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Suicide Assessment, Treatment, & Management
Suicide Assessment, Treatment, & Management

CE Post-Test
Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs

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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. Do not add any spaces.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

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 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 -step approach used by the CDC to address suicide, a public health problem?

   (iii) Appropriate actions and referrals for various levels of risk.
6. What are 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.

Treatment and Management of Suicide Risk Questions: The answer to Question 8 is found in Section 8 of the Course Content. The Answer to Question 9 is found in Section 9 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

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 evidence-based psychotherapy interventions for the prevention of suicide?
9. What are important risk factors for suicide that are known to have gender-specific components to their prevalence and expression?
10. What are primary drivers of suicidality?
11. What are signs of quality treatment program?

   (ii) Strategies for safety planning and monitoring use of the safety plan.
12. What are 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 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 lethal means methods of suicide?

   (v) Continuity of care through care transitions such as discharged referral. 
18. What are main patient groups that are eligible for referrals to the suicide prevention team?
19. What are primary approaches that can be used by schools to identify youth with possible increased risk for suicide?

 Answers:

A. Warning Signs; Internal Coping Strategies; Social Contacts Who May Distract from the Crisis; Family Members or Friends Who May Offer Help; Professionals and Agencies to Contact for Help; Making the Environment Safe.
B. Firarms; Poisoning; Falls; Suffocation, Drowning, Cutting/Piercing.
C. Screening and Gatekeeper Surveillance.
D. Accreditation; Medication; Evidence-Based Practices; Families; Supports.
E. Concerns related to privacy.
F. Inability to solve problems; Intense emotion dysregulation; Reasons for dying; Lack of reasons for living.
G. Medication overdose.
H. During transitions of care when provider-to-provider contact and a follow-on appointment with the receiving provider are established.
I. Depressive symptomology and alcohol and substance use.
J. Patients in need of outpatient health and social services that are not established by the hospital team; Patients in ongoing outpatient treatment who are in need of extra support; Patients and family or other who are in relational conflicts and in need of extra support; Patients who have previously dropped out of mental health treatment and need to be motivated to reappoint.
K. Following up on referrals; Case management as required, monitoring that clients are following a treatment plan established by the counselor and the clinical supervisors or by the treatment team; Checking in with the client and significant others (if warranted) to ensure that care is progressing; Continued observation and monitoring for suicidal thoughts and behaviors that may re-emerge after the initial crisis has passed.
L. Cognitive-Behavioral Therapies (CBT); Problem Solving Therapy (PST); Dialectical Behavior Therapy (DBT); Interpersonal Therapy (IPT).

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.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:

c. (i) Population-specific data, risk and protective factors, and intervention strategies.
20. What are 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 risk factors that are associated with non-suicidal self-injurious behavior?
23. What are 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 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?

 Answers:

A. NSSI is much more prevalent than suicide; NSSI results in less medically severe and less lethal bodily harm than suicide attempts; Most often, people engage in NSSI without having suicidal ideation; People who engage in NSSI do not intend to end their own lives.
B. Cutting
C. Family Violence During Childhood; Childhood Separation and Loss; Parental Illness or Disability; Emotional Intensity; Risk Taking and Reckless Behavior.
D. Exposure to extreme stress; Physical/sexual assault while in the service (not limited to women); Service-related injury; Traumatic Brain Injury (TBI); PTSD; Lower rank or recent demotion; Access to/familiarity with firearms; Times of transition are particularly at risk; LGBT status.
E. 1) Reflective listening; 2) Gentle interpretation; and 3) A statement of commitment to keep working with and through the irritability.
F. Compulsive superficial; Episodic; Repetitive.
G. In many cases, it may delay an attempt until the period of high-risk passes. Moreover, if access to highly lethal methods of suicide is reduced, even where substitution occurs, the proporation of people who survive suicide attempts will be increased.
H. If self-injury is left untreated, increased severity and possible suicidality or suicide attempts may occur.


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