Evidence Based Formulation Of Risk And Clinical Response With Suicidal Clients
Questions and Answers
- 1.
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:
- A.
Suicidal plan
- B.
Suicidal ideation
- C.
Suicidal intent
Correct Answer
B. Suicidal ideation -
- 2.
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:
- A.
Suicidal self-directed violence
- B.
Nonsuicidal self-directed violence
Correct Answer
B. Nonsuicidal self-directed violence -
- 3.
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.
- A.
True
- B.
False
Correct Answer
B. False -
- 4.
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?
- A.
Gender
- B.
Anhedonia
- C.
Alcohol level
- D.
Recent behavior
Correct Answer
A. Gender -
- 5.
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:
- A.
Suicidal plan
- B.
Nonsuicidal self directed violence
- C.
Other suicidal behavior including predatory acts
Correct Answer
C. Other suicidal behavior including predatory acts -
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Current Version
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Mar 21, 2022Quiz Edited by
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Nov 11, 2019Quiz Created by
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