Social Work Examination Services (SWES) Human Behavior Practice Test

What is the most appropriate action for a social worker when receiving a suicidal call at a crisis hotline?

1. Send the caller a self-help guide

2. Encourage the caller to distract themselves

3. Send a crisis worker or recommend going to the ER

4. Suggest they call back when feeling better

The correct answer is: Send a crisis worker or recommend going to the ER

When a social worker receives a suicidal call at a crisis hotline, the most appropriate action is to send a crisis worker or recommend going to the emergency room. This response prioritizes the safety and immediate needs of the caller, recognizing that suicidal ideation indicates a serious risk to their well-being. In crisis situations, an individual may be unable to think clearly or may feel overwhelmed, making it crucial for them to have access to professional support. By dispatching a crisis worker, the caller can receive immediate help from someone trained specifically to handle such situations, which can potentially save their life. Recommending the emergency room also ensures they receive comprehensive mental health care and evaluation in a safe environment. This action is rooted in the harm reduction approach, aiming to minimize risk and provide the swift support necessary during acute crises, where the potential for self-harm or suicidal actions is heightened. It demonstrates the social worker's responsibility to intervene actively when individuals are in distress rather than solely providing resources or suggesting coping strategies, which may not be effective in life-threatening situations.