauma and grief responses including abuse and hostile domestic circumstances.
***ACCEPTING NEW PATIENTS. We believe that an accountable ally is one of the greatest agents of change. We welcome the opportunity to be that ally. With decades of experience working in private practice with Children, Adolescents, Adults and families, we are confident we will help you negotiate the challenges of the change process. Anxiety, Depression, Behavioral Issues, Grief, Trauma, Divorce and Hostile Domestic and Abuse Situations. Turn The Page LLC provides the option of Teletherapy to assist those with limitations on mobility and in response to the changing needs and methods of communication.
We work closely with sensitive issues including divorce, suicide/self-injury, conflict and trauma and grief responses including abuse and hostile domestic circumstances.
***ACCEPTING NEW PATIENTS. We believe that an accountable ally is one of the greatest agents of change. We welcome the opportunity to be that ally. With decades of experience working in private practice with Children, Adolescents, Adults and families, we are confident we will help you negotiate the challenges of the change process. Anxiety, Depression, Behavioral Issues, Grief, Trauma, Divorce and Hostile Domestic and Abuse Situations. Turn The Page LLC provides the option of Teletherapy to assist those with limitations on mobility and in response to the changing needs and methods of communication.
![Photo of Heather Carella, LMHC, LPC, NCC, Counselor](https://photos.psychologytoday.com/dc86a146-a763-4a2b-aacd-9e8f6bd82b57/2/320x400.jpeg)
If you're reading this, congratulations! You've already taken a significant step towards personal growth! Whether you're dealing with a chronic mental illness, struggling with relationships, going through a major life transition, feeling overwhelmed and burnt out, or just feel stuck, I'm here to help! I will work with you to identify maladaptive patterns and develop helpful tools and skills so that you can move forward and thrive.
If you're reading this, congratulations! You've already taken a significant step towards personal growth! Whether you're dealing with a chronic mental illness, struggling with relationships, going through a major life transition, feeling overwhelmed and burnt out, or just feel stuck, I'm here to help! I will work with you to identify maladaptive patterns and develop helpful tools and skills so that you can move forward and thrive.
![Photo of Caren Weingart, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4dba69d7-92f1-4a18-8922-cedd40af0387/2/320x400.jpeg)
Caren Weingart
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Allendale, NJ 07401 (Online Only)
Seeking help is a huge first step and I understand that what you are going through may feel intense, painful, and scary. You deserve to live the best quality of life and to have the confidence to reach your goals and aspirations. I provide a supportive, non-judgmental environment, so you can feel comfortable and know you are not fighting your battles alone. What you need has been in front of you the whole time, you just need someone to help you see it!
Seeking help is a huge first step and I understand that what you are going through may feel intense, painful, and scary. You deserve to live the best quality of life and to have the confidence to reach your goals and aspirations. I provide a supportive, non-judgmental environment, so you can feel comfortable and know you are not fighting your battles alone. What you need has been in front of you the whole time, you just need someone to help you see it!
![Photo of Patricia Grego - Therapeutic Arts, LPAT, LCAT, ATR-BC, Art Therapist](https://photos.psychologytoday.com/a14fd779-a440-48e5-a0c5-2e804fd75f90/1/320x400.png)
Our Art Therapy practice is a special place for children, teens and adults for self discovery, emotional wellness, building self-esteem and expressing feelings. Our NJ team is highly trained in development challenges, self regulation, moods, anger management, bereavement, chronic illness, divorce, PTSD and anxiety.
Our Art Therapy practice is a special place for children, teens and adults for self discovery, emotional wellness, building self-esteem and expressing feelings. Our NJ team is highly trained in development challenges, self regulation, moods, anger management, bereavement, chronic illness, divorce, PTSD and anxiety.
![Photo of Julia Tsakalis, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4d3e6dc0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Imagine your life as a bookshelf: It may feel like the “TRAUMA” book is the only one on your shelf. It’s big and heavy and it hurts to think about opening it. In our work together you will learn how to build a library full of rich life experiences around what you’ve already survived. You won’t have to numb the pain. You won’t have to minimize what you feel to make others comfortable. You will get to process your traumas and feel present for the first time in a long time, or maybe in your life.
Imagine your life as a bookshelf: It may feel like the “TRAUMA” book is the only one on your shelf. It’s big and heavy and it hurts to think about opening it. In our work together you will learn how to build a library full of rich life experiences around what you’ve already survived. You won’t have to numb the pain. You won’t have to minimize what you feel to make others comfortable. You will get to process your traumas and feel present for the first time in a long time, or maybe in your life.
![Photo of Nicole Amarante, MA, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/4752f95f-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Welcome! I am excited you are here to learn more about therapy and services I provide. In my practice, I promote empowerment and resilience. My number one goal is your personal growth and healing. I truly value creating a warm, supportive, and safe environment. I have extensive training in treating anxiety disorders and mood disorders in children, teens, and adults. Together we will build insight to your strengths, find your power, overcome challenges. increase your creative potential, build self-esteem, develop coping & problem solving skills, and improve your overall satisfaction with life.
Welcome! I am excited you are here to learn more about therapy and services I provide. In my practice, I promote empowerment and resilience. My number one goal is your personal growth and healing. I truly value creating a warm, supportive, and safe environment. I have extensive training in treating anxiety disorders and mood disorders in children, teens, and adults. Together we will build insight to your strengths, find your power, overcome challenges. increase your creative potential, build self-esteem, develop coping & problem solving skills, and improve your overall satisfaction with life.
![Photo of Maureen C Kelley, PsyD, Psychologist](https://photos.psychologytoday.com/3baf0a1e-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
As a licensed psychologist for 17 years, I'm devoted to the treatment of children, adolescents, adults, and families. I've worked in various medical and educational settings and am licensed in NJ, NY and FL. I treat children, adolescents, and adults with a broad range of psychological and behavioral disorders, including: depression, anxiety, bipolar disorder, ADHD, school refusal, divorce, adolescent issues, & behavior disorders. I am skilled in psychological testing of children, adolescents, and their families and conduct psychoeducational evaluations for school placement. I am available for in-person and virtual sessions.
As a licensed psychologist for 17 years, I'm devoted to the treatment of children, adolescents, adults, and families. I've worked in various medical and educational settings and am licensed in NJ, NY and FL. I treat children, adolescents, and adults with a broad range of psychological and behavioral disorders, including: depression, anxiety, bipolar disorder, ADHD, school refusal, divorce, adolescent issues, & behavior disorders. I am skilled in psychological testing of children, adolescents, and their families and conduct psychoeducational evaluations for school placement. I am available for in-person and virtual sessions.
![Photo of Emily Conte, MA/EdS, LAC, NCC, Counselor](https://photos.psychologytoday.com/aa7ac889-fbdd-4fad-8fb3-8785146097a0/1/320x400.jpeg)
You've tried implementing all of the changes that your relatives, friends, and influencers have said to be "fixed". You've adjusted your eating habits, started working out more often, decreased your caffeine intake, and limited your cell phone usage before bed. You've even tried that essential oil that's supposed to "cure" anxiety in one sniff! But, there's still this constant feeling of edginess that you just can't shake. You often think that you don’t really know what you’re doing and don’t feel like you “fit” anywhere. You start to wonder if you’re making the “right” decisions or if this is just what being an “adult” feels like.
You've tried implementing all of the changes that your relatives, friends, and influencers have said to be "fixed". You've adjusted your eating habits, started working out more often, decreased your caffeine intake, and limited your cell phone usage before bed. You've even tried that essential oil that's supposed to "cure" anxiety in one sniff! But, there's still this constant feeling of edginess that you just can't shake. You often think that you don’t really know what you’re doing and don’t feel like you “fit” anywhere. You start to wonder if you’re making the “right” decisions or if this is just what being an “adult” feels like.
![Photo of Vanessa Marie Reiser - Vanessa Reiser Narcissistic Abuse/Cult Expert, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/51e4a40e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Vanessa Reiser Narcissistic Abuse/Cult Expert
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Allendale, NJ 07401
Vanessa is a solution-focused psychotherapist licensed in NY, NJ, MA and FL specializing in Narcissistic Abuse and Cult Abuse, whose mission is to help individuals uncover their true potential and move forward toward all of their goals. Her team specializes in working with individuals and couples focusing on the treatment of trauma, anxiety, depression, PTSD, grief/loss, eating disorders, marriage or interpersonal relationship problems, alcohol or drug abuse, low self-esteem, or anyone in need of developing new ways to cope with life’s every day challenges. Go to tellatherapist.net or Insta: vanessareiserlcsw TikTok:vanessareiser
Vanessa is a solution-focused psychotherapist licensed in NY, NJ, MA and FL specializing in Narcissistic Abuse and Cult Abuse, whose mission is to help individuals uncover their true potential and move forward toward all of their goals. Her team specializes in working with individuals and couples focusing on the treatment of trauma, anxiety, depression, PTSD, grief/loss, eating disorders, marriage or interpersonal relationship problems, alcohol or drug abuse, low self-esteem, or anyone in need of developing new ways to cope with life’s every day challenges. Go to tellatherapist.net or Insta: vanessareiserlcsw TikTok:vanessareiser
![Photo of James V. Nono, LCSW, LCADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/dfbccabb-2eaa-4ec2-a495-5153d052d618/1/320x400.jpeg)
James V. Nono
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
1 Endorsed
Ramsey, NJ 07446
Hi! I’m James. Life’s challenges and transitions can be extremely difficult to navigate, but with your commitment to your mental health and overall well-being, we can collaboratively work to find happiness and meaning in your life. I would be happy to assist you in creating coping skills and strategies that will work for you in developing a greater sense of self. As a Licensed Clinical Social Worker and Therapist, I am knowledgeable and skilled in working with a variety of issues such as addiction, relationship issues, anxiety and depression, self-esteem, finding purpose and meaning, and major life transitions.
Hi! I’m James. Life’s challenges and transitions can be extremely difficult to navigate, but with your commitment to your mental health and overall well-being, we can collaboratively work to find happiness and meaning in your life. I would be happy to assist you in creating coping skills and strategies that will work for you in developing a greater sense of self. As a Licensed Clinical Social Worker and Therapist, I am knowledgeable and skilled in working with a variety of issues such as addiction, relationship issues, anxiety and depression, self-esteem, finding purpose and meaning, and major life transitions.
![Photo of Maggie Franzetti, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/08e3332e-f53d-456a-8636-febd2f9c5ada/3/320x400.jpeg)
Maggie Franzetti
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Woodcliff Lake, NJ 07677 (Online Only)
The complexities of our worlds create numerous opportunities for stress to overwhelm us. All stressors, regardless of intensity, can leave us feeling powerless and hopeless as they accumulate. This is especially true for children and adolescents, who are more susceptible to experiencing negative emotions. My role as a therapist is to help individuals identify their stressors, understand how these stressors impact their overall well-being, and learn how to heal.
The complexities of our worlds create numerous opportunities for stress to overwhelm us. All stressors, regardless of intensity, can leave us feeling powerless and hopeless as they accumulate. This is especially true for children and adolescents, who are more susceptible to experiencing negative emotions. My role as a therapist is to help individuals identify their stressors, understand how these stressors impact their overall well-being, and learn how to heal.
![Photo of Kelly Flood, MSW, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5b17400c-f59a-4d5a-a8e1-dd5cb8716004/1/320x400.jpeg)
I truly believe that there is not a one-size-fits-all approach when it comes to incorporating modalities and skills into therapy. I am passionate about working collaboratively to better understand what resonates most with you as we strive towards your goals together in our sessions. Life can be incredibly challenging, and no matter what you are going through, you deserve to feel supported and heard.
I truly believe that there is not a one-size-fits-all approach when it comes to incorporating modalities and skills into therapy. I am passionate about working collaboratively to better understand what resonates most with you as we strive towards your goals together in our sessions. Life can be incredibly challenging, and no matter what you are going through, you deserve to feel supported and heard.
![Photo of Dr. Jeff J. Rocker, PhD, NCC, LPC, LCPC, LMHC, Licensed Professional Counselor](https://photos.psychologytoday.com/b6ac9891-a077-445b-87ba-b073e1a6705c/1/320x400.jpeg)
Dr. Jeff J. Rocker
Licensed Professional Counselor, PhD, NCC, LPC, LCPC, LMHC
Verified Verified
Saddle River, NJ 07458
With 12 years of experience working with clients going through individual, relationship, and family issues, Celebrity Therapist Dr. Jeff Rocker has provided therapeutic services to clients nationwide. He is Licensed in 14 states and has served clients from all age groups. Over the years, Dr. Jeff has organized lectures and various events in the community, including excursions and retreats for couples to improve their communication and better understand each other. He has experience working with athletes in the NFL, NBA, and MLB. In addition, Dr. Jeff has also worked with clients in the Movie, Music, and Entertainment Industries.
With 12 years of experience working with clients going through individual, relationship, and family issues, Celebrity Therapist Dr. Jeff Rocker has provided therapeutic services to clients nationwide. He is Licensed in 14 states and has served clients from all age groups. Over the years, Dr. Jeff has organized lectures and various events in the community, including excursions and retreats for couples to improve their communication and better understand each other. He has experience working with athletes in the NFL, NBA, and MLB. In addition, Dr. Jeff has also worked with clients in the Movie, Music, and Entertainment Industries.
See more therapy options for Upper Saddle River
Nearby Suicidal Ideation Therapists Searches for Upper Saddle River
- Allendale
- Hillsdale
- Ho Ho Kus
- Mahwah
- Midland Park
- Montvale
- Park Ridge
- Ramsey
- Saddle River
- Waldwick
- Westwood
- Woodcliff Lake
Suicidal Ideation Therapists
How does therapy for suicidal ideation work?
Stress, depression, anxiety, or upsetting circumstances can give rise to suicidal thinking. Therapy can address the events at the core of an individual’s suffering. Understanding why a person may be suicidal can help the therapist and the patient discover alternative methods of coping. A person with suicidal ideation may be mired in catastrophic thinking, and treatment like cognitive behavioral therapy is a good choice for breaking such patterns. In addition, treatment such as acceptance and commitment therapy can help a person manage their distress through better emotion regulation.
Which therapies are best for suicidal ideation?
Specific approaches used by professionals include cognitive behavioral, dialectical behavior, psychodynamic, acceptance and commitment therapies, among others. Cognitive behavioral and dialectical behavior therapies are two widely used therapies that can help individuals with painful thoughts and past traumas. These therapies help an individual tolerate distress, regulate emotions, and not act on dangerous urges.
Are there specific medications to be combined with therapy?
The use of medication for suicidal thoughts must be aligned with the underlying cause; conditions such as depression, anxiety, and psychosis may be at the root of suicidal ideation. A psychiatrist may prescribe medications for symptoms, which may include antipsychotics such as aripiprazole or antidepressants such as selective serotonin reuptake inhibitors.
How often and how long are therapy sessions for suicidal ideation?
As with any type of therapy, sessions depend on the individual. Patients may see improvement within 15 to 20 sessions, at an average of 50 minutes per session, while others may opt for 20 to 30 sessions over, perhaps, a six-month period. Still other patients, especially those with co-occurring conditions like major depression and anxiety, may need to continue sessions for up to 12 to 18 months. In some cases, residential treatment may be recommended for an individual who is judged to be at high risk of self-harm.