Suicide prevention

Question 1

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

Answer 1

Suicide

Question 2

T or F: The best way to describe “suicide” is “committed suicide”

Answer 2

False; “death by suicide” is preferred

Question 3

A non-fatal self-directed potentially injurious behavior with any intent to die

Answer 3

Suicide attempt

Question 4

The act of setting out on an obviously fatal course without directly committing the act upon oneself

Answer 4

Indirect suicide

Question 5

A soldier enlisting in the army with the intention and expectation of being killed in combat is an example of what?

Answer 5

Indirect suicide

Question 6

Suidice by cop is an example of

Answer 6

Indirect suicide

Question 7

High risk-taking behaviors and unhealthy lifestyles may reflect what?

Answer 7

An intent to die

Question 8

The intentional, direct injuring of body tissue most often done without suicide intentions

Answer 8

Self-harm or deliberate self-harm

Question 9

Suicidal gestures include __________ or ____________

Answer 9

cutting, where the cut is not deep enough to cause significant loss
or taking a non-lethal overdose of medication

Question 10

Any interpersonal action that a reasonable person would interpret as suggesting a suicidal act or related behavior might occur in the near future

Answer 10

Suicide threat

Question 11

Why do some individuals habitually think of suicide or use thoughts of suicide when in stressful situations?

Answer 11

To enable them to feel better and more in control of a situation (in that they always have an escape)

Question 12

What should you consider for suicide survivors?

Answer 12

This patient needs more frequent visits and more aggressive medication

Question 13

What does it mean to be a suicide survivor?

Answer 13

A friend or family who has experienced the suicide of someone they cared about.

Question 14

men are ____ times more likely die by suicide than women

Answer 14

3

Question 15

As many as ____ % of suiciders are intoxicated with alcohol or other drugs

Answer 15

50

Question 16

The majority of people who attempted suicide report less than ______ minutes from when they decided to attempt to when they took action

Answer 16

20

Question 17

Only ___% of people with suicidal thoughts or behavior later die by suicide

Answer 17

10

Question 18

85-90% of people who use _______ to attempt suicide die

Answer 18

a gun

Question 19

A gun in the home leads to ___x risk of completed suicide

Answer 19

> 3x

Question 20

What is the safest way to reduce access to firearms for someone at risk of suicide?

Answer 20

out-of-home

Question 21

What are some ways to reduce the risk of suicide at home?

Answer 21

Firearm locks, medicine lock box, identify a support person, remove rope or other plans from the house

Question 22

Many clinicians have _________ feelings toward suicidal clients that may interfere with effective clinical care

Answer 22

Strong- often adverse

Question 23

if we truly hope to succeed with any suicidal client, we must first find a way to be ___________

Answer 23

empathetic of the suicidal wish

Question 24

________ may account for up to one-third of all patients in an outpatient psychiatric clinic

Answer 24

BPD

Question 25

T or F: BPD affects men and women equally

Answer 25

True

Question 26

What is the #1 greatest fear for clinicians?

Answer 26

prospect of losing a client to suicide

Question 27

Recurrent suicidal behavior, gestures, threats, or self-harming behavior is one of the DSM-5 criteria for what disorder?

Answer 27

BPD

Question 28

Constant suicidal ideations, history of multiple inpatient admissions for suicidality, history of self-harming behavior —-> think __________

Answer 28

Borderline personality disorder

Question 29

The gold standard treatment for BPD is

Answer 29

DBT

No medications are indicated for BPD but antidepressants and mood stabilizers can help manage some features.

Question 30

What are some other recommendations for BPD treatment?

Answer 30

Some antidepressants and mood stabilizers
Antipsychotics if patient has psychosis
Learn about past suicide attempts and conduct a safety plan
Hold an ice cube
Consider higher levels of care
DBT workbook
Find ways to release endorphins (exercise)

Question 31

asking about suicide does/does not create suicidal ideation

Answer 31

does not

Question 32

asking about suicide generally brings ______________ to the person for whom no one has asked that question before

Answer 32

relief and hope

Question 33

It is important to realize that suicide produces ________________________

Answer 33

a solution to intense personal pain

Question 34

what is an important first step in a clinician’s understanding of why suicide is relatively common?

Answer 34

Acceptance of the effectiveness of suicide

Question 35

T or F: There is no research showing that the presence of any collection of risk factors can accurately predict the imminent danger to a client.

Answer 35

True

Question 36

T or F: Individuals move in and out of periods of suicidal risk as their life circumstances fluctuate

Answer 36

True

Question 37

In the suicidal state there is a pervasive feeling of __________- _____________

Answer 37

Helplessness-hopelessness

Question 38

______________individuals had no previous history of suicide attempts, had greater survival and coping beliefs, feared social disapproval and had more moral objections

Answer 38

nonsuicidal depressed

Question 39

clinicians should spend more time doing things that _____________ rather than just assessing and attempting to prevent risk

Answer 39

inoculate depressed individuals against suicide

Question 40

What is an important component of the suicide assessment?

Answer 40

Asking directly about suicide

Question 41

What areas should be evaluated in suicide assessment?

Answer 41

comorbidity, prior attempts, coping skills, acute and chronic stressors, plans, and behaviors

Question 42

What are major risk factors for suicide

Answer 42

firearm access, psychiatric diagnoses, hopelessness, psychic pain/anxiety, agitation, prior suicide attempt

Question 43

What is the Collaborative Assessment and Management of Suicidality (CAMS) method?

Answer 43

Suicidality is the central clinical problem and focus
The client is the expert on his or her own experience and is engaged as an active collaborator in clinical care

Question 44

What are some key features of collaborative clinical effort?

Answer 44

Being on an equal basis
Empathetic and non-judgemental listening
Reassurring and affirmative
Direct, respectful questions and suggestions

Question 45

What are 3 common errors of suicidal interventions?

Answer 45

Sidestepping the issue (dont ask dont tell)
Giving advice
Not listening

Question 46

Interventions are aimed at helping the patient answer what question?

Answer 46

What needs to change to make suicide a much less desirable option?

Question 47

During an intervention what must the clinician and client do?

Answer 47

Systematically eliminate the reasons for dying and work to increase more reasons for wanting to live

Question 48

What is the critical component for any good intervention?

Answer 48

relationship with the client

Question 49

What is the black box warning for antidepressants in patients under 25

Answer 49

increased risk of suicidal thoughts or behavior

Question 50

What are some clinical treatment options for suicidality?

Answer 50

Therapy (DBT, CAMS, CBT)
ECT
Lithium
Ketamine

Question 51

__________ has recently been recognized as a mitigator of suicidal behavior, even among patients who do not respond to its mood-stabilizing effects

Answer 51

Lithium