To perform the treatment effectively, therapists must assure themselves of their own security (physical, legal, and psychological) by explaining to the families the rationale for making patients responsible for their own safety. It must be very clear to patients and to the relatives why long-term hospitalization does not seem indicated under the circumstances and why outpatient treatment is recommended, despite the ongoing, uncontrollable risk for suicidal behavior. Therapists also need to spell out these arrangements in writing for their own legal protection. It is essential that therapists achieve a therapeutic frame and conditions for the treatment that permit them to remain calm under conditions of explicit or implicit suicidal threats from patients or pressures from patients’ family members.