Working with suicide

Question 1

suicide definition

Answer 1

-When someone takes their own life
-Best to be clear
-They don’t want to live anymore
-Acting or engaging in an activity that can or will end their life

Question 2

Suicide attempts definition

Answer 2

Actively tried to end their life
Behavior in attempt to end their life.
Dying is the intent

Question 3

Suicidal behavior

Answer 3

behavior that could end their life
risky behavior
dying might not be the intent

Question 4

Intent is used to differentiate between

Answer 4

Suicidal behavior and attempt

Question 5

Terminology to avoid

Answer 5

commit suicide: people commit crimes, suicide is not a crime in Canada
Successful suicide: remove success and fail from vocab

Question 6

Terminology to use

Answer 6

Use complete, attempt, dies from or acts on suicidal thoughts
dont assign value to it

Question 7

suicides are

Answer 7

Preventable
- a myth that there is nothing we can do
- every single one is preventable
- keep working on it and with the family

Question 8

Suicide is skewed

Answer 8

More prevalent in marginalized populations

Question 9

_____/year
___ per 100 000
___ for who identifies as male
____for who identifies as female

Answer 9

804 000
11.4
15
8

Question 10

in richer countries ___ as many ___ die than ____

Answer 10

3X
men
women

Question 11

in low and middle income countries the male to female ratio is

Answer 11

much lower at 1.5 men to women

Question 12

Suicide accounts for ___% of all violent deaths in men and ___% in women

Answer 12

50
71

Question 13

in almost all regions of the world suicide rates are higher in persons aged

Answer 13

70 years or over for both men and women

Question 14

suicide is the ___ leading cause of death globally in 15-29 year old.

Answer 14

2nd

Question 15

The most common methods for suicide are

Answer 15

ingestion of pesticides
hanging
firearms

Question 16

Men die ( x) more often than women and women attempt suicide ( x) more than men

Answer 16

3

Question 17

approx how many suicides per year

Answer 17

4000

Question 18

Risk factors for suicide

Answer 18

1) health system and societal RF
2) community and relationship RF
3) individual RF

Question 19

Health systems and societal RF
(4)

Answer 19

1- barriers to accessing healthcare (rural)
2- access to means
3- inappropriate media reporting and social media use
4- stigma associated with help-seeking behaviors

Question 20

Community and relationship risk factors (6)

Answer 20

• Disaster, war and conflict
• stresses of acculturation and dislocation
• discrimination
• trauma and abuse
• a sense of isolation and lack of social support
• relationship conflict, discord, or loss

Question 21

Individual risk factors

Answer 21

• previous suicide attempt (#1)
• mental disorders
• harmful use of alcohol and other substances
• job or financial loss
• hopelessness
• chronic pain and illness
• family history of suicide
• genetic and biological factors

Question 22

Verbal cues

Answer 22

direct: I’m thinking about suicide, place of honor be respectful, they revealed something major, follow up
behavioral
Indirect

Question 23

Behavioral cues

Answer 23

• marked changes in academic or work performance
• marked changes in mood or behavior
• withdrawal from social interaction or unusual activities
• referencing exit strategies
  acquiring a gun or stockpiling pills.

a person has come to terms with suicidal thinking- they might feel peace and have an improved mood.

Question 24

more behavioral cues

Answer 24

• putting personal affairs in order
• giving away prized possessions
• sudden interest or disinterest in religion
• drug or alcohol abuse, or replace after a period of recovery
• visits to a local bridge, and cliff (rehearsal)

Question 25

Behavioral cues
co-occuring

Answer 25

depression, moodiness, hopelessness
unusual appearance, behavior or difficulties in communication
any previous suicide attempt*

Question 26

situational cues

Answer 26

• being fired, or expelled from school
• a recent unwanted move
• death of a partner, child, or best friend especially by suicide
• loss of any major relationship
• diagnosis of serious or terminal illness

Question 27

More situational cues

Answer 27

• Sudden unexpected loss of freedom/fear or punishment
• anticipated loss of financial security
  fear of becoming a burden to others
• fear of lack of support/acceptance associated with sexual orientation or identity
• any recent tragic event

Question 28

protective factors

Answer 28

strong personal relationships
religious or spiritual beliefs
positive coping strategies and well being

Question 29

prevention

Answer 29

research
policy
practice

Question 30

3 step theory of suicide

Answer 30

is there pain and hopelessness
No: no suicidal desire
Yes: suicidal desire
2) Is pain overwhelming connectedness
No: modest suicidal risk
Yes: strong suicidal risk
3) Is there the capability to attempt suicide
No: desire only
Yes: suicide attempt

helps us understand how big of a threat it is

Question 31

Policy

Answer 31

National suicide prevention strategies
world suicide prevention day
education about suicide and its prevention
QPR offered on campus

Question 32

Prevention: Practice

Answer 32

• utilization of non-specialized health professionals
• self-help groups
• trained volunteers: online and phone counseling