Deck 5: Risk Assessment and Intervention: Suicide and Homicide

Question 1

Which of the following is accurately paired as acute or chronic?
ACUTE CHRONIC

A)Has reasons for living………………….Has suicidal intent
B)Recent suicidal behavior/thoughts……..Relationship problems,no intent,no plan
C)Has no organized plan for suicide……..High risk in hours or days
D)Long history of problems ……………..Recent loss or significant stressor

Answer 1

B

Question 2

According to the CDC,all of the following are dangerous workplace risk factors EXCEPT

A)working from home.
B)driving a taxi.
C)contact with the public.
D)working late at night.

Answer 2

A

Question 3

Postvention involves

A)assisting survivors of suicide loss after a suicide has occurred.
B)assisting individuals who have attempted suicide.
C)advocacy activities that survivors of suicide loss can do to assist in prevention.
D)All of the above.

Answer 3

D

Question 4

The National Director of the Council for Suicide Education (fictitious title)should use the following statement when giving a public address:

A)Over 36,000 people in the United States died by suicide.
B)Over 36,000 people in the United States chose to end their lives.
C)Over 36,000 in the United States killed themselves.
D)Over 36,000 in the United States committed suicide.

Question 5

On average,_____ of homicide offenders are male.

A)20%
B)40%
C)70%
D)90%

Question 6

__________ are considered high risk for suicide.

A)Persons who have previously attempted suicide
B)The elderly
C)Native Americans
D)All of the above.

Question 7

"I hate my mother-in-law.Sometimes I imagine what it would be like to run her down with my car.Seriously! I could take her out." This indicates which level of threat?

A)Lethal
B)Non-existent
C)Medium
D)Low

Question 8

Which of the following is the TRUEST statement?

A)Suicide risk is higher in emergency risk when there is a long history of chronic relationship problems.
B)A young woman who cuts on herself,with no intent to die,is at high risk for suicide.
C)Someone with little ambivalence and access to a gun is considered high risk.
D)A parasuicidal person who expects someone to come home and discover them is strictly attention-seeking.

Question 9

The most common means by which homicide is carried out is through using

A)firearms.
B)knives.
C)strangulation.
D)contract killing.

Question 10

In order of highest risk to lowest risk,which of the following is accurate,according to the NSPL concepts related to desire,intent,capability,and buffers?

A)Desire without buffers is considered high risk.
B)Desire plus capability with buffers is considered low risk.
C)Desire plus intent with buffers is considered high risk.
D)Desire plus capability plus Intent is considered the highest risk with or without buffers.

Question 11

__________ is an example of a false positive.

A)Someone who exhibits warning signs with a suicide plan and the counselor has assessed him to be acutely at risk
B)Someone who expresses desire,but no intent,and the counselor has made arrangements for him to be taken to the emergency room
C)Someone who has lied about his intent to launch a plan,while secretly,he has been readying his papers,insurance,and will
D)Someone who has no intent,no capability,no desire,but does own a gun

Question 12

Rate has to do with the number of people in a uniformly-sized group in the population so that comparisons can be made across different at risk groups.Which is the correct value below that is always associated with rate,as it relates to suicide or illness categories.

A)12th
B)12.0
C)10,000
D)100,000

Question 13

A suicide attempt gone awry occurs when the person wanted to

A)live,but died.
B)live,and survived.
C)die,and survived.
D)die,and perished.

Question 14

Crisis counselors who assist family members or friends after a suicide might expect indications of all of the following EXCEPT signs of

A)trauma.
B)elevated trust in the professional community at the scene of the suicide.
C)stigma.
D)complicated mourning.

Question 15

The majority of workplace homicides involve

A)love triangles.
B)robberies.
C)salary disputes.
D)fired employees.

Question 16

Among the many challenges for the clinician when assessing and managing suicide risk,the __________ is NOT a concern.

A)limited availability of quality suicide intervention resources from the Internet,books,monographs,and research on best practices
B)risk assessment that depends on good clinical judgment
C)counselor's internal emotional reaction (as per the Core Competencies for Assessing and Managing Suicide Risk by the AAS/SPRC)
D)tension between managing the counselor's goal to intervene and the client's goal to end pain through suicide

Question 17

The homicide rate in in the United States

A)is climbing.
B)is at its lowest since 1964.
C)has doubled since 1991.
D)was at 10.2 per 100,000 people in 2010.

Question 18

Of the options listed below,__________ is considered the LEAST valid treatment option.

A)measures put in place to remove means
B)a meeting or conversation with a family member about safety planning
C)a paper signed by the client that he or she will not hurt oneself
D)meeting twice a week

Question 19

__________ is considered a warning sign of suicidal risk.

A)Identifying as a survivor of abuse
B)A family member who has attempted
C)Stable mood or behaviors
D)Giving things away

Question 20

The primary motivation for school shootings appears to be

A)academic problems.
B)school culture.
C)interpersonal rejection.
D)community mores.

Question 21

When homicide survivors feel a sense of unfairness regarding the justice system,it may be helpful for them to

A)let go and move on.
B)avoid discussing specifics of the murder for one year.
C)advocate for change.
D)seek individual rather than group counseling.

Question 22

The highest risk of violent and homicidal behavior has been found in individuals with…

A)a diagnosis of social anxiety
B)a dual diagnosis of substance abuse and anti-social personality disorder
C)a diagnosis of schizophrenia
D)a dual diagnosis of depression and borderline personality disorder

Question 23

It is crucial that _________ be emphasized when working with homicidal clients.

A)goals for the future
B)self-esteem
C)values
D)compliance with medication

Question 24

Medium level threat clients

A)do not need to be monitored but should schedule a follow up session.
B)should be hospitalized immediately.
C)pose no threat.
D)should be monitored and may need to be hospitalized.

Question 25

This lack of community support can be thought of as a __________ that further complicates the grief process for homicide survivors.

A)secondary victimization
B)reactive agent
C)grief construct
D)primary relief