What is the 24 hour rule -- why do we have it?
After a client self-harms or attempts suicide, there will be no coaching or other extra contact for 24 hours. Why? Isn't this the time that a client needs their therapist the most? The critical concept with the 24 hour rule is "reinforcement". The DBT therapist does not want to reinforce self-harm or suicide attempts. The data show that increased therapist contact after self-harm/suicide attempts can result in additional self-harm or attempts. Instead, the therapist tries