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Suicide Risk Assessment Questions: The answer to Question 1 is found in Section 1 of the Course Content. The Answer to Question 2 is found in Section 2 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Questions: a. (i) How to structure an interview to gather information from a client or patient on suicide risk and protective factors and warning signs, including substance abuse. 1. Why are optimized or 'no problem' questions problematic when asking about suicidal ideation? 2. What are the biopsychosocial risk factors for suicide? 3. What suicidal warning signs does the mnemonic IS PATH WARM stand for? 4. What is a reason why alcohol and/or drug misuse significantly affect suicide rates? (ii) How to use the information referenced in (a) (i) to understand the risk of suicide. 5. What is a four-step approach used by the CDC to address suicide? (iii) Appropriate actions and referrals for various levels of risk. 6. What are the possible interventions for patients with a moderate suicidal risk factor?
(iv) How to appropriately document suicide risk assessment. 7. How are risk factors documented when completing a suicide risk assessment?
Answers:
A. Ideation; Substance Abuse; Purposelessness; Anxiety; Trapped; Hopelessness; Withdrawal; Anger; Recklessness; Mood Changes. B. Admission may be necessary depending on risk factors; Develop crisis plan; Give emergency/crisis numbers. C. Alcohol and other substance use disorders; Hopelessness; History of trauma or abuse; Previous suicide attempt; Family history of suicide. D. They minimize the disclosure of suicidal ideation, a tension also described in other medical settings. E. The disinhibition that occurs when a person is intoxicated. F. A standardized risk assessment tool is used to guide the clinical interview and its use is documented in the risk assessment; Risk factors for suicide are identified and discussed in the risk assessment; If the potential of secondary gain is indentified, secondary gain is not used to dismiss significant risk factors or to rule out suicide risk. G. Define the problem; Identify risk and protective factors; develop and test prevention strategies; Ensure widespread adoption.
Questions:
b. (i) Available evidence-based treatments for patients and clients at risk of suicide, including counseling and medical interventions such as psychiatric medication and substance abuse care. 8. What are the evidence-based psychotherapy interventions for the prevention of suicide? 9. What are the important risk factors for suicide that are known to have gender-specific components to their prevalence and expression? 10. What are the primary drivers of suicidality? 11. What are the signs of a quality treatment program?
(ii) Strategies for safety planning and monitoring use of the safety plan. 12. What are the steps in implementing the safety plan? 13. When is the sustainability of treatment and safety plans enhanced?
(iii) Engagement of supportive third parties in maintaining patient or client safety. 14. What is a major barrier in preventing critical information exchanges between crisis centers, external crisis and emergency services, and other third parties? 15. What are the tasks that administrators can assign clinical supervisors in making sure that the tasks involved in extending care beyond the immediate actions are carried out?
(iv) Reducing access to lethal means for clients or patients in crisis. 16. What was the most common suicidal method reported? 17. What are the lethal means methods of suicide?
(v) Continuity of care through care transitions such as discharged referral. 18. What are the main patient groups that are eligible for referrals to the suicide prevention team? 19. What are the primary approaches that can be used by schools to identify youth with possible increased risk for suicide?
Veteran Population and Risk of Imminent Harm Questions: The answer to Question 20 is found in Section 20 of the Course Content. The Answer to Question 21 is found in Section 21 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
c. (i) Population-specific data, risk and protective factors, and intervention strategies. 20. What are the suicidal risks that are specific to veterans? d. (i) How to recognize nonsuicidal self-injury and other self-injurious behaviors and assess the intent of self-injury through suicide risk assessment. 21. What are the subcategories of moderate self-injurious behavior, also known as superficial self-injurious behavior? 22. What are the risk factors that are associated with non-suicidal self-injurious behavior? 23. What are four differences between non-suicidal self-injury (NSSI) and suicide? 24. Why is it important to recognize self-injury and treat the client appropriately and quickly in order to prevent complications?
(ii) (A) Objects, substances and actions commonly used in suicide attempts and impulsivity and lethality of means. 25. What is the most common method of attempting suicide among adolescents?
(ii) (B) Communication strategies for talking with patients and their support people about lethal means. 26. What is a three-part response that is recommended for clinicians to use with patients who are extremely irritable?
(ii) (C) How screening for and restricting access to lethal means effectively prevents suicide. 27. What is the fundamental assumption underlying restricting access to means of suicide?
