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Treatment for Suicidal Ideation

1. A health care professional has questions regarding self-harm. Which of the following informational points of interest should be communicated to the health care professional?

A. Self-harm is a non-fatal, self-directed, and potentially injurious behavior with no intent to die as a result of the behavior.

B. Self-harm is a fatal, self-directed, and potentially injurious behavior with intent to die as a result of the behavior.

C. Self-harm is behavior that is self-directed and unintentionally results in injury or death.

D. Self-harm is behavior that is self-directed and deliberately results in injury or the potential for injury to oneself.


2. Which of the following best represents an individual-level risk factor for suicidal ideation/suicide attempts?

A. Parental depression

B. Dysregulated sleep

C. Attending high school

D. Psychotherapy treatment


3. A 19-year-old male patient has questions regarding marijuana use and suicide. Which of the following educational points should be expressed to the patient?

A. Marijuana is associated with suicidal ideation and a greater likelihood of suicide attempts among adolescents.

B. Marijuana is only associated with suicidal ideation and a greater likelihood of suicide attempts among male adolescents.

C. Marijuana is only associated with suicidal ideation and a greater likelihood of suicide attempts among female adolescents.

D. Marijuana is not associated with suicidal ideation and a greater likelihood of suicide attempts among adolescents.


4. Which of the following statements regarding intrapersonal functions is most accurate?

A. Intrapersonal functions include: emotional pain, hopelessness, and a desire to escape.

B. Intrapersonal functions include conflicts with emotional pain and parents.

C. Intrapersonal functions include conflicts with hopelessness and friends.


5. A 12-year-old male patient is diagnosed with generalized anxiety disorder. Which of the following medications should be used to treat the patient's generalized anxiety disorder?

A. Clomipramine

B. Duloxetine

C. Escitalopram

D. Fluvoxamine


6. According to the course, which of the following medications should be used to treat an 8-year-old patient with major depressive disorder?

A. Escitalopram

B. Fluoxetine

C. Fluvoxamine

D. Symbyax


7. According to the course, which of the following medications should be used to treat a 6-year-old patient with OCD?

A. Fluoxetine

B. Olanzapine

C. Fluoxetine

D. Sertraline


8. A health care professional has questions regarding safety planning. Which of the following informational points of interest should be communicated to the health care professional?

A. Safety planning should be done over the course of several months.

B. Safety planning should only involve a physician.

C. Safety planning is a collaborative process in which an individual and provider work together to develop a personalized list of coping strategies the individual can use during times of increased suicide risk.

D. Safety planning is a collaborative process in which a patient's family and provider work together to develop a personalized list of coping strategies that a patient can use.


9. DBT emphasizes the development of which of the following skills?

A. Mindfulness

B. Intrapersonal effectiveness

C. Emotion dysregulation

D. Distress intolerance


10. A health care professional has questions regarding ABFT. Which of the following informational points of interest should be communicated to the health care professional?

A. ABFT is a manualized family therapy model specifically designed to treat depression and suicidal thoughts and behaviors in adults.

B. ABFT is a manualized family therapy model specifically designed to treat depression and suicidal thoughts and behaviors in adolescents.

C. ABFT tends to be inflexible.

D. ABFT tends to be flexible - however, it often limits family members under the age of 25.


11. What is the typical duration of ABFT?

A. 2 to 6 weeks, spanning 10 sessions.

B. 8 to 16 weeks, spanning 10 to 20 sessions.

C. 12 to 16 weeks, spanning 10 to 20 sessions.

D. 12 to 16 months, spanning 10 to 20 sessions.


12. A health care professional has questions regarding MST-Psych. Which of the following informational points of interest should be communicated to the health care professional?

A. MST-Psych is an intensive manualized treatment developed for youths, aged 12 to 21, with serious antisocial behavior.

B. MST-Psych treatment was developed for youth and adults with substance use disorder.

C. MST-Psych does not include individuals who have been involved with the criminal justice system.

D. MST-Psych draws from the social-ecological theory of human development.


13. A 17-year-old female patient has questions regarding SAFETY. Which of the following educational points should be expressed to the patient?

A. SAFETY is a 2-week family-oriented treatment.

B. SAFETY is a 2-week family-oriented treatment for male patients.

C. The program is designed for adolescents, aged 11 to 18, and their families.

D. The program is designed for individuals over the age of 18.


14. A health care professional has questions regarding YST-II. Which of the following informational points of interest should be communicated to the health care professional?

A. YST-II is a psychoeducational social support program designed for adolescents in an outpatient setting.

B. YST-II is a psychoeducational social support program designed for adolescents hospitalized in a psychiatric unit who have recently reported a suicide attempt or serious suicidal ideation.

C. YST-II focuses on medications used for substance use disorder.

D. YST-II focuses on medications used for depression.


15. A team of health care professionals is tasked with developing a suicide-related program that includes measurement-based care. How can the team of health care professionals best develop a suicide-related program that includes measurement-based care?

A. Avoid the use of symptom rating scales.

B. Avoid the use of symptom rating scales in youth patient populations.

C. Administer symptom rating scales and use the results to drive clinical decision making for the entire patient population as a whole.

D. Administer symptom rating scales and use the results to drive clinical decision making at the level of the individual patient.


16. The term fidelity may refer to which of the following?

A. Fidelity is the extent to which a practitioner adheres to the core components of a program.

B. Fidelity is the extent to which a patient adheres to the core components of a program.

C. Fidelity is the extent to which a practitioner adheres to the core components of a program over a period of 12 weeks.

D. Fidelity is the extent to which a patient adheres to the core components of a program over a period of 12 weeks.


17. A health care professional is tasked with adapting evidence-based interventions into a suicide-related program using the ADAPT-ITT model. According to the ADAPT-ITT model, what should be the health care professional's first step?

A. Conduct an assessment

B. Pre-test an intervention

C. Select an intervention

D. Engage subject matter experts


18. A health care professional has questions regarding the inclusion of telehealth in suicide-related programs. Which of the following informational points of interest should be communicated to the health care professional?

A. Telehealth should not be used at all.

B. Telehealth should not be used in the treatment of patients between the ages of 14 - 18.

C. Clinicians should take extra precautions to ensure the safety of clients experiencing suicidal thoughts or behaviors when receiving treatment virtually.

D. Clinicians should immediately terminate a telehealth session when an individual expresses the presence of suicidal thoughts.


19. According to the course, which of the following best represents a "lesson learned" from Desert Visions and Nevada Skies Youth Wellness Centers?

A. It is not possible to integrate traditional, spiritual, and cultural practices seamlessly into DBT-A.

B. It is possible to integrate traditional, spiritual, and cultural practices seamlessly into DBT-A.

C. In a residential setting, it is not necessary for the the frontline staff, who spend the most time with youth, to be trained in DBT-A at the same level as the counselors and other staff.

D. In an outpatient setting, it is necessary for the frontline staff, who spend the most time with youth, to be trained in DBT-A at the same level as physicians.


20. Which of the following statements regarding Central Toronto Youth Services is most accurate?

A. Central Toronto Youth Services is a community mental health center serving youth, aged 12 to 18.

B. Central Toronto Youth Services is a community mental health center serving youth, aged 12 to 24.

C. Youth participate in ABFT for an average of 8 weeks.

D. Youth participate in ABFT for an average of 8 months.


21. A health care professional is tasked with evaluating a suicide-related program. The health care professional would like to conduct an outcome evaluation. What information should the health care professional focus on to complete an outcome evaluation?

A. Baseline data from clients on outcomes of interest, which can be compared with data collected at the program’s end.

B. Information collected by patients over the age of 18, which can be compared with health care professionals' data.

C. Changes in outcomes that can be attributed to the new program.

D. Changes in outcomes that can be attributed to the new program and to all future programs.


22. According to the course, what is CQI?

A. CQI involves a systematic process of assessing program or practice implementation and long-term outcomes and then involving program staff in identifying and implementing improvements in service delivery and organizational systems to achieve better treatment outcomes.

B. CQI involves a systematic process of assessing program or practice implementation and short-term outcomes and then involving program staff in identifying and implementing improvements in service delivery and organizational systems to achieve better treatment outcomes.

C. CQI involves a systematic process of assessing program or practice implementation and long-term outcomes and then involving patients in identifying and implementing improvements in service delivery and organizational systems to achieve better treatment outcomes.


23. According to the course, which of the following best represents an illustrative indicator for the following program outcome: program fidelity?

A. Number of providers trained to implement evidence-based programs

B. Number of providers reporting use of the programs

C. Degree to which a program is implemented as intended

D. Number of youth initiating treatment with new program/practice


24. According to the course, which of the following best represents an illustrative indicator for the following program outcome: improved skills associated with coping and help-seeking behaviors?

A. Number of youth initiating treatment with new program/practice

B. Measures of clinical depression, substance use, and antisocial behavior

C. Measures of suicidal ideation and self-harm

D. Engagement with supportive adults at home, at school, and in the community


25. According to the course, which of the following resources may be used for quality improvement and continuous performance monitoring?

A. Zero Suicide’s Data Elements Worksheet

B. Suicide Prevention Program Evaluation Toolkit

C. The CDC’s WISQARSTM

D. The FDA's Health Measure Evaluation Form


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