68 | Tangled Thoughts: Following the THREAD
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68 | Tangled Thoughts: Following the THREAD
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Ideation. It doesn’t always arrive loudly.
Sometimes it starts with a whisper—“I’m just tired.”
Other times, it circles silently, gaining strength beneath the surface.
In this episode, we explore THREAD, the second phase of the STEPS model. Here, suicidal ideation begins to take shape—not yet a plan, but not just passing pain. This is the moment to notice the pull, to trace the thread before it tightens.
We walk through six elements of THREAD:
🧠 Thoughts of Suicide
🌫 Headspace of Suicidality
🔁 Recurrence & Distractibility
🔍 Escalation in Specificity
⚖️ Ability & Desire to Resist
➡️ Direction Toward Planning
With motivational interviewing and trauma-informed questions, we learn how to sit beside the person—not to interrogate, but to understand.
Because when we notice early, we can stay close.
And when we stay close, we create safety—one thread at a time.
Connect with Assoc Prof Manaan Kar Ray on Linkedin
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