Evidence Based Formulation Of Risk and Clinical Response With Suicidal Clients

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1. Elijah is a 54 yr. old male who arrives at your office for intake assessment. He reports he has never "tried to kill himself", and denies knowing why he is there. Elijah has been required to see you by the county mental health court. You observe 10-15 moderately severe cuts on his left arm. When you inquire about these, Elijah states that he does this to "numb himself" and to keep from consuming alcohol. This behavior can be best described as:

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Evidence Based Formulation Of Risk and Clinical Response With Suicidal Clients - Quiz

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2. Your client Mark makes the statement, "I just can't live like this anymore. Everything would be better if I weren't here." This statement is best described as:

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3. 49-year-old white female brought by police on a transportation hold following threats to overdose on aspirin. Patient feels trapped and abused, can't cope at home with her schizophrenic sister. Wants to be in the hospital and continues to feel like killing herself. Husband indicates that patient has been threatening to shoot hi and her daughter but probably has no gun. Recent arrest for disorderly conduct (threatened police with a butcher knife). History of aspirin overdose 3 years ago. In the interview patient is cooperative; appears depressed, anxious, helpless, and hopeless. Appetite and sleep are down, and so is her self-esteem. Is described as "anhedonic." Alcohol level: .12. Which of the following is NOT a current risk factor for this client?

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4. You have been seeing Jane for 2 months in an outpatient community mental health clinic. She has 1 past suicide attempt, and weekly reports of suicidal ideation. She informs you today that on Friday she held her father's firearm in her had for apx. 15 minutes. Jane says she just "wanted to feel how heavy it was" and denies having intent at the time. This behavior is best described as:

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5. 16-year-old Native American female, self-referred following an overdose of 12 aspirins. Precipitant: could not tolerate rumors at school that she and another girl are sharing the same boyfriend. Denies being suicidal at this time ("I won't do it again; I learned my lesson"). Reports that she has always had difficulty expressing her feelings. In the interview, is quoted, guarded and initially quire reluctant to talk. The precipitant in this scenario is a static factor.

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Elijah is a 54 yr. old male who arrives at your office for intake...
Your client Mark makes the statement, "I just can't live like this...
49-year-old white female brought by police on a transportation hold...
You have been seeing Jane for 2 months in an outpatient community...
16-year-old Native American female, self-referred following an...
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