Patients preoccupied with suicidal ideation or urges to end life are often socially or interpersonally disconnected and alone in their internal struggle, which can make the suicidal process less accessible or even unreachable in treatment. This has traditionally contributed to a view of suicidality as a regressive retreat in psychiatric illness, i.e., a way to surrender. Recent studies have attended to the individual patients’ active involvement and motivation for suicide, i.e., their own intentions, engagement, and planning, etc. This points to the necessity of accessing and integrating the individual patient’s own active participation in the suicidal process as part of the therapeutic process. Therapist’s aim towards building a collaborative, interactive therapeutic alliance with trust, curiosity, and respect is a fundamental approach for engaging the suicide preoccupied patient in the therapeutic alliance. The therapist’s active attention and joining, including the presence during silent moments, can contribute to connecting with the patient and form a relationship. This presentation will provide examples of critical moments where the therapists active interaction and exploratory interventions can help access patients’ own narratives of underlying motives for suicide. This can include preventing, escaping, or impacting their subjectively overwhelming internal or life related situations, which is important for understanding underlying motivation for suicide. The active engaging non-judgmental therapist can invite the patient’s reflective ability, emotion tolerance and openness to consider different perspectives and approaches to suicide generating experiences, i.e., to activate and encourage change in patient’s suicidal preoccupation and intentions. It can open way for the patients to tolerate weakness or disgrace, or to promote an awareness or a tool for a way out of something perceived as unresolvable or intolerable. Foremost, it engages the patient’s sense of agency with aims and motivations related to suicide. The actively engaging therapist opens attention to sets of mechanisms of change and strategies to promote change in suicide preoccupied patients.