Although various therapeutic tools, including intensive case management and conjoint individual and group therapy, have been shown to help clients overcome
barriers to living and engaging or continuing to participate in treatment, they may not be appropriate for every setting. A large number of patients who are thinking
about or have already engaged in suicidal behavior are often seen in acute settings such as psychiatric emergency departments and acute inpatient units, which may not
provide the time or resources necessary for complex and expensive treatments. Private practitioners also treat suicidal patients and are often unable to access treatment
components that are only available in large health care systems. Clinicians from different settings, therefore, may benefit from having practical tools and methods to
address the motivation to live, as well as the motivation for treatment.