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Suicide Prevention Protocols for Juvenile Justice Youth

Component 1: Training

1. Court hearings are a rare occasion for juvenile justice stakeholders and youth and families to be in mutual contact, and a shared understanding and appreciation of suicide dynamics are critical for coordinated case processing and maintaining well-being of system-involved youth.

A. True

B. False

Component 2: Identification, Referral, and Evaluation

2. Given the strong association between juvenile suicide and room confinement, any youth assigned to room confinement or any form of isolation / segregation should receive a written assessment for suicide risk by medical or mental health staff upon admission to the placement.

A. True

B. False

Component 3: Communication

3. To communicate with youth at risk of suicide, facility staff must hone which skill?

A. Active sympathetic listening.

B. Staying with the youth if they suspect immediate danger.

C. Maintaining contact through conversation, eye contact, and body language to show that they care.

D. All of the above.

4. Youth acting aggressively can be a warning sign of being:

A. Impulsive

B. Suicidal

C. Homicidal

D. Dangerous

Component 5: Levels of Observation, Follow-Up, and Treatment Planning

5. Which type of observation is reserved for youth who are actively suicidal?

A. Close observation

B. Constant observation

C. Both (A) and (B)

D. None of the above

6. Although there is no nationally acceptable schedule for follow-up, an assessment schedule following discharge from suicide precautions to consider all of the following, except:

A. 24 hours

B. 72 hours

C. Two weeks

D. Once a month until release

7. Independence is important to youth and lack thereof could negatively impact their self-perceptions or otherwise contribute to suicidal thoughts and behaviors.

A. True

B. False

Component 6: Intervention (Emergency Response)

8. _____ often foretell whether the victim will survive a suicide attempt.

A. The degree and promptness of intervention

B. The efficiency of communication among relevant staff

C. Both (A) and (B)

D. None of the above

9. All suicide attempts require emergency medical intervention and should result in immediate intervention and assessment by qualified mental health staff.

A. True

B. False

Component 8: Mortality-Morbidity Review

10. The review, separate and apart from other formal investigations that may be required to determine the cause of death, should include a critical inquiry of:

A. The circumstances surrounding the incident.

B. Facility procedures relevant to the incident.

C. All relevant training received by involved staff.

D. All of the above.

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