Suicide And Self Harm Exam Questions Ch5

Chapter 5
Suicide and Self Harm

Multiple Choice Questions

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?
2. Personal
3. Interpersonal
4. Historical
5. Educational
6. When assessing and planning social work interventions with individuals who are suicidal, it is important to differentiate levels of risk, including:
7. Risk of harm to others
8. Acute suicide risk
9. History of risk-taking
10. Medication non-compliance
11. According to the World Health Organization (2019), the worldwide mortality rate is:
12. 10.5 per 100,000
13. 25 per 100,000
14. 5.5 per 100,000
15. 7.5 per 100,000
16. Overall, the highest suicide rates in the world are found in:
17. Southern Europe
18. China
19. Eastern Europe and former USSR region
20. Barbados
21. 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?
22. Schizophrenia and substance use
23. Anxiety and depression
24. Depression and substance use
25. Personality disturbances and depression
26. The suicide rate for Indigenous people in Canada is 24.3 per 100,000; among Inuit people it is:
27. 72.3 per 100,000
28. 35.3 per 100,000
29. 11.6 per 100,000
30. 75 per 100,000
31. 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:
32. Altruism
33. Ableism
34. Activism
35. Absenteeism
36. 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?
37. Graphic detail
38. Simplistic explanations for the death
39. Refraining from using the word suicide in the headline
40. Excessive coverage of the incident
41. 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.
42. 3 times
43. 5 times
44. More than two times
45. 1.5 times
46. According to a CMHA survey (2020), what percentage of transgender respondents reported attempting suicide?
47. 25%
48. 35%
49. 45%
50. 75%
51. Which one of the following neurotransmitters is not linked to suicidal behaviour?
52. Dopamine
53. Adrenaline
54. Noradrenaline
55. Endorphins
56. Moderate self-harm behaviour is typically associated with which one of the following mental health issues?
57. Generalized anxiety disorder
58. Complex post-traumatic stress
59. Schizoaffective disorder
60. Hypomanic bipolar disorder
61. 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?
62. 20%
63. 45%
64. 50%
65. 60%
66. Which occupation is considered to have the highest risk for suicide?
67. Doctors and nurses
68. Manual labourers
69. Schoolteachers
70. Social workers
71. What is the association between education level and suicide rates in people with major mental illness?
72. They are positively associated
73. They are negatively associated
74. There is no association between the two
75. There is an indirect correlation
76. A study conducted at the Centre for Addiction and Mental Health determined that the most accurate suicide risk assessment tool is:
77. The Beck Depression Inventory
78. The Beck Hopelessness Scale
79. The Beck Anxiety Inventory
80. The Beck Scale for Suicidal Ideation
81. 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?
82. Performing thorough assessments
83. Providing recommended treatments
84. Being informed of decisions relating to breach of confidentiality
85. Arranging for client admission to a psychiatric facility
86. According to the text, when family lose a loved one to suicide, they may experience one of the following:
87. Relief that their loved one is not suffering anymore
88. Guilt for not preventing the death
89. A closer bond with remaining family members
90. A reduction of symptoms of their own mental health issues
91. One option for longer-term treatment for people who are at risk of suicide is:
92. Cognitive behavioural therapy
93. Dialectic behavioural therapy
94. Electroconvulsive therapy
95. Psychodynamic therapy
96. What is the first stage of Roberts’ seven stage crisis intervention model?
97. Developing rapport
98. Exploring and describing previous coping strategies and successes
99. Identifying various dimensions of the current problem
100. Conducting a thorough assessment
101. 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?
102. Depression
103. Schizophrenia
104. Anti-social personality disorder
105. Borderline personality disorder
106. 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?
107. Learning new skills for coping
108. Sharing similar experiences
109. Gaining comfort and reassurance
110. Sharing with others what they had learned
111. 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?
112. Liaising with the bereaved family
113. Creating new routines
114. Monitoring well-being and providing supports
115. Planning for important anniversaries
116. Diverse approaches to working with Indigenous communities’ experiences with suicide are critical because of the systemic issues that are linked to suicide, including:
117. Poverty
118. Access to medical services
119. Adequate housing
120. Formal education
121. A strategy for supporting and empowering youth in community is to encourage what kind of model?
122. Hierarchical
123. Not for profit
124. Self-governance
125. Medical

True or False Questions

1. A person who repeatedly cuts herself or himself to relieve stress is not at risk for eventual suicide.
2. China’s suicide rates are higher for females than for males.
3. There is no known link between cyberbullying and suicide risk.
4. Gawęda et al (2020) reported that suicide attempts are more common among individuals who are survivors of childhood physical and sexual abuse.
5. Hopelessness appears to be a better predictor of death by suicide than suicidal ideation.
6. There is no genetic link between parents’ history of suicide and severe mental illness and their offspring.
7. The suicide rate for people with major depression is 20 times the expected rate.
8. According to the text, there is no association between self-harm behaviour and suicidal ideation.
9. The suicide rate among people with schizophrenia is 12 times that of the general population.
10. Males represent the majority of alcohol-dependent suicides.
11. Standardized risk assessment tools are recommended as the best approach to evaluating and managing risk.
12. Social workers must always respect and follow client self determination in all situations.
13. A conspiracy of silence allows for the process of grieving in survivors.
14. There is no empirical support for the effectiveness of no-suicide contracts in reducing suicidal behaviour of individuals in treatment centres.
15. 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.

Short Answer Questions

1. Briefly describe the levels of risk considered when completing a suicide risk assessment.
2. Describe factors associated with suicide rates among Indigenous youth in Canada.
3. What are some of the questions from the text that are suggested when conducting a suicide risk assessment?
4. When first introduced in 2016, what were the initial criteria for qualifying for medical assistance in dying (MAID)?
5. Roberts (2000) defined seven stages of crisis intervention. Name 3 of the stages.