Deck 5: Suicide and Self-Harm

Question 1

According to Kirmayer et al (2007), the act of suicide or attempted suicide results from the interaction of a variety of factors. Which one of the following factors is not represented in the list within the text?

A) Personal
B) Interpersonal
C) Historical
D) Educational

Answer 1

D

Question 2

When assessing and planning social work interventions with individuals who are suicidal, it is important to differentiate levels of risk, including:

A) Risk of harm to others
B) Acute suicide risk
C) History of risk-taking
D) Medication non-compliance

Answer 2

B

Question 3

According to the World Health Organization (2019), the worldwide mortality rate is:

A) 10.5 per 100,000
B) 25 per 100,000
C) 5.5 per 100,000
D) 7.5 per 100,000

Answer 3

A

Question 4

Overall, the highest suicide rates in the world are found in:

A) Southern Europe
B) China
C) Eastern Europe and former USSR region
D) Barbados

Question 5

According to WHO (2019), what two mental health issues are estimated to be associated with 90 per cent of all suicide-related deaths in the world?

A) Schizophrenia and substance use
B) Anxiety and depression
C) Depression and substance use
D) Personality disturbances and depression

Question 6

The suicide rate for Indigenous people in Canada is 24.3 per 100,000; among Inuit people it is:

A) 72.3 per 100,000
B) 35.3 per 100,000
C) 11.6 per 100,000
D) 75 per 100,000

Question 7

French sociologist Emile Durkheim suggested that suicide was the result of either anomie, in which a person experiences despair due to lack of connection with society and its goals, or:

A) Altruism
B) Ableism
C) Activism
D) Absenteeism

Question 8

In 2018, the Canadian Psychiatric Association issued an updated guideline intended to reduce the harmful effects of media reports of suicide. Which one of the following is not within the list of recommendations to avoid?

A) Graphic detail
B) Simplistic explanations for the death
C) Refraining from using the word suicide in the headline
D) Excessive coverage of the incident

Question 9

The US Centre for Disease Control Youth Risk Behavior Survey (2014) revealed that girls in grades 9-12 were ____ more likely to report cyberbullying than boys.

A) 3 times
B) 5 times
C) More than two times
D) 1.5 times

Question 10

According to a CMHA survey (2020), what percentage of transgender respondents reported attempting suicide?

A) 25%
B) 35%
C) 45%
D) 75%

Question 11

Which one of the following neurotransmitters is not linked to suicidal behaviour?

A) Dopamine
B) Adrenaline
C) Noradrenaline
D) Endorphins

Question 12

Moderate self-harm behaviour is typically associated with which one of the following mental health issues?

A) Generalized anxiety disorder
B) Complex post-traumatic stress
C) Schizoaffective disorder
D) Hypomanic bipolar disorder

Question 13

According to the review of 40 studies by Luoma et al. (2002), what percentage of individuals who died by suicide had contact with mental health professionals in the month prior to death?

A) 20%
B) 45%
C) 50%
D) 60%

Question 14

Which occupation is considered to have the highest risk for suicide?

A) Doctors and nurses
B) Manual labourers
C) Schoolteachers
D) Social workers

Question 15

What is the association between education level and suicide rates in people with major mental illness?

A) They are positively associated
B) They are negatively associated
C) There is no association between the two
D) There is an indirect correlation

Question 16

A study conducted at the Centre for Addiction and Mental Health determined that the most accurate suicide risk assessment tool is:

A) The Beck Depression Inventory
B) The Beck Hopelessness Scale
C) The Beck Anxiety Inventory
D) The Beck Scale for Suicidal Ideation

Question 17

To ensure protection from liability, social workers must follow standards of care in working with suicidal clients. Which one of the following is not included in the list of recommended protocol?

A) Performing thorough assessments
B) Providing recommended treatments
C) Being informed of decisions relating to breach of confidentiality
D) Arranging for client admission to a psychiatric facility

Question 18

According to the text, when family lose a loved one to suicide, they may experience one of the following:

A) Relief that their loved one is not suffering anymore
B) Guilt for not preventing the death
C) A closer bond with remaining family members
D) A reduction of symptoms of their own mental health issues

Question 19

One option for longer-term treatment for people who are at risk of suicide is:

A) Cognitive behavioural therapy
B) Dialectic behavioural therapy
C) Electroconvulsive therapy
D) Psychodynamic therapy

Question 20

What is the first stage of Roberts' seven stage crisis intervention model?

A) Developing rapport
B) Exploring and describing previous coping strategies and successes
C) Identifying various dimensions of the current problem
D) Conducting a thorough assessment

Question 21

The main principle of pharmacological treatment of suicide risk is careful assessment and treatment of the underlying disorder. Which one of the following is not included in the list of disorders mentioned in the text?

A) Depression
B) Schizophrenia
C) Anti-social personality disorder
D) Borderline personality disorder

Question 22

Hopmeyer and Werk (1994) conducted a study comparing bereavement groups. Which of the following was listed first among the most helpful aspects of group support?

A) Learning new skills for coping
B) Sharing similar experiences
C) Gaining comfort and reassurance
D) Sharing with others what they had learned

Question 23

Toolkits are available as part of community-based intervention with a focus on deaths of students. Which one of the following is not listed among the toolkit guidelines identified within the text?

A) Liaising with the bereaved family
B) Creating new routines
C) Monitoring well-being and providing supports
D) Planning for important anniversaries

Question 24

Diverse approaches to working with Indigenous communities' experiences with suicide are critical because of the systemic issues that are linked to suicide, including:

A) Poverty
B) Access to medical services
C) Adequate housing
D) Formal education

Question 25

A strategy for supporting and empowering youth in community is to encourage what kind of model?

A) Hierarchical
B) Not for profit
C) Self-governance
D) Medical

Question 26

A person who repeatedly cuts herself or himself to relieve stress is not at risk for eventual suicide.

Question 27

China's suicide rates are higher for females than for males.

Question 28

There is no known link between cyberbullying and suicide risk.

Question 29

Gawęda et al (2020) reported that suicide attempts are more common among individuals who are survivors of childhood physical and sexual abuse.

Question 30

Hopelessness appears to be a better predictor of death by suicide than suicidal ideation.

Question 31

There is no genetic link between parents' history of suicide and severe mental illness and their offspring.

Question 32

The suicide rate for people with major depression is 20 times the expected rate.

Question 33

According to the text, there is no association between self-harm behaviour and suicidal ideation.

Question 34

The suicide rate among people with schizophrenia is 12 times that of the general population.

Question 35

Males represent the majority of alcohol-dependent suicides.

Question 36

Standardized risk assessment tools are recommended as the best approach to evaluating and managing risk.

Question 37

Social workers must always respect and follow client self determination in all situations.

Question 38

A conspiracy of silence allows for the process of grieving in survivors.

Question 39

There is no empirical support for the effectiveness of no-suicide contracts in reducing suicidal behaviour of individuals in treatment centres.

Question 40

A 2016 meta analysis suggests that while mortality rates from suicide decrease with the use of antidepressants in adults, in children and youth the rates may increase.

Question 41

Briefly describe the levels of risk considered when completing a suicide risk assessment.

Question 42

Describe factors associated with suicide rates among Indigenous youth in Canada.

Question 43

What are some of the questions from the text that are suggested when conducting a suicide risk assessment?

Question 44

When first introduced in 2016, what were the initial criteria for qualifying for medical assistance in dying (MAID)?

Question 45

Roberts (2000) defined seven stages of crisis intervention. Name 3 of the stages.