CI 1734.1A Suicide Prevention Program 4/22/24

Question 1

What is a preventable personnel loss that impacts unit readiness, morale, and mission effectiveness

Answer 1

Suicide

p 2

Question 2

The Coast Guard Suicide Prevention Program consists of how many
components which are what

Answer 2

7

Command Climate

Crisis Response

Limit on Command Access to Mental
Healthcare Information

Notification and Hand-off in Criminal Investigations

Postvention

Reporting

Training

p 2

Question 3

A _____ is an intervention conducted after a suicide or serious suicidal
attempt, largely taking the form of support for the bereaved

Answer 3

postvention

p 6

Question 4

The purpose of reporting suicide is threefold:

Answer 4

1) to protect lives

2) to enhance treatment
efforts by ensuring important information is gathered

3) to discover actionable intelligence
that may be found in aggregate data

p 6

Question 5

What do you do if your roommate threatens, attempts, or commits suicide

Answer 5

All personnel are required to share knowledge regarding possible suicidal behavior or the threat of suicidal behavior by co-workers, military and civilian, up the chain
of command for appropriate action

p 6

Question 6

The Coast Guard Medical Clinic/Sickbay that provides support
for the unit shall report suicide attempts and incidents of self-harm by active duty personnel
and reservists on active duty that result in physical injury within how business days of initial
notification to Commandant (CG-1112) using Suicide-Related Behavior Incident Report,
Form CG-1734

Answer 6

10

p 6

Question 7

Suicide-Related Behavior Incident Report form

Answer 7

Form CG-1734

p 6

Question 8

How to access emergency and other support services, including local services

Answer 8

http://www.uscg.mil/worklife/suicide_prevention.asp for a listing of related national web
sites and hotlines

p 7

Question 9

Applied Suicide Intervention Skills (ASIS) Training is a _____ day training provided to Coast
Guard personnel by certified ASIS trainers

Answer 9

two

p 7

Question 10

Who shall promulgate policy and guidance regarding the Coast Guard’s Suicide Prevention Program

Answer 10

Commandant (CG-11)

p 7

Question 11

Who advocates on behalf of personnel when there are roadblocks to getting needed services

Answer 11

CO

p 10

Question 12

Who provides annual Suicide Prevention Mandated Training as required by this Instruction,
provides an annual ASIS training and/or similar “how-to-intervene” training, and coordinates and/or provides postvention services as requested by commands

Answer 12

Employee Assistance Program Coordinators (EAPC)

p 11

Question 13

Refers to the presence of any physical consequences resulting from the suicide-related behavior incident that require medical treatment

Answer 13

injury

ENCL 1 p 1

Question 14

A set of habits, actions, and attitudes that prepare individuals to adapt to challenging situations, find a “new normal,” and potentially grow as a result

Answer 14

Resilience

ENCL 1 p 1

Question 15

Self-inflicted death for which intent is either equivocal or unknown.

Answer 15

Self-Inflicted Death with Undetermined Intent

ENCL 1 p 1

Question 16

Death from self-inflicted injury, poisoning, or suffocation
where there is evidence, either explicit or implicit, that there was no intent to die. This category
includes those injuries or poisonings described as unintended or “accidental.”

Answer 16

Self-Inflicted Unintentional Death

ENCL 1 p 1

Question 17

A self-inflicted potentially injurious behavior for which there is
definite evidence, either explicit or implicit, that: (a) the person wished to use the appearance of
intending to kill himself/herself in order to attain some other end; or (b) the person intended at
some known degree to kill himself/herself

Answer 17

Suicide-Related Behaviors

ENCL 1 p 1

Question 18

Self-inflicted death with evidence, either explicit or implicit, of intent to die

Answer 18

Suicide

ENCL 1 p 1

Question 19

A self-inflicted potentially injurious behavior with a non-fatal outcome for which there is evidence, either explicit or implicit, of intent to die

Answer 19

Suicide Attempt

ENCL 1 p 1

Question 20

A suicide attempt may or
may not result in injury. For reporting purposes Suicide Attempt Level 1 = _____
Suicide Attempt Level 2 = _____

Answer 20

1-no injury

2-injury

ENCL 1 p 1

Question 21

A self-inflicted potentially injurious behavior for which there is evidence, either implicit or explicit, that the person did not intend to kill himself/herself

Answer 21

Self-Harm

ENCL 1 p 1

Question 22

For reporting purposes Self Harm Level 1 =_____, Self
Harm Level 2 =_____, and Self Harm Level 3 =_____

Answer 22

1-no injury
2-injury
3-death

ENCL 1 p 1

Question 23

Any interpersonal act of imparting, conveying, or transmitting suicide-related thoughts, wishes, desires, or intent; not to be construed as the actual self-inflicted behavior or injury

Answer 23

Suicide-Related Communications

ENCL 1 p 2

Question 24

Examples of Suicide-Related Communications are what

Answer 24

suicide plan
suicide related ideations
suicide threat

ENCL 1 p 2

Question 25

A proposed method of carrying out a design that can potentially result in
suicide-related behaviors; or, a systematic formulation of a program of action that will potentially lead to suicide-related behaviors

Answer 25

suicide plan

ENCL 1 p 2

Question 26

Any self-reported thoughts of engaging in suicide-related
behavior

Answer 26

Suicide-Related Ideations

ENCL 1 p 2

Question 27

In one survey more than half of 26,000 students across 70 colleges and universities reported having what

Answer 27

at least one episode of suicidal thinking at some point in their
lives

ENCL 1 p 2

Question 28

One of the surest ways to increase suicide risk for those who are already at risk is to dismiss their suicidal ideations as efforts at

Answer 28

“manipulation”

ENCL 1 p 2

Question 29

Any interpersonal action, verbal or nonverbal, without a direct self-injurious component, passive or active, for which there is evidence, either explicit or implicit, that the person is communicating that a suicide-related behavior might occur in the near future

Answer 29

Suicide Threat

ENCL 1 p 2

Question 30

A self-inflicted potentially injurious behavior where intent is unknown

Answer 30

Undetermined Suicide-Related Behavior

ENCL 1 p 2

Question 31

EAPC

Answer 31

Employee Assistance Program Coordinator

ENCL 2 p 1

Question 32

EAP

Answer 32

Employee Assistance Program
CI 1740.7

ENCL 2 p 1

Question 33

Command IMMEDIATELY makes a voice report to the Coast Guard’s National Command Center at 202-372-2100, in all cases involving the death, or possibility of the eventual death, of a regular or reserve member, or a member who separated or retired within the last ____ days. Command follows up with a message within _____ hours

Answer 33

120

04

ENCL 2 p 3

Question 34

Here’s an easy-to-remember mnemonic for recognizing warning signs

Answer 34

IS PATH WARM

I IDEATION
S SUBSTANCE USE
P PURPOSELESSNESS
A ANXIETY
T TRAPPED
H HOPELESSNESS
W WITHDRAWAL
A ANGER
R RECKLESSNESS
M MOOD CHANGES

ENCL 3 p 3

Question 35

What may also be a warning sign, as it may indicate the person already
feels a sense of relief knowing the problems will “soon be ended.”

Answer 35

A sudden, intense lift in spirits

ENCL 3 p 3

Question 36

simple mnemonic as an aid for what to do when you suspect someone is thinking of suicide

Answer 36

ACE: Ask - Care - Escort

ENCL 4 p 2, 3

Question 37

Suicide sources of help

Answer 37

Coast Guard Employee Assistance Program Coordinator at HSWL FO Work-Life: 1-800-872-
4957 (follow prompts)

b. The National Suicide Prevention Lifeline - a national hotline 24/7 suicide prevention service
available to all who are seeking help: 1-800-273-TALK (8255)

c. Employee Assistance Program 24/7 Phone Center – for phone counseling, setting up face-to-face
counseling, and obtaining other services: 1-800-222-0364

d. See http://www.uscg.mil/worklife/suicide_prevention.asp for a listing of helpful national web
sites and other 24/7 hotlines

ENCL 4 p 3