Addressing Suicidal Thoughts and
Behaviors in Substance Abuse Treatment
1)Compared to the general population, individuals treated for alcohol abuse or dependence are at about _____ times greater risk to eventually die by suicide compared with the general population.
a)10
b)20
c)30
d)40
2)You can be direct regarding suicidal thoughts because there is no empirical evidence to suggest that talking to a person about suicide will make them suicidal.
a)True
b)False
3)It is never appropriate to break confidentiality.
a)True
b)False
4)Shneidman (1985) states that the struggle between _____ is at the core of a suicidal crisis.
a)Yin and Yang
b)Fear and Hope
c)Right and Wrong
d)Wanting to die and wanting to live
5)The materials suggest to use contracts sparingly, if at all.
a)True
b)False
6)All the following points are made, EXCEPT
a)Some clients will be at risk of suicide, even after getting clean and sober
b)Suicide attempts always must be taken seriously
c)The outcome does not tell the whole story
d)Suicidal individuals rarely show warning signs
7)Which is NOT mentioned as a positive attitude and behavior for working with suicidal clients?
a)All clients should be screened for suicidal thoughts and behaviors as a matter of routine
b)Warning signs for suicide can be indirect; you need to develop a heightened sensitivity to these cues
c)Do not give clients who are at risk of suicide the telephone number of a suicide hotline; they are often staffed by unqualified people
d)People in substance abuse treatment settings often need additional services to ensure their safety
8)Which is a common co-occurring diagnosis among people who abuse substances that confers risk for suicidal behavior?
a)Anxiety
b)Depression
c)Personality disorders
d)Psychosis
9)Which statement is NOT true?
a)A suicide attempt has no intent to die
b)Suicidal ideation is much more common than suicidal behavior
c)A suicide attempt is a deliberate act that does not result in death
d)Suicide plans signal more serious risk than suicidal ideation
10) Suicide _____ are behaviors that signal high, acute risk for suicidal behavior.
a)Modeling
b)Prodromes
c)Preparation
d)Antecedents
11) Which is an example of NSSI?
a)Leaving a suicide note
b)Giving away possessions
c)Cutting for the purpose of self-soothing with no wish to die
d)Hoarding pills
12) All the following are direct indications of acute suicidality EXCEPT
a)Suicidal communication
b)Suicidal ideation
c)Seeking access to a method
d)Making preparations
13) The “T” in the mnemonic IS PATH WARM stands for
a)Trapped
b)Timing
c)Tried before
d)Tragedy
14) Which is defined as indicators of long-term risks?
a)Red lights
b)Risk factors
c)Tells
d)Warning signs
15) Which is mentioned as perhaps the best research protective factor in the literature?
a)Reasons for living
b)Being clean and sober
c)Attendance at 12-step support groups
d)Intact marriage
16) The most common method of attempted suicide is
a)Self-cutting
b)Firearms
c)Overdose
d)Hanging
17) The most common method of death by suicide is
a)Self-cutting
b)Firearms
c)Overdose
d)Hanging
18) The “A” in the GATE acronym stands for
a)Activating Event
b)Alcohol Intake
c)Access Supervision
d)Approach/Avoidance
19) When gathering information, it is recommended that you avoid _____ questions.
a)Chaining
b)Leading
c)Open ended
d)Stacking
20) All the following interventions are considered more intensive EXCEPT
a)Interventions that give greater autonomy
b)Interventions that reduce freedom of movement
c)Interventions that are expensive
d)Interventions that compromise privacy
21) The “E” in the GATE acronym stand for
a)Expect a relapse
b)Echo the fear
c)Elevate the mood
d)Extend the action
ce4less.comce4less.com ce4less.com ce4less.comce4less.comce4less.com ce4less.com