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Suicide Prevention in American Indian and Alaska Native Communities


1. One of the most distinctive features about suicide clusters is that they occur almost exclusively among teenagers.

A. True

B. False

2. Compared to adults, youth are more susceptible to:

A. Suicide behavior modeling.

B. Social norming of suicidal behavior.

C. Imitating suicide methods.

D. All of the above.


3. American Indian / Alaska Native people in the United States experience one of the highest suicide rates of all racial and ethnic groups tracked by the CDC.

A. True

B. False

4. In general, states in the _____ consistently experience higher suicide rates than other areas of the United States.

A. West

B. Northeast

C. Southeast

D. Midwest

5. Suicide is currently the leading cause of death for AI/AN youth aged 15-24 living in Alaska, with a rate of three times that of all youth within that age range in the United States.

A. True

B. False

6. Which of the following newspaper story characteristics appear more often for cluster-related suicides than non-cluster suicides?

A. Front-page placement.

B. Headlines containing the word suicide or a description of the method used.

C. Detailed descriptions of the suicidal person.

D. All of the above.

7. Mass suicide clusters may result from a process of “contagion,” whereby one person’s suicidal thoughts and behaviors are transmitted from one victim to another through social or interpersonal connections.

A. True

B. False

8. Risk factors for suicide clusters are similar to risk factors for suicide in general.

A. True

B. False

9. All of the following have been identified as components of the historical trauma response, except for:

A. Low self-esteem

B. Difficulty recognizing and expressing emotions

C. Single parent households

D. Substance misuse

10. Which of the following has been identified as protective against suicide attempts?

A. Perceived connectedness to family.

B. Traditional cultural values and practices.

C. Access to mental health services.

D. All of the above.


11. In the western Alaska community, _____ are a key component of each of the communities’ suicide prevention strategies.

A. Peer-to-peer helper programs

B. Culture camps

C. School-based presentations

D. Elder / youth connections

12. Inadequate capacity in the form of _____ impedes suicide prevention and response / recovery efforts.

A. Funding

B. Human capital

C. Service availability

D. All of the above

13. In the New Mexico community, one of the most significant facilitators spurring recovery was the willingness of the tribal council to declare a state of emergency to secure needed resources for the community.

A. True

B. False

14. Which of the following has been identified as a characteristic that strengthens suicide prevention efforts?

A. Increased communication about suicide.

B. Increased willingness to talk about personal problems in general.

C. Both (A) and (B).

D. None of the above.


15. All of the following are true with regard to screening, except for:

A. Screening can identify individuals early in a suicide trajectory, before a suicide attempt or suicide occurs.

B. Suicidal thoughts in youth increase as a result of screening.

C. Individuals at heightened risk for suicide should be identified and screened, such as those who have previously attempted suicide or those who have lost a family member or friend to suicide.

D. Qualified behavioral health care professionals should oversee the screening process and conduct interviews to determine level of risk for all youth who screen positive on the initial screen.

16. Researchers find that work and job satisfaction is the number one item of importance in determining quality of life.

A. True

B. False

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