Chapter 21 Suicide Prevention Screening, Assessment, and Intervention ALL SOLUTION LATEST EDITION 2025/26 GUARANTEED GRADE A+

Chapter 21 Suicide Prevention Screening, Assessment, and Intervention ALL SOLUTION LATEST EDITION 2025/26 GUARANTEED GRADE A+ True or False: People who talk about suicide do not complete suicide. False. Many people who die by suicide have given definite warnings of their intentions. Always take any comment about suicide seriously. True or False: Suicide happens without warning False Most suicidal people give many clues and warning signs regarding their suicidal intention True or False: Suicidal people are fully intent on dying. False: Most suicidal people are undecided about living or dying. A part of them wants to live; however, death seems like the only way out of their pain or situation. They may gamble with death, leaving it up to others to save them. True or False: Suicides occur more frequently during the holidays. False. The suicide rate is LOWEST in December. The rate peaks in the spring and fall. True or False: Improvement after a suicide crisis means that the risk is over. False. Most suicides occur within three (3) months of improvement when the individual has the energy and motivation to actually follow through with his or her suicidal thoughts. What is suicide (suicide completion) ? The voluntary act of killing oneself. It is a fatal, self-inflicted destructive act with explicit or inferred intent to die. What is suicidality? all suicide-related behaviors and thoughts of completing suicide and suicide ideations What is suicidal ideation? Thinking about and planning one's death What is a suicide attempt? A non-fatal, self-inflicted destructive act with explicit or implicit intent to die Approximately ________ adults attempted suicide in 2015. 1.3 million Which age group has a high suicide rate? Adolescents What is parasuicide (suicidal gesture) ? a voluntary apparent attempt at suicide, in which the aim is not death (i.e. taking a sublethal drug instead of a lethal drug) How may the individual feel when conducting suicidal gestures/parasuicide? There are three (3) reasons. The individual attempts to feel nothing, may truly want to die, or want to send a message about their emotional state. Lethality The probability that a person will successfully complete suicide, determined by the seriousness of the person's intent and likelihood that the method will succeed Most people who die by suicide have what mental disorder? Depression Suicide is ranked the ___________ leading causing of death and accounts for ___________ deaths per 100,000 in the population 10th leading cause of death 12.6 deaths per 100,000 in the population How often does suicide occur in the United States? Every 13 minutes, a rate of 113 completed/successful suicides per day. True or False: The suicide rate in the United States has been stable for several years despite the significant increase in the rate of suicide ATTEMPTS. True Suicide is the ________ leading cause of death among children aged 10 - 14. 3rd leading cause of death Suicide is the ________ leading cause of death among persons age 15 - 34 2nd Suicide is the 2nd leading cause of death in what racial/ethnic group aged 15 - 34 in the United States? American Indian & Alaskan Natives Suicide attempts are higher in what racial/ethnic group compared to that of white or black students? Hispanic Students When do suicide rates peak? Middle Age; Second peak at 75 years or older True or False: Suicide in the military is related to similar factors of civilian suicides. True. Factors such as mental health problems, intimate partner problems, alcohol & substance abuse, recent crises, and job problems) How is combat & deployment related to suicide? Combat & deployment is related to PTSD & depression which is associated with suicide. In women, what occurs in the military that contributes to suicide ideation and attempts? Military Sexual Trauma Name fifteen (15) suicide factors. 1. Family history of suicide 2. Family history of child maltreatment 3. Previous suicide attempts 4. History of mental disorders, particularly clinical depression 5. History of alcohol and substance abuse 6. Feelings of hopelessness 7. Impulsive or aggressive tendencies 8. Cultural and religious beliefs (i.e. belief that suicide is noble resolution of personal dilemma) 9. Local epidemics of suicide 10. Isolation, a feeling of being cut off from other people 11. Barriers to accessing mental health treatment 12. Loss (relational, social, work, or financial) 13. Physical illness 14. Easy access to lethal methods 15. Unwillingness to seek help because of the stigma attached to mental health and substance abuse disorders or to suicidal thoughts What contributes the increased suicide rate in those older than age 65 years. Medical illnesses & Chronic Depression What phrase is "awkward" but preferred to discuss an individual's success in suicide? "Died by suicide" "Committed suicide" implies what? Implies that suicide is a crime or sin "Successful suicide" is inappropriate because.... Death outcome is not success "Failed suicide" is inappropriate because... This phrase ignores survival as a positive outcome Fill in the Blank: _______ of high-schoolers reported serious suicidal ideations (SI) Seventeen Percent (17%) Childhood physical & sexual abuse is linked to what three issues? 1. Suicide 2. Suicidal Ideations 3. Parasuicide What are some cognitive risk factors for suicide? There are four (4) of them Problem-solving deficits Impulsivity Rumination Hopelessness Fill in the Blank: Recent purchase of a ____________ increases the risk of self-harm Hand gun Fill in the Blank: ___________ isolation is a primary risk factor for suicide. Social What other social factors are associated with suicide risk? There are three (3) of them. Economic Deprivation Unemployment Poverty Fill in the blank: Males have a higher suicide completion rate ______________ times more than females. Four (4) Fill in the Blank: In _____________, substance abuse, hopelessness, emotion-focused coping, social isolation, and having little purpose in life have been associated with suicidal behavior. Men Older males in what ethnic/racial population have a significantly increased risk for committing suicide? White American Indian Alaskan Native Fill in the Blank: Women across any age, racial, and ethnic groups are __________ likely to die from suicide but are _________ likely to attempt suicide. 1. Less 2. More Fill in the Blank: Women tend to choose ____________ lethal methods in suicide attempts. Less Fill in the Blank: The suicide attempt rate among _________________ persons ranges from 32% - 50 % due to gender-based victimization, discrimination, bullying, violence, rejection by family&friends, and communities Transgender Suicidal ideation was more common among _____________ men (40%-55%) compared to that of _____________ men (18%-30%) 1. Homosexual/Gay 2. Heterosexual Fill in the Blank: Overall, the suicide rate for African Americans is _________. Low Fill in the Blank: Suicide is the _____________ leading cause of death for Hispanics of all ages & ____________ leading cause of death in Hispanic males aged 15 - 34. 1. Twelfth (12th) 2. Third (3rd) Fill in the Blank: Overall, the suicide rate for Hispanics (Latinos) is ____________ of the US rate. Three words Less than Half Fill in the Blank: Which Hispanic ethnic subgroup has the highest rate of suicide attempts? Puerto Ricans Fill in the Blank: Suicide is the __________ leading cause of death in American Indians/Alaska Natives of all ages and ______ leading cause of death among youth age 10 - 24 CONTINUED...