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Suicide Prevention Treatment and Support

Preface from the Surgeon General

1. Suicide is among the top five causes of death for adults under age 45 in the United States, and in 2009, more Americans died from suicide than from motor vehicle traffic-related injuries.

A. True

B. False


Introduction

2. For every one person who dies by suicide, more than _____ others attempt suicide.

A. 10

B. 15

C. 30

D. 50


A Comprehensive Approach to Suicide Prevention

3. Where and when would education efforts help the person and his or her family members and/or support network maintain physical, mental, emotional, and spiritual health and well-being take place?

A. In the community, when the person interacts with family members, friends, physicians, and others.

B. At the primary care provider or emergency department.

C. In the community, while receiving care.

D. In the community, after the person recovers.


Risk and Protective Factors

4. Protective factors are the opposite or lack of risk factors.

A. True

B. False


Key Terms

5. Which of the following is used to describe the actions or techniques that result in an individual inflicting self-directed injurious behavior?

A. Means

B. Methods

C. Suicidal behaviors

D. Suicidal ideation


The Prevalence of Suicidal Behaviors

6. Suicide rates are higher in which part of the United States?

A. Western

B. Eastern

C. Northern

D. Southern


7. According to the 2011 Youth Risk Behavior Survey, how many students have reported having attempted suicide in the past year?

A. 1 in 7

B. 1 in 9

C. 1 in 13

D. 1 in 22


Differences Among Groups

8. Women are more likely than men to have thoughts about suicide and to attempt suicide, but men are more likely than women to die by suicide.

A. True

B. False


9. Overall, men are more likely to use firearms in a suicide attempt, and women are more likely to use which method?

A. Firearms

B. Hanging

C. Poisoning

D. None of the above


10. Because young people are less likely than older people to die from medical conditions such as heart disease and cancer, suicide is one of the top _____ causes of death in this population.

A. 2

B. 3

C. 5

D. 10


11. Suicidal thoughts and/or behaviors are common among patients with which disorders, leading to an estimated suicide rate that is 25 times higher than those among the general population?

A. Bipolar disorders

B. Fatal illnesses

C. Schizophrenia

D. All of the above


12. Research suggests that engaging in acts of self-injury may lead to suicide later in life.

A. True

B. False


13. Increases in the rate of suicide among members of the U.S. Armed Forces has led to the implementation of extensive prevention programs in which branch of the military?

A. Air Force

B. Army

C. Navy

D. All branches


14. What explanation may there be for why the suicide rate among black women are the lowest in the 20-59 years age range?

A. Greater social support

B. Larger extended families

C. Deeper religious views against suicide

D. All of the above


Preventing Suicide

15. Which strategies are appropriate for subgroups that may be at increased risk for suicidal behaviors?

A. Universal strategies

B. Selective strategies

C. Indicated strategies

D. None of the above


16. Just as suicide has no one single cause, there is no one single prevention activity that will prevent suicide.  To be succcessful, prevention efforts must be comprehensive and coodinated across organizations and systems at the national, state / territorial, tribal, and local levels.

A. True

B. False


Evidence-Based and Promising Practices

17. New evidence suggests that which of the following interventions may be particularly useful for helping individuals at risk for suicide?

A. The use of cognitive behavior therapy

B. Crisis lines

C. Efforts that promote continuity of care for individuals being treated for suicide risk

D. All of the above


18. Which of the following strategies is included in the U.S. Air Force Suicide Prevention Program that has reduced the risk of suicide among Air Force personnel by one-third?

A. Allowing mental health professionals to deliver community preventive services in clinical settings only.

B. Establishing trauma stress response teams.

C. Conducting a behavioral health survey to help identify suicide protective factors.

D. All of the above.


The 2012 National Strategy for Suicide Prevention

19. Findings from suicide prevention strategies implemented in the United States have influenced the development of National Strategies in countries such as Australia and the United Kingdom.

A. True

B. False


20. The comprehensive National Prevention Strategy’s goal is to increase the number of Americans who are healthy at every stage of life, by shifting from a focus on sickness and disease to a focus on wellness and prevention.

A. True

B. False


21. How many of the seven National Prevention Strategy’s priority areas are directly related to suicide prevention?

A. 3

B. 4

C. 5

D. 6


Organization of the 2012 National Strategy for Suicide Prevention

22. Since some groups have higher rates of suicidal behaviors than others, the goals and objectives focus on these specific populations and settings.

A. True

B. False


Looking Ahead

23. The goal of saving lives is measured by sustainably lower national and regional suicide rates.

A. True

B. False


24. The 13 goals and 60 objectives included in the National Strategy are meant to work together in a synergistic way to do which of the following?

A. Promote wellness, effective treatment, and recovery

B. Increase protection

C. Reduce risk

D. All of the above


Lessons From the United Kingdom

25. Among all recommendations, which was linked to the largest decrease in suicide rates?

A. Providing 24-hour crisis care

B. Removing materials that could be used for suicide

C. Sharing information with criminal justice agencies

D. Conducting followup with patients within 7 days of discharge


Goal 1

26. The Good Behavior Game, shown to contribute to the prevention of suicidal ideation, as well as drug and alcohol use disorders, regular smoking, antisocial personality disorder, delinquency, and incarceration for violent crimes, is played in the classroom of which grade(s)?

A. Preschool

B. First and second

C. Third and fourth

D. Sixth


Objective 1.1

27. Chambers of commerce and trade associations can also be helpful partners in engaging the business community in suicide prevention.

A. True

B. False


Objective 1.4

28. The 1996 United Nations report addressing the development of national strategies for suicide prevention recommended that a single agency be developed to hold the responsibility for suicide prevention.

A. True

B. False


Objective 2.1

29. Communication efforts should not target defined audiences, or segments of the population, so as to not exclude certain groups.

A. True

B. False


Objective 2.3

30. In 2012, which social media site announced a new feature allowing users to anonymously report their friends’ suicidal posts?

A. My Space

B. Facebook

C. Twitter

D. Google Plus


Goal 3

31. Which of the following has been identified as an important protective factor, increases a person’s sense of belonging, fosters a sense of personal worth, and provides access to sources of support?

A. Connectedness to others

B. Crisis lines

C. Lack of alcohol use

D. None of the above


Objective 3.1

32. Social isolation can contribute to suicide and suicide attempts among older adults.

A. True

B. False


33. Family connectedness has been found to play an especially strong protective role against suicidal behaviors among which group?

A. Teenagers

B. The elderly

C. Lesbian, gay, and bisexual youth

D. Those of Asian descent


Objective 3.2

34. Which of the following discourage many people from seeking help?

A. Bias

B. Prejudice

C. Discrimination

D. All of the above


Goal 4

35. Cluster suicides and suicide contagion have been proven to be myths.  Studies have shown that there is no increase in suicide when news reports or fictional accounts of suicides in movies and television are shown to the public.

A. True

B. False


Strategic Direction 2

36. Screening for depression and alcohol misuse have been endorsed by the United States Preventive Services Task Force and are now covered as preventive services under Medicare.

A. True

B. False


Goal 6

37. Individuals who own firearms are more likely than others to have a mental disorder or have attempted suicide.

A. True

B. False


Objective 7.3

38. Guidelines for the graduate and continuing education of clinicians should address the safer dispensing of medications for individuals at high risk for suicide.

A. True

B. False


Objective 7.4

39. The State of Washington has passed a law requiring that a broad array of health professionals (e.g., mental health counselors, psychologists, family therapists) complete a training program in suicide prevention at least once every _____ years.

A. 2

B. 4

C. 6

D. 8


Objective 8.4

40. Which of the following is one of the most significant risk factors for death by suicide?

A. Drug and alcohol abuse

B. Having survived a suicide attempt

C. Having been abused as a child

D. Not having close ties to family


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