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1. As described in the introduction, compared with the general population, individuals treated for alcohol abuse or dependence are at about ____ times greater risk of eventually dying by suicide.
A. 4
B. 9
C. 10
D. 14
2. Some indicators of _____________ include drafting a suicide note or taking precautions against discovery at the time of an attempt.
A. Suicidal ideation.
B. Suicidal intention.
C. Suicide plans.
D. Suicide preparation.
3. When getting ready to address suicidality, the counselor should not lose sight of what makes them a good counselor: empathy, good therapeutic skills, and awareness of client resistance.
A. True
B. False
4. Most people do not want to talk about their suicidality.
A. True
B. False
5. When reviewing the 10 points to remember, which of the following is not recommended and are never sufficient?
A. Suicide contracts.
B. Abstinence from drugs and alcohol.
C. Asking clients in substance abuse treatment directly about suicide.
D. None of the above.
6. The “M” in the mnemonic IS PATH WARM, stands for:
A. Mild anger.
B. Mood changes.
C. Monitoring of emotions.
D. Mental incompetence.
7. Warning signs for suicide are often in evidence following acute stressful life events. Among people who abuse substances, break-up of a partner relationship is most common.
A. True
B. False
8. The most potent risk factor for suicidal thoughts and behaviors among individuals with substance use disorders is:
A. Family history of suicide.
B. Social isolation; low social support.
C. Prior history of suicide attempts.
D. Divorce or separation.
9. If acute suicide warning signs and/or multiple risk factors are in evidence, the presence of protective factors is a good indication that the person will not attempt suicide at that time.
A. True
B. False
10. When gathering information, as much as possible, you should avoid “stacking” questions (peppering clients with one closed-end question after the other), which tends to generate defensiveness and/or false reassurances of safety.
A. True
B. False
11. When taking responsible action, for less serious circumstances, you will be more likely to:
A. Take no action / inaction.
B. Take less intensive action.
C. Take more intensive action.
D. Contact the police to check on client.
12. When creating safety cards and safety plans with a client, which of the following should be included?
A. A 24-hour crisis hotline number.
B. The phone number and address of the nearest hospital emergency department.
C. The counselor's contact information and contact information for additional supportive individuals.
D. All of the above should be included.
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