31. The following statements are true EXCEPT for the following: A. The higher the person’s Adverse Childhood Experiences (ACE) score, the greater chance of a wide range of long-term health problems. B. Compared to individuals without ACEs, the odds of suicide ideation or attempts in adulthood increased more than tenfold among individuals with 10 or more ACEs. C. The ACE study first conducted examined the long-term health effects of trauma exposure, violence, and loss during childhood. D. The higher the individual’s ACE score, the greater chance of developing depression, anxiety, suicide, and PTSD. 32. In the month after a patient is discharged from inpatient care, the suicide death rate is: A. 5 times higher in the first week after discharge. B. 50 times higher in the first week after discharge. C. 100 times higher in the first week after discharge. D. 300 times higher in the first week after discharge. 33. One of the goals of psychiatric inpatient hospitalization for a suicidal patient is to: A. Initiate long-term therapy only. B. Conduct a psychiatric evaluation and initiate therapy and/or medications. C. Exclusively conduct a medical evaluation. D. Immediately refer a patient to intensive outpatient care. 34. The basic steps for a safety plan intervention include all of the following EXCEPT: A. Identify warning signs that may indicate the beginning or escalation of a crisis. B. Obtain crisis narrative in which the individual can “tell their story” about a specific suicidal or personal crisis. C. Provide psychoeducation and introduce safety planning. D. Immediately provide psychopharmacological intervention for the patient. 35. The Beck Depression Inventory-II assessment evaluates which of the following: A. An individual’s feelings and behaviors over the past 2 weeks. B. An individual’s feelings and behaviors over the past 2 days. C. Active and passive suicide desire. D. Gestures and non-verbal behavioral information.
36. After a suicide attempt, the first priority for a patient should be: A. Alerting family and friends. B. Medical stabilization at a hospital. C. Providing medication. D. Providing therapy. 37. Involuntary hospitalization is necessary when: A. A patient refuses to attend appointments consistently. B. A patient discloses passive suicidal ideation. C. A patient has missed their medication(s). D. A patient is a risk to themselves or others and refuses to be hospitalized. 38. A patient with an acute and high-risk for suicide: A. Is unable to maintain safety without external support. B. Has chronic suicidal ideation and an increase or change in baseline mood, behavior or talk about suicide/dying. C. Has suicidal ideation, but does not currently have a plan for suicide or suicidal behaviors. D. Has protective factors, coping skills, reasons for living
and psychosocial stability suggesting the ability to endure future crisis without resorting to suicide.
39. As a result of public stigma surrounding suicide, survivors of suicide may: A. Internalize feelings of shame. B. Discuss suicide freely and openly. C. Seek help from a therapist. D. Alert their family members during a mental health crisis. 40. In regards to suicide, the American Psychiatric Association defines the term “Aborted or self- interrupted attempt” as: A. When an individual is interrupted from self-destructive behavior by another person or outside circumstance. B. When an individual formulates a plan for self-inflicted injurious behavior. C. When an individual takes steps towards making a suicide attempt but stops before the actual act. D. A non-fatal, self-directed, potentially injurious behavior with any intent to die.
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