Chapter 18 Flashcards by Ej Cosgriff

How does the centers for disease control and prevention define suicide

Death caused by self directed injurious behavior with an intent to die as a result of the behavior

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Roughly how many Americans commit suicide each year

30,000

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From 2009-2013, the AF lost between _____ Amn per year to suicide

41-45

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The ANG and AFR have lost an average of ___ amn per year du to suicide

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Within the AF what are the most common stressors among those who commit suicide

Relationship, legal, mental health, financial hardship and work problems

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Is any particular ethnic, racial, age or rank group spared from suicide

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What serious consequences may AF suicides create

A preventable loss of human life
Grief and loss to the deceased family, friends, cowoerks and the military community
Direct impact on mission capability
Increased risk to the AF community if copy cat suicides occur

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What are some indicators associated with suicide

Increased new stressors
Distress
Changes in mood, habits and behavior
Feelings of hopelessness
belief that he or she is or will become a burden
Belief that others do not care or that he she does not belong to the group or community
Increasing thoughts or beliefs that suicide is aviable option to the current situation
Access to a means to end ones life

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Regardless of how well someone has managed military or personal stress in the past, anyone can become suicidal T/F

True

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What are common protective factors and individual possesses or practices to enhance resilience and reduce distress

Sense of belonging
Good, healthy support from family, friends and Amn
Effective problem solving skills and coping strategies
Belie that he she has control over his her own life and actions
willingness to seek help early
focus on the future
belief things will get better
Lack of access to means to hurt oneself
Cultural religious spiritual beliefs that discourage suicide and support self preservation

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_____ factors are personal and unchangeable, such as gender and age

Demographic

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____ factors are personal characteristics that reduce resilience or increase susceptibility to illness and suicide. These include mental illness, substance use and trauma history

Risk

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What are some common problems that increase the risk of suicide

Legal
financial
relationship
work and administrative
mental heath problems

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Members facing serious ____ problems often worry about public disgrace, as well as a very real threat to their careers, freedom and ability to find work if separated from the AF

Legal problems

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It is important that an Amns command, unit and AF community support them when facing legal problems, regardless of the crime for which they have been charged/convicted T/F

True

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_____ problems can be a symptom of other problems such as gambling or substance abuse addiction

Financial Problems

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An Amn facing ___ problem, like fitness testing failures, may feel his career and future are at risk

Administrative Problems

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All military suicides are related to mental heath problems T/F

False

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A ____ suicide is impulsive and may be very difficult to predict or prevent

Unplanned suicide

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Any suicidal remark should be taken very seriously and followed up on T/F

True

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Suicides are more common during the holidays when people may feel more alone and isolated T/F

False

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Regardless of the severity of a self injury or suicide attempt, the situation must be treated seriously and warrant immediate medical and ___ attention

Command

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What must each AMN be aware of when identifying and supporting someone at risk for suicide

Command is available and trained to provide support
AF established numerous resources aimed at resolving problems and stressors, which can be accessed through chaplains, medical services or command leadership
AMN can access counseling through military one source as well as MFLC
National resources are available, such as military crisis line and the peer support line

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What are some identifiable suicide risk factors and warning signs that can help with early intervention

Stressors, sudden mood or behavior changes
Giving away personal effects
Making suicidal statements or comments about not being alive

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Who is most likely to spot a person at risk for suicide

Those who interact with the person on a daily basis, like friends, co workers and immediate supervisors

____ concerns about a person at risk for suicide with the chain of command as appropriate

communicate

Leaders at all levels are responsible for implementing the AF suicide Prevention Program. Their ____ and ____ are critical to the goal of reducing AF suicides

Support and action

What are some factors that can challenge effective supervision in preventing suicide

Tunnel vision on the mission and excluding the subordinates needs Not being engaged with their AMN Difficulty recognizing risk factors and warning signs Lack of knowledge of AF supported resources and their impact Inappropriately protecting an Amn or failing to take proper action

What should happen when suicide risk has been identified

appropriate professional resources should be obtained and applied to the problem

What resource helps supervisors and AMN guide personnel to appropriate helping agencies for suicide prevention

The AMN guide for assisting personnel in distress

What actions can be taken to support AMN in resolving life's challenges and reducing the number of suicides

Knowing your coworkers recognizing early signs of risk, stress and distress engaging with AMN to determine what may be stressful or problematic Assisting Amn with choosing the most appropriate problem solving resources Following up with Amn to ensure stressors are resolving and new ones are not forming

It takes strength to seek out care for mental heath problem. More then ____% of AF personnel voluntarily reach out to mental health services each year

15%

What does the mental health clinic staff typically perform on all individuals who come in for services

A risk assessment, as well as screen for suicide at follow up appointments

What major shortcoming do helping agencies such as mental health clinics have in regard to suicide prevention

The health care system can only act when aware of the problem

What is the common fear many have with regard to seeking help at the mental health clinic

That it will negatively impact their career

The vast majority of AMN who receive mental health care in the AF clinics suffer no adverse career outcomes T/F

True

Mental health providers must disclose what information to commanders

Safety issues and fitness for duty issues

What program did the AF establish to promote help seeking for AMN with legal or administrative problems who are at risk for suicide

The limited privilege Suicide Prevention program in accordance with AFI 44-172

What does the limited privilege suicide prevention program allow ANMN under investigation and found to be at risk for suicide to receive

Mental health care without risk of further incrimination themselves

The AF Suicide Prevention Program (AFSPP) is founded upon what concept

That decreasing suicides requires a community approach in which prevention and assistance are offered long before someone becomes suicidal

The AF suicide prevention program fosters an AMN culture under commander led action groups, by using 11 overlapping initiatives or elements which can be grouped into what three broad categories

Leadership and community Education Protection for those under investigation

Following an investigative interview, AF investigators must hand off the accused directly to the members commander or ___ through person to person documented contact

First Sergeant

Limited privilege Suicide Prevention program is available to whom

Individuals under investigation or those who have been formally charged with a crime who are at risk for suicide

Suicide prevention is whose responsibility

Everyone's

To effectively prevent suicide, create a ___ that encourages early help seeking behavior

Culture

What is the simple acronym for the AF developed to help facilitate personal engagement in suicide prevention

ACE - Ask, Care, Escort

When working with suicide prevention and the ACE model, why is it important to ask questions if you see or hear any of the warning signs of suicide

to give people permission to talk about a subject that may be difficult to bring up

it is important to show care and concern for those at risk of suicide. What should you do if someone acknowledges thought of suicide to you

Accept that they are in distress Listen to their concerns Begin the process of getting them help

Suicide prevention is everyone's responsibility. If someone acknowledges thoughts of suicide, you must do everything possible to remove anything that they might use for self harm T/F

False

When working with suicide prevention and the ACE mode, the final step is to escort the individual to the command or professional support agency that can help. Why is this important

If you leave them alone or send them alone to a chaplain or mental health clinic they may change their mind on the way

If someone is suicidal and wont agree to go with you to a helping agency, what action is appropriate

Contact your chain of command or emergency services for help ensuring the persons safety

In ____ situations, utilize intervention resources such as Chaplin services, MFLC, vets 4 warriors or Military one source to seek help for an amn at risk for suicide

Non-crisis

Why are organizational and personal stress both major concerns for enlisted leaders at al levels

AT the org level, it can negatively affect performance, effectiveness and mission accomplishment. At the personal level, experiencing stress over and extended period of time can lead to health problems and affect overall quality of life

Name the two individuals who defined the concept of stress

Physiologist Walter Cannon and endocrinologist Hans seley

How did Canon describe the body's reaction to stress

As a response to a perceived threat that prepares the body for flight or fight

What conclusion did Selye draw about the body's reaction to stress

The reaction is the same regardless of whether the source was good or bad, positive or negative

What is Selyes definition of stress

The nonspecific response of the body to any demand mad upon it

What terms did Selye use to identify the stresses experienced from positive or negative factors

Eustress | Distress

Stressors can be categorized into what two major areas

Organizational stressors, which occur in the work environment Extra organizational stressors, which occur outside the work environment such as family, marital and financial issues

Stress indicators may be isolated reactions or combinations among what three categories

Emotional Behavioral Physical

The Duration ____ and intensity of the symptoms can indicate the level of difficulty in dealing with stress

Frequency

Apathy, irritability and job dissatisfaction are ___ symptoms of stress

Emotional

Frequent illness, weight gain and loss and headaches are ___ symptoms of stress

Physical

Social withdrawal, substance abuse and neglecting self care are ___ symptoms of stress

Behavioral

What does individual stress management attempt to strengthen

Your ability to manage stressors and your stress response

Org Stress management methods attempt to alter potential stressors themselves. Why are both individual and or Stress management vitally important

Org and extra Org stressors are interrelated and influence each other

Identify the five individual stress management methods

``` Planning Time management Overload avoidance Relaxation Exercise and good nutrition ```

How can planning help you manage stress

It can help you look for ways to achieve your goals while avoiding the effects of known stressors

How can time management help you manage stress

If time management is an issue for you, it will help to use effective time management skills and tools, like developing task lists and prioritizing tasks

How can overload avoidance help you manage stress

it can help you identify and avoid busy work, delegate and empower others

How can relaxation methods help you manage stress

By reducing mind and body tension in your daily routines, you can train your body to respond differently to stress and reduce the negative effects of stress on your health

How can exercise and good nutrition help you mange stress

Exercise provides and outlet for excess energy and tension caused by stress, and nutritious foods nourish your body. Both help you build resistance to the negative physical results of stress

How can supervisors reduce org stress levels

By identifying potential stressors and developing strategies to remove or reduce them

Name the five Org stress management methods identified in AFH 1

``` Job design Improving the work environment Improving org communication Personnel selection and job placement Substance abuse programs ```

What should you consider when examining job design as a potential stressor in the Org work environment

Ask yourself if the task is needed and feasible, or if it should be eliminated or restructured to better accommodate the individual needs and abilities of your amn

Why physical factors should you consider when trying to reduce stress by improving the Org work environment

Examine factors such as temperature, noise and light levels and make necessary improvement

What is the best way to improve Org communication and thus reduce stress in the work environment

Do your best to keep your subordinates informed about anything that can impact their lives

How can your efforts to improve personnel selection for job placement help reduce org stress in the work environment

Though difficult to do, carefully matching the right person to each position will result in satisfied workers

In the Org environment, why are all supervisors responsible and accountable for managing substance abusers in accordance with applicable directives

Substance abuse can have a dramatic negative effect on mission, morale and readiness, and peoples health and well being

What is the purpose of the redeployment support process

The positive and sustained care, control and discipline of each airman

How does the redeployment support process ensure personnel readiness throughout the AEF cycle

By providing timely support for members and their families

The redeployment support process provides continuous, integrated support from the ____ to home station to assist the transition from the deployed environment to family life and the work site

AOR

How does a lengthy break from the deployment environment help members

It improves their psychological and physical status

Each ___ establishes and publishes personnel recovery policies for returning combat forces

MAJCOM

the redeployment support process requires quickly reoconsituting forces to their full combat capabilities T/F

True

In the redeployment support process, levels of consumables are restored and lost ___ is recovered during reconstitution

Training

What variables do bases and units consider when planning their reconstitution needs

The magnitude, duration and intensity of the crisis Consumption rates The type of deployment location

Which personnel are considered in the redeployment support process participation

Lengthy family separation | Significant family related stressors prior to redployment

What helping agencies support redeployed regular AF, ANG, AFR, civilian personnel, family members and units during the AEF cycle

Community Action Information Board (CAIB) and integrated deployment system

Readjustment from duty in the AOR requires structured ___ time and activities for members and their families prior to leave or TDY

Recovery

What does the redeployment support process timeline provide

A template for CC responses and actions, as ell as Community Action Information Board and integrated deployment system members activities at the critical redeployment, recovery, reconstitution and spin up deployment junctions

With regard to the community Action Information Board and integrated deployment system agencies, the ___ website is critical source for deployment information, education and training

AEF

In the AEF cycle, personnel readiness begins ____ and develops the reception station

Reintegration

Personnel readiness establishes procedures that ensure members returning from deployment are incorporated into what

Installation reconstitution planning and the installation deployment plan

When do returning units and individuals in process with the personnel readiness function

Within two duty days of redeployment day

When will the personnel readiness function update the date of return to home station for all deployed individuals in the Deliberate and Crisis Action Planning and execution segments (DCAPES

On the date of notification of return

At the home station post deployment, _____ serivd3e members provide follow-up support, reintegration and reunion ministries and other programs to strengthen family and individual spiritual health

Chaplain

What does the A&FRC provide

Mobility and deployment assistance to single and married DoD personnel and families to reduce stress, deal with separation and reintegration, increase morale and unit cohesion, and support operational readiness

What document describes A&FRC services

AFI 36-3009

A&FRC use electronic media and hard copies to help develop ____ educational material

Reintegration

In addition to providing one on one counseling and support for families of single AMN what does the A&FRC staff do during deployment

Provide tailored support to commanders, units and families Help local school authorities and teachers understand the unique stress on children of deployed military members Provide deployment support programs Distribute commercial, printed materials addressing deployment

Post deployment assistance and pre deployment activities are linked T/F

True

The A&FRC staff operates independently from the Community Action Information Board and integrated deployment system agencies T/F

False

What needs to do the force support squadron and family member program protocols fill

Increased childcare needs during contingencies and the AEF cycle

Chapter 18 Flashcards

(104 cards)