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Quantum Units Education

Promoting Emotional Health and Preventing Suicide: A Toolkit for Senior Centers

About This Toolkit

1. In order to encourage more older adults to talk about emotional health, workshops should be scheduled for which of the following?

A. Suicide prevention

B. Depression

C. Promoting emotional well-being

D. All of the above


2. Which of the following is a normal part of aging?

A. Depression

B. Problems with alcohol and medications

C. Thoughts of suicide

D. None of the above


3. If there are signs that an older adult may have a problem, a critical first step can be to promote help-seeking by encouraging the person to talk with:

A. A counselor

B. A social worker

C. His or her doctor

D. Any of the above


Getting Started

4. Suicide rates are lower among older adults than in the general population.

A. True

B. False


5. Which of the following has the highest suicide rate in the United States?

A. Older men

B. Older women

C. Teenage girls

D. Middle-aged men


6. Suicide attempts are more common among older women than older men.

A. True

B. False


7. Protective factors for suicide among older adults include all of the following, except:

A. Receiving care for mental and physical health problems.

B. Social isolation.

C. A sense of purpose or meaning.

D. Skills in coping and adapting to change.


8. Which of the key strategies focuses on all older adults, regardless of individual risk for suicide?

A. Promote emotional health.

B. Recognize and respond to suicide risk.

C. Respond to a suicide attempt or death.

D. All of the above.


9. How can behavioral health providers help senior centers?

A. By serving as valuable sources of consultation and referrals.

B. By providing trained specialists to lead workshops and sessions that educate older adults and/or senior center staff and volunteers on topics related to behavioral health.

C. By screening older adults for depression, substance use disorders, and/or suicide risk and connecting them to sources of care.

D. All of the above.


Strategy 1: Promote Emotional Health

10. Given that medical problems, disability, and pain may increase suicide risk, it is important to provide activities and programs that help older adults manage chronic health conditions and adapt to changes in physical function.

A. True

B. False


11. In order to offer activities and programs that foster a sense of purpose, resilience, and other protective factors, activities should be offered that do which of the following?

A. Help older adults prevent and manage health problems.

B. Develop coping skills.

C. Provide a sense of purpose and opportunities to develop meaningful connections with others.

D. All of the above.


12. When planning an educational session on a health problem, the session should also address the relationship between mental and physical health.

A. True

B. False


13. Being connected to others at which level has been identified as a key protective factor for older adults?

A. The personal level

B. The family level

C. The community level

D. All of the above


14. Bullying is a social problem that affects people of all ages, including older adults.

A. True

B. False


15. All of the following are signs of bullying, except for:

A. Name calling, teasing, taunting, or threatening.

B. Pushing, hitting, destroying property, or stealing.

C. Neglect from nurses and/or staff.

D. Shunning, excluding or ignoring, gossiping, spreading rumors, or mimicking.


16. Strategies that can be used for preventing and stopping bullying include all of the following, except:

A. Ignoring bullying will make it go away.

B. Creating a culture of equality and respect.

C. Increasing awareness of bullying via educational sessions and awareness materials.

D. Adopting a policy on bullying and posting it at the facility.


Strategy 2: Recognize and Respond to Suicide Risk

17. All of the following behaviors may indicate that a person is at immediate risk of suicide, except for:

A. Talking about wanting to die or kill oneself.

B. Looking for a way to kill oneself, such as searching online or obtaining a gun.

C. Withdrawing or feeling isolated.

D. Talking about feeling hopeless or having no reason to live.


18. Key symptoms of depression include all of the following, except:

A. Loss of interest or pleasure in activities.

B. Not taking medications.

C. Weight loss or gain.

D. Fatigue or lack of energy.


19. Alcohol use may do which of the following?

A. Speed up normal declines in functioning due to aging.

B. Increase the risk of falls, injuries, and disability.

C. Trigger or complicate many medical and mental conditions.

D. All of the above.


20. The National Institute on Alcohol Abuse and Alcoholism recommends that adults age 65 or older who are healthy and take no medications should drink no more than three alcoholic drinks on a given day, not to exceed fourteen drinks per week.

A. True

B. False


21. Studies show that most adults who die by suicide saw a primary care provider within one year before their death, but only a small minority had contact with mental health services.

A. True

B. False


Strategy 3: Respond to a Suicide Attempt or Death

22. A protocol for responding to a suicide death should indicate all of the following, except:

A. The lead person for postvention support.

B. How to implement a telephone outreach program, in which residents make calls to other residents to check how they are doing and offer support.

C. How to identify residents and others who may be affected by the event, including staff and volunteers.

D. How to provide individualized support to those who may need more help.


Tool 5: Strategies for Establishing Social Networks

23. In order to welcome new participants, which of the following should take place?

A. Hold events specifically to welcome new visitors to the senior center, where they can meet other participants, senior center staff, and volunteers.

B. Provide information to new participants on all the types of social connections and support available at the senior center.

C. Coordinate buddy systems that match the new participant with someone who has been using the center for a longer time, or designate greeters who are available to welcome anyone new who comes to the center.

D. All of the above.


Tool 6: Recognizing and Responding to Depression

24. Older adults who have depression may be more likely than younger adults to report physical symptoms than psychological ones.

A. True

B. False


Fact Sheet 3: After a Suicide: What to Expect and How to Help

25. The attitude and feelings of those that work with the elderly can make a big difference to someone who has lost a friend or loved one by suicide, therefore, the health care worker should do all of the following, except:

A. Accept that their loss cannot be compared to anyone else’s.

B. Accept that the suicide may have been an accident.

C. Accept that healing will take a long time.

D. Accept all of their feelings.


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