1.
Those who attempt suicide by a particular means will always use the same method in any future attempts.
Correct Answer
B. False
Explanation
FALSE – People may try multiple different methods following previous attempts.
2.
Removal of means for suicide (e.g. ropes, knives, medication, firearms, ligatures, poisons etc) is an important step in keeping someone who has identified as suicidal, safe.
Correct Answer
A. True
Explanation
TRUE – It is important to ask whether someone has a planned method so that the particular means can be removed/locked away. It is important to remove any other possible means also.
3.
Any attempted suicide would be (at minimum), a level __ incident.
Correct Answer
D. 4
4.
When people who are suicidal feel better, they are no longer suicidal.
Correct Answer
B. False
Explanation
FALSE – though most people are suicidal for a limited period of time, suicidal feelings can recur.
5.
A positive change in a previously suicidal individual’s mood/affect can be a sign of increased suicide risk.
Correct Answer
A. True
Explanation
TRUE – Sometimes suicidal individuals feel better when they have made a decision to die by suicide. They may feel a sense of relief that the pain will soon be over.
6.
Which of the following is not a possible statement suggesting an individual may be considering suicide?
Correct Answer
E. All of the above are possible statements suggesting suicidal ideation
Explanation
e. All of the above are possible statements suggesting suicidal ideation and should lead staff or caregiver to ask the young person if they have been thinking about ending their life.
7.
It is OK to call my practice leader, manager, oncall while I have a young person with me who has disclosed suicidal ideation.
Correct Answer
A. True
Explanation
TRUE – If needing support managing the immediate situation, it is fine to say to a young person “I really want to keep you safe now. I’m just going to call my manager to check what else we can do to remain safe. I’ll stay with you and you can listen to what I say”. It is best to get support when needed; someone not directly involved can see the situation with greater clarity.
8.
Any death by suicide or attempt resulting in hospitalisation for significant harm would be (at minimum), a level __ incident.
Correct Answer
E. 5
9.
Which of the following behaviours may suggest an individual is considering suicide?
Correct Answer
F. All of the above
Explanation
All of the above are possible behaviours that may suggest an individual is considering suicide.
10.
Which of the following statements should be avoided when asking an individual whether they are feeling suicidal?
Correct Answer
C. You look sad, you’re not thinking about killing yourself are you?
Explanation
You look sad, you’re not thinking about killing yourself are you? – avoid comments that suggest to the young person the answer you are looking for. It is useful to have a few statements that you feel comfortable using and practicing these regularly within your team. All the other statements are good examples.
11.
Staff must complete the incident report regarding any suicidal ideation or behaviour before having a phone or face-face conversation with their practice leader, manager, or oncall.
Correct Answer
B. False
Explanation
FALSE – Staff must escalate any suicide related talk or behaviour via a phone call or face-face conversation as soon as it is safe to do so (i.e. have dealt with immediate safety of young person).
12.
In Youth Horizons Care Based Services, including caregiver’s homes medication only needs to be locked away if a young person has verbalised a plan to overdose on their medication.
Correct Answer
B. False
Explanation
FALSE – Medication must always be locked away at all times. This includes the likes of paracetamol and Neurofen. The only medications that are allowed to not be locked away are those which the young person requires immediate, self-administered access (e.g. asthma inhaler). This must come with prescriber approval and written instruction. Families/whānau of young people in out of home services should also be advised to keep medications securely if there are any indicators of increased suicide risk.
13.
If a young person says they are suicidal but has no current plan, I do not need to inform oncall (after hours) or my practice leader/manager.
Correct Answer
B. False
Explanation
FALSE – any suicide related incidents, including potential behaviour or ideation, disclosure of historical attempt previously unknown to service, or trauma likely to cause significant distress (e.g. family member suicide attempt) MUST be escalated to oncall (after hours) or the staff member’s Practice Leader/Manager. Clinical Oncall (0508 254 642) MUST then be informed by oncall, practice leader, or manager. Do this even if you have strong reason to believe the young person does not “mean” what they are saying/ is using statements about suicide to try to avoid consequences/ gain attention/or achieve a particular goal. No one should make this assessment on their own – use the policy of escalation to review with a senior colleague.
14.
A disclosure of suicidal ideation without any attempt would (at minimum) be a level __ incident.
Correct Answer
C. 3
15.
Any incident report regarding suicidal ideation or behaviour must be completed as soon as possible as this must be reviewed by Clinical staff before being sent to CYF and other stakeholders.
Correct Answer
A. True
Explanation
TRUE – CYF must have the final version of the report within 24 hours, this means the practitioner/staff member completing the report needs to send it to their designated administrator well in advance of this 24 hour time, allowing for the appropriate checks and discussions to occur prior to the report being finalised.
16.
Sometimes it is ok not to share information about a young person’s suicidal thoughts and plans if you think they are ‘ok’ and you are worried you will lose engagement with the young person by sharing.
Correct Answer
B. False
Explanation
False: Ideally the limits of confidentiality should be explained to young people at the start of an assessment, meeting or intervention. Even if you have not been able to do this, considerations of safety always take priority over confidentiality. Use your engagement skills to engage the young person in a plan around sharing information if you can. Even if they are not able to agree, explain that your sharing is motivated by your need to keep the young person safe. Talk through how you can work with them on how the information is shared. Be sure to follow up immediately as per policy, and feel free to seek advice in the moment.
17.
Those who attempt suicide and survive, will not make any future attempts.
Correct Answer
B. False
Explanation
FALSE – often those who survive will make additional attempts.
18.
Asking somebody whether they are suicidal and discussing whether they have a plan or method, will simply give them the idea and increase their risk of suicide.
Correct Answer
B. False
Explanation
FALSE – Asking if someone is thinking about suicide does not give them the idea to commit suicide. It is important to talk about suicide with people who may be suicidal as you will learn more about their current state and intentions, diffuse some of the tension, and be able to put supports in place to keep them safe.