Suicidal Behavior: Advances in Psychotherapy

Suicidal Behavior: Advances in Psychotherapy

Questions from Chapter 1

1)Kleespies et al. (1993) found that _____ graduate students in psychology had experienced a patient’s suicide at some point during their training.

a)1 in 5

b)1 in 9

c)1 in 13

d)1 in 17

2)In the U.S. over _____ of suicides are associated with mental illness or substance abuse disorders.

a)30%

b)50%

c)70%

d)90%

3)Which are the 2 DSM-IV TR diagnoses that include suicidal behavior?

a)Major Depressive Episode and Borderline Personality Disorder

b)Borderline Personality Disorder and Bipolar Disorder

c)Bipolar Disorder and Schizophrenia

d)Schizophrenia and Major Depressive Episode

4)Cooper et al. (2005) found that for ED patients who were seen for self-harm, follow up found the suicide rate for those who had reported suicidal intent was _____ those who had not.

a)2 times higher

b)3 times higher

c)4 times higher

d)no different than

5)The CDC reports that suicide is the ______cause of death for all ages.

a)5th

b)7th

c)11th

d)15th

6)Males outnumber females in suicide death by a ratio of almost

a)2 to 1

b)3 to 1

c)4 to 1

d)5 to 1

7)Among adults ages 65 years and older, there is 1 suicide for every _____ attempts.

a)4

b)6

c)10

d)18

8)The NSDUH (2006) showed that _____ of adults with major depressive episodes wanted to kill themselves during their worst or most recent episode, and _____ made suicide attempts.

a)40%, 10%

b)30%, 20%

c)20%, 30%

d)10%, 40%

9)The most significant comorbidities impacting suicide risk are comorbid

a)depression and substance abuse

b)substance abuse and anxiety

c)anxiety and chronic illness

d)chronic illness and depression

10) All the following are listed as risk factors for suicidal behavior among alcoholics EXCEPT

a)Unemployment

b)Aggression/impulsivity

c)Hopelessness

d)Negative affect/episode of major depression

11) Connor and Duberstein (2004) propose a model that utilizes a construct which refers to impulsive, angry responses to aversive events they term

a)Aggressive displacement

b)Scapegoating

c)Reactive aggression

d)Angry Angry Hippo

12) When asking about suicide, terms like “hurting yourself” or “harming yourself” should be avoided.

a)True

b)False

13) All the following were recommended by Range and Knott (1997) for suicide assessment EXCEPT

a)Lawrence Suicide Survey

b)Beck Scale for Suicidal Ideation

c)Reasons for Living Inventory

d)Linehan’s Suicide Behaviors Questionnaire

Questions from Chapter 2

14) Stanley & Stanley (1989) report that post mortem studies of individuals who died of suicide found _____ abnormalities in the prefrontal cortex of the brain.

a)melatonin

b)epinephrine

c)serotonin

d)endorphin

15) Which is NOT one of Shneidman’s 10 Commonalities of Suicide?

a)The common goal of suicide is cessation of consciousness.

b)The common action in suicide is engagement

c)The common cognitive state in suicide is ambivalence.

d)The common perceptual state in suicide is constriction.

16) Joiner (2005) emphasizes that both suicidal _____ and suicidal _____ must be present before a suicide occurs.

a)mindset, permission

b)permission, desire

c)desire, capacity

d)capacity, mindset

Questions from Chapter 3

17) Which is not listed as a risk factor for suicide?

a)Hopelessness

b)Trauma and abuse

c)Asking for help

d)Social Isolation

18) Simon (2006) mentions that virtually every state incorporates imminent risk into its involuntary commitment standards because clinician’s are very successful at assessing imminent risk.

a)True

b)False

19) What does Gutheil (1990) describe as the twin pillars of liability prevention?

a)documentation and experience

b)experience and family involvement

c)family involvement and consultation

d)consultation and documentation

Questions from Chapter 4

20) Evidence for the effectiveness of _____ in preventing suicide is probably stronger than for any other medication.

a)Lithium

b)Prozac

c)Haldol

d)Valium

21) The research base for inpatient hospitalization for suicidality is surprisingly weak.

a)True

b)False

22) During the initial, collaborative treatment planning session Jobes (2006) _____ the client.

a)conducts a phone intake

b)enlists the participation of family and friends

c)has the multidisciplinary team present along with

d)sits side by side with

23) The best suicide prevention is, in Linehan’s words

a)a suicide prevented

b)a life worth living

c)a life shared

d)a life lived out loud

24) In addition to providing an emergency appointment at a time of heightened risk, clinicians should consider

a)increasing the frequency of appointments

b)suggestion a medication review

c)the use of pet therapy

d)a no harm contract

25) Baraff et al. (2006) found that _____ of the CA EDs studied reported sending suicidal patients home without receiving an evaluation from a mental health professional.

a)7%

b)12%

c)17%

d)23%

26) Scott (2000) found that _____ of the emergencies handled by a mobile crisis team were managed without psychiatric hospitalization compared with _____ of the emergencies handled by regular police intervention.

a)65%, 38%

b)55%, 28%

c)45%, 18%

d)35%, 8%

27) Which is not one of the 3 steps used to reduce access to firearms among adolescents?

a)informing parents that their adolescent was at risk for suicide

b)telling parents they can reduce the risk of suicide by removing firearms from the house

c)educating parents about ways to dispose of or limit access to firearms

d)informing local police of the situation and requesting a safety inspection

28) Farrow et al. (2002) found that clients experienced no-suicide contracts as

a)playing a major role in preventing suicide

b)a barrier to talking about their suicidal thoughts

c)neither beneficial nor harmful

d)causing them to ruminate about suicide

29) Shneidman (1996) believes that the implications of the ten commonalities of suicide for psychotherapy include all the following EXCEPT

a)reduce the pain

b)share the burden

c)remove the blinders

d)lighten the pressure

30) Skills training as a therapeutic means for reducing the risk of suicidal behavior has been most extensively developed in

a)CBT

b)RET

c)DBT

d)EMDR

31) In the Rudd et al. (2001) ICARE system to modify the suicidal belief system, the “C” stands for

a)Connect

b)Compassion

c)Cognition

d)Capacity

32) Joiner (2005) proposes that the two major reasons people want to kill themselves are that they perceive themselves as a ____ and that they feel that they_____.

a)Hopeless case, cannot change their future

b)Special case, are beyond help

c)Burden to others, do not belong

d)Failure, will never succeed

33)33) What did Jerome Motto find was effective in preventing suicides after discharge from treatment?

a)Friending on a social network site

b)bimonthly phone calls

c)a letter

d)a home visit

34) The groups with the highest rate of youth suicide in the U.S. are

a)African Americans and Hispanics

b)Hispanics and American Indians

c)American Indians and Alaska Natives

d)Alaska Natives and African Americans

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