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Suicide Prevention: Screening, Assessment, and Intervention

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1.  Which of the following is the number one cause of suicide?
  1. Untreated depression
  2. Substance abuse
  3. Loneliness
  4. Medication noncompliance
2.  Which of the following statements is a MYTH about suicide?
  1. Suicide only strikes people who are depressed and weak
  2. Suicide can affect anyone
  3. Many people who are very “strong” die by suicide
  4. None of the above
3.  Suicide is defined as:
  1. The act or instance of taking someone’s life voluntarily and intentionally
  2. The act or instance of taking one’s own life involuntarily and unintentionally
  3. The act or instance of taking one’s own life voluntarily and intentionally
  4. None of the above
4.  Suicide is often described as a multifactorial _________ causing feelings of hopelessness, despair, and intense pain.
  1. crisis
  2. perfect storm
  3. challenge
  4. mental health issue
5.  The stigma surrounding suicide is rooted in:
  1. Fear of social rejection
  2. Misunderstanding & judgement
  3. Ridicule & discrimination
  4. All of the above
6.  Which of the following screening tools accounts for cultural competency across multiple identities and assesses important differences in suicide presentation and risk among ethnic and sexual minority groups?
  1. Suicide Ideation Scale (SIS)
  2. Beck Depression Inventory
  3. Suicide Behavior Questionnaire-Revised (SBQ-R)
  4. Cultural Assessment of Risk for Suicide (CARS)
7.  Which of the following suicide screening tools is available in 114 country-specific languages and do not require mental health training to administer?
  1. Cultural Assessment of Risk for Suicide (CARS)
  2. Suicide Behavior Questionnaire-Revised (SBQ-R)
  3. Columbia-Suicide Severity Rating Scale (C-SSRS)
  4. None of the above
8.  The ______________ mentality is essential for healthcare professionals to provide comprehensive, effective short and long-term management for individuals experiencing suicidal ideation or in crisis.
  1. superhero
  2. it takes a village
  3. lone ranger
  4. None of the above
9.  LGBTQ youth who come from highly rejecting families are ____ times likely to have attempted suicide as LGBTQ peers who reported no or low levels of family rejection.
  1. 8.6
  2. 8.5
  3. 8.4
  4. 7.6
10.  Suicide rates vary by race and ethnicity, age, and other demographics, although in general the highest rates are among:
  1. Non-Hispanic Whites & Non-Hispanic American Indians and Alaskan Natives
  2. African Americans
  3. Hispanics
  4. Non-Hispanic Whites
11.  Factors predisposing inmates to suicidal behavior include:
  1. Severe guilt/shame over the alleged offense
  2. Current mental illness
  3. Approaching court date
  4. All of the above
12.  People with _________ are at higher risk for suicide because the pain caused by the trauma leads to persistent feelings of hopelessness and despair.
  1. Cancer
  2. Hypertension
  3. PTSD
  4. Seasonal Affective Disorder
13.  An intoxicated or impaired person has an increased risk for suicide because:
  1. Feelings of anxiety, depression and anger are intensified
  2. Effective coping strategies are inhibited
  3. Both A & B
  4. None of the above
14.  To provide informed, evidence-based, and best-practice care to all patients, ALL healthcare professionals must become educated to:
  1. Differentiate between risk factors and warning signs of suicide
  2. Develop a systematic suicide risk assessment strategy for all patient populations
  3. Develop a plan to practically manage acute suicidal crises in their clinical settings
  4. All of the above
15.  Suicide treatment also involves mitigating the immediate threat of self-harm and treating the underlying _____________.
  1. false perceptions
  2. low self-esteem
  3. pathologies
  4. None of the above
16.  Suicide treatment is often focused on teaching _________ to manage impulsivity and emotions.
  1. life skills
  2. breathing techniques
  3. self reflection
  4. None of the above
17.  Which of the following resources is a national network of local crisis centers that provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week?
  1. National Suicide Prevention Lifeline
  2. AA
  3. CDC
  4. None of the above
18.  Which of the following is an appropriate resource for suicide prevention/intervention?
  1. National Alliance of Suicide Prevention
  2. U.S. Department of Veterans Affairs (VA) Suicide Prevention
  3. Indian Health Service Suicide Prevention Program
  4. All of the above
19.  In 2019, on average there were _________ Veteran suicides per day.
  1. 17.2
  2. 17.3
  3. 17.4
  4. 17.5
20.  __________ is “a person who served in the active military, naval, or air service and who was discharged or released under conditions other than dishonorable.”
  1. Veteran
  2. Civilian
  3. Soldier
  4. Individual
21.  Which of the following is a mental health condition that commonly impacts Veterans?
  1. Bipolar Disorder
  2. Seasonal Affective Disorder
  3. PTSD
  4. None of the above
22.  Which of the following is a priority for reducing military and veteran suicide?
  1. Improving lethal means safety
  2. Increasing access to and delivery of effective care
  3. Addressing upstream risks and protective factors
  4. All of the above
23.  Risk factors for veteran suicide include which of the following:
  1. Combat exposure
  2. Injury
  3. Struggling to return to civilian life
  4. All of the above
24.  The veteran suicide rate is approximately _______ higher than non-veteran adults.
  1. 3 times
  2. 2 times
  3. 5 times
  4. None of the above
25.  Why is it important for behavioral health professionals to screen for suicide in primary care?
  1. Many individuals who die by suicide have met with their primary care provider within the past month
  2. It’s the right thing to do
  3. Primary care providers don’t screen for suicide
  4. Not many patients die by suicide each year
26.  What is one of the five steps in the SAFE-T assessment developed by SAMHSA?
  1. Discuss the patient's case with the primary care provider
  2. Identify risk factors
  3. Comprehensive assessment
  4. Review confidentiality
27.  Which of the following are evidence-based screening tools that can be used to screen for suicide in primary care and other healthcare settings?
  1. CSSR-S
  2. PHQ-2 and PHQ-9
  3. Ask Suicide Screening Questions (ASQ)
  4. All of the above
28.  What does SBIRT stand for?
  1. Selective, Brief, Internal, Referral, Treatment
  2. Screening, Brief Intervention, Referral to Treatment
  3. Screening, Brief treatment, Intervention, Recognize Triggers
  4. Selective, Brief Intervention, for Recognizing Trauma
29.  What is one of the first things behavioral health professionals can do when they are consulted to work with a suicidal patient?
  1. Reassure the patient that they have something to live for
  2. Tell the patient this isn’t the time to talk about suicide
  3. Encourage the patient to talk about suicidal feelings
  4. Tell the primary care provider there is no need for a consultation
30.  What risk factors make a patient at high risk for dying by suicide?
  1. Access to firearms
  2. Seeing their psychiatrist within the last month
  3. Family history of suicide
  4. Both A and C
31.  What are three treatment options behavioral health professionals can offer a suicidal patient, depending upon acuity level?
  1. ER triage/Inpatient care
  2. Partial hospital program (day treatment)
  3. Outpatient therapy/medication management
  4. All of the above
32.  What is the most common lethal means used in the US, according to the CDC?
  1. Suffocation
  2. Jumping
  3. Firearms
  4. Cutting
33.  What is one strategy to reduce access and the lethality potential of low-toxicity medications?
  1. Retaining only small quantity of low toxicity medications
  2. Store large quantities with a lock and key
  3. Don’t keep medications in the house
  4. There are no strategies to reduce this access
34.  Though all clients can benefit, what clients most need lethal means counseling?
  1. Geriatric clients
  2. Children
  3. Those who have had a previous attempt, those with past or present suicidal ideation, and those who are experiencing an acute life crisis
  4. Healthcare workers
35.  When asking clients about suicidal thoughts and lethal means, what type of questioning is best?
  1. Assertive and dominant
  2. Direct and collaborative
  3. Scolding
  4. Indirect and passive

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