John is a 26-year-old single man. He was divorced 4 years ago and since that time has dated a number of women. He has been in private practice therapy (with the same counselor) since his divorce. He...

John is a 26-year-old single man. He was divorced 4 years ago and since that time has dated a number of women. He has been in private practice therapy (with the same counselor) since his divorce. He sobered up at the time of his divorce and has remained alcohol/drug-free. He attends a weekly 12-step group (Narcotics Anonymous) and has a sponsor whom he contacts frequently. Two years ago, John tried to kill himself: He had a gun to his head and called his therapist for help. He was committed to a psychiatric hospital. This attempt followed the breakup of a relationship. He has little contact with his family and few friends. Today,John is calling his counselor because he does not want to live anymore. His most recent relationship ended earlier today because of his overcontrolling, demanding nature.

1. How well does John fit the SAD PERSONS scale?

2. What questions would you want to ask John to determine his level of lethality?

3. What are your intervention options with John?