Term
The experience of crisis
provides impetus for change.
True or False |
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Definition
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Term
Crisis is by definition self limiting, intervention is not necessary to end the crisis.
True or False |
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Definition
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Term
The discomfort and anxiety of a crisis leads to immobility and resistance to change.
True or False |
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Definition
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Term
Often, clients will grant a crisis intervention worker rapport because they are seen as a source for the help and support that they are looking for.
True or False |
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Definition
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Term
When intervening in a crisi it is important to maintain your professionalism and demonstrate your competence through the use of appropriate medical and psychological terminology.
True or False |
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Definition
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Term
Discussing the limitations of confidentiality should be avoided while establishing rapport.
True or False |
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Definition
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Term
Matching your voice tone to the tone of the client is an effective strategy to calm a client as well as to encourage them to speak up.
True or False |
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Definition
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Term
Crisis support services are not an appropriate approach for addressing psychological issues from one's past, grief, or loneliness.
True or False |
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Definition
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Term
Persons with mental illness are
usually violent and dangerous.
True or False |
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Definition
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Term
A common symptom of mental illness is fear of people, so persons with mental illness may be afraid of you.
True or False |
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Definition
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Term
Persons with mental illness are prone to crises even in the absence of clear precipitant stressors.
True or False |
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Definition
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Term
Crisis for persons with severe mental illness is most often associated with an
exacerbation of symptoms.
True or False |
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Definition
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Term
Avoid talking about the feelings and specific concerns of callers who regularly use crisis call lines for support.
True or False |
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Definition
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Term
When responding to challenging calls it is appropriate to acknowledge that you are unsure of how to best help the caller at the moment.
True or False |
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Definition
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Term
Good self awareness and active listening are ways to avoid becoming defensive with angry callers.
True or False |
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Definition
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Term
Domestic violence is the leading cause of injury to women between the ages of 15 and 44 in our country.
Myth vs Fact |
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Definition
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Term
Domestic violence occurs only in poor, uneducated and minority communities.
Myth vs Fact |
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Definition
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Term
Most victims of spouse abuse are female. Men can be victims, but it is rare.
Myth vs Fact |
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Definition
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Term
Alcohol abuse causes domestic violence
Myth vs Fact |
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Definition
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Term
Battering is a pattern of coercion and control that one person exerts over another.
Myth vs Fact |
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Definition
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Term
Many men who batter their wives also abuse their children.
Myth vs Fact |
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Definition
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Term
When there is violence in the family, all members of the family are participating in the dynamic, and therefore, all must change for the violence to stop.
Myth vs Fact |
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Definition
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Term
All crisis callers are potentially at risk for suicide.
True or False |
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Definition
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Term
Crisis workers sometimes avoid asking questions about suicidal intent as a result of their own anxiety.
True or False |
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Definition
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Term
Questions about suicide should be saved until the end of the call.
True or False |
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Definition
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Term
If a caller indicates, by self report or in response to a question, having suicidal thoughts, suicidality becomes the primary focus of assessments and crisis counseling.
True or False |
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Definition
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Term
Talking about suicide increases the likelihood that suicidal behavior will occur.
True or False |
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Definition
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Term
By raising the issue of suicide, the crisis worker gives permission to discuss it.
True or False |
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Definition
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Term
The greater the number of warning signs, the greater the concern the crisis worker should have.
True or False |
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Definition
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Term
Impulsivity is an indication of risk for suicidal behavior.
True or False |
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Definition
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Term
The effectiveness of therapy following a suicide attempt has no effect on future risk.
True or False |
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Definition
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Term
Gay, lesbian, bisexual, and transgender youth are more likely to experience suicidal ideation and attempt suicide.
True or False |
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Definition
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Term
Adolescent girls (ages 16-19) are at risk for suicide.
True or False |
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Definition
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Term
Previous suicide attempt is the most potent risk factor for adolescent boys.
True or False |
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Definition
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Term
In adolescent girls the most significant risk factor is the presence of major depression.
True or False |
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Definition
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Term
Individuals make calls to crisis lines based upon ambivalence between their will to live and wish to die.
True or False
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Definition
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Term
An acute suicide risk is considered to be high when characterized by suicide ideation with intent, plan and high lethality of plan in the context of one or more other acute risk factors.
True or False |
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Definition
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Term
Protective factors do not counteract acute risk. Protective factors due counteract chronic risk.
True or False |
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Definition
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Term
When considering acute risk for suicidality the anticipation of a significant loss is not as powerful as an actual loss.
True or False |
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Definition
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Term
Firearms are the leading method of suicide in the US.
True or False |
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Definition
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Term
The female suicide is 4.2% greater than the male rate.
True or False |
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Definition
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Term
Individuals ages 70 and older have a 2.4 times higher suicide rate than adolescents age 15-19.
True or False |
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Definition
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Term
If half of the undetermined intent poisonings deaths were determined to be self-inflicted that suicide rate in this country would rise 7-8%.
True or False |
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Definition
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Term
Tribal spiritual orientation is a strong protective factor for American Indians. Individuals with a strong tribal spiritual orientation were half as likely to report a suicide attempt in their lifetime.
True or False |
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Definition
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Term
Asian American/Pacific Islanders are more likely to access and use mental health services and avoid mentioning mental health problems to family members because of stigma and shame.
True or False |
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Definition
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Term
When compared to white women, black women have greater social support, larger extended families, more religious views against suicide, and stronger mothering philosophies, all of which may act as protective factors.
True or False |
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Definition
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Term
Surviving the loss of a family member to suicide is very different than loosing someone to another cause of violent sudden death.
True or False |
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Definition
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Term
Appropriate action following a suicide can lead to prevention of future suicide.
True or False |
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Definition
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Term
When vulnerable youth experience grief together the emotions they express are usually stabilized.
True or False |
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Definition
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Term
It is not normal for people to experience emotional aftershocks following a tragedy.
True or False |
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Definition
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Term
Proper debriefing following a traumatic event can prevent post traumatic stress disorder.
True or False |
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Definition
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Term
Helpers on crisis intervention teams do all but:
a) provide info and resources
b) develop insight into thoughts, feelings, and behv
c) provide support
d) assess immediate issues |
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Definition
b) Helpers do not develop insight into the thoughts that determine feelings and behaviors
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Term
Effective helpers have these four characteristics |
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Definition
1) Genuine
2) Empathic
3) Non-judgmental
4) Empowering |
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Term
List 3 ways that crisis may be resolved |
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Definition
1) Equilibrium is regained at the pre-crisis level of functioning (same as before)
2) Equilibrium is regained and a process of growth is begun (better than before)
3) New equilibrium is at a lower level of functioning and vulnerable to recurring crisis (worse than before) |
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Term
Describe the goal of crisis intervention.
What is the minimal expected outcome, what is the optimal outcome? |
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Definition
Minimally that the person returns to the pre-crisis level of functioning. Optimally, that equilibrium is regained and a process of growth begins. |
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Term
Match these steps with the interventions skills.
Crisis management steps:
Engagement, Assessment, Planning,
Evaluation, Follow-up
Interventions skills:
Problem solving, Closure, Establish rapport, Assess and review, Define the crisis |
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Definition
Engagement- Establish rapport
Assessment- Define the crisis
Planning- Problem solving
Evaluation- Closure
Follow-up- Assess and review
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Term
Defining a crisis includes:
a) validation and understanding
b) genuiness and honesty
c) draw out the facts and don't make assumptions
d) all of the above
e) both a and c
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Definition
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Term
What are the 4 steps to use in identifying alternatives? |
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Definition
- Prior coping
- Solicit new ideas
- Offer suggestions
- Discuss the alternative of waiting
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Term
Techniques for closure:
Summarize the conversation to show the _____ that has been made. |
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Definition
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Term
Techniques for closure:
Name the ____ that you observed in the client during the conversation. |
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Definition
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Term
Techniques for closure:
Review the action plan, including how they will gauge their ____. |
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Definition
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Term
Techniques for closure:
Obtain ______ to work on the plan. |
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Definition
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Term
Techniques for closure:
Discuss what they will do if the ___ doesn't work out or if something new happens to make things more difficult. |
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Definition
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Term
Techniques for closure:
Develop a ____ related to future threats if situation involve violence or suicidal thought. |
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Definition
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Term
Which of the following are not necessarily indications of a mental illness?
a) paranoia and suspiciousness
b) worry and anxiousness
c) sobbing and crying
d) extreme hopelessness |
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Definition
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Term
List 2 positive symptoms of schizophrenia |
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Definition
Hallucinations
Delusions
Thought disorder |
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Term
List 2 negative symptoms of schizophrenia |
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Definition
Isolation
Withdrawal
Lack of pleasure
Flat affect
Speaking infrequently
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Term
Which of the following conditions may lead to depression?
loneliness and rejection, physical injury, intense stress causing chronic fatigue, hopelessness, childbirth, or all of the above |
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Definition
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Term
Common symptoms of depression include |
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Definition
increase/decrease in appetite, increase/decrease sleep, low energy, thoughts of death or suicide, feeling irritable, feelings of hopelessness/worthlessness/guilt/sad, trouble concentrating and with memory |
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Term
Common symptoms of mania include: |
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Definition
feelings of extreme happiness or excitement, feeling irritable, feeling unrealistically self confident, sleep loss, talking a lot, and impaired judgement. |
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Term
The cycle of family violence includes:
The abuser lashes out with aggressive or violent behavior. After the abusive episode, the abuser feels _____. The abuser identifies ____ or blames the victim for his abusive behavior. The abuser works to regain control and normal behavior. This peaceful ____ phase gives the victim hope that the abuser has changed. The abuser begins to focus on what the victim has done wrong and how he'll make her pay. The abuser ____ up the victim and puts his plan in motion, creating a situation where he can justify abusing her again. |
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Definition
Guilty
Excuses
Honeymoon
Sets |
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Term
Common signs of an abusive relationship include:
a) fear of partner/references to the partner's anger
b) personality changes
c) excessive fear of conflict
d) isolation from friends and family
e) a and c
f) all of the above |
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Definition
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Term
Which of the following are not considerations in assessing risk for family violence?
a) the source of the family conflict
b) if there are children involved
c) the person at risk's personal resources
d) historical patterns of abuse
e) current safety and environment
f) a,c, and e |
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Definition
a) the source of the family conflict |
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Term
Safety planning includes what steps? |
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Definition
Reduce isolation, identify escape plan, set-up access to resources, identify a safe place to go, identify a code work with family/friends/children, consider an emergency protection order, and assure ongoing access to cell phone |
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Term
Identify items that might be included in a person's at risk safety package. |
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Definition
Personal identification, marriage license, bank books/cards, medications, change of clothes, personal phone book, pictures of abuser and other evidence of abuse |
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Term
Which 2 worker factors (neutrality, empathy, warmth, and respect) are considered most important in collecting accurate information during initial contact with callers? |
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Definition
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Term
A call is considered to be a crisis call when... |
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Definition
1. the caller volunteers that they are considering suicide
2. the caller communicates emotional upset
3. the call signals an external stressor requiring a coping response from the caller |
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Term
What does "IS PATH WARM" mean? |
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Definition
Intent
Substance Abuse
Purposelessness
Anxiety
Trapped
Hopelessness
Withdrawing
Anger
Recklessness
Mood disturbance |
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Term
Identify mood and affect observations that indicate an increased risk for suicide: |
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Definition
Anger, guilt, shame, humiliation, tension, restlessness, panic, burdensomeness, intolerable loneliness |
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Term
Identify cognition observations that would indicate an increased risk for suicide: |
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Definition
Hopelessness about self/future/others, suicidal ideation with plan and/or intent, ideation with impulsivity, ideation that is intense/persistent/uncontrollable, suspiciousness, paranoia |
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Term
Identify behavioral observations that are indicators of increased risk for suicide: |
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Definition
Agitation, intense recklessness, insomnia, panic, impaired attention/concentration, rage or aggressive behavior, binge drinking, excessive intoxication, impulsivity |
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Term
Are the following methods considered
low or high lethality:
wrist cutting, firearms, suffocation, jumping before a train, some drug overdoses (such as SSRI), hanging, carbon monoxide asphyxiation |
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Definition
Low: wrist cutting and some drug overdoses
High: firearms, suffocation, jumping before a train, hanging, carbon monoxide asphyxiation |
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Term
A triggering event:
a) external stimuli, actions, behaviors, circumstances, or stressors to which the caller is or may be reactive in a suicidal manner
b) an event that leads to intolerable emotions
c) depletion of sense of self or ego
d) emotions that trigger a sense of hopelessness and an unwilling ness to accept change
e) all of the above |
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Definition
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Term
Which of the following is not a chronic risk factor?
Multiple prior attempts, history of previous hospitalizations, current mental disorders, social isolation, sense of purpose, family history of suicidal behavior, history of being bullied, feelings of worthlessness/self hate, significant medical illness |
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Definition
Sense of purpose is not a chronic risk factor |
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Term
Crisis workers do...
integrate and prioritize information being collected, assess acute suicidality, assess chronic suicidality, and assign a risk rating. Crisis workers do not... |
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Definition
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Term
Define active intervention: |
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Definition
Crisis workers must act to protect life, if a worker cannot deescalate a caller he must use whatever means necessary to intervene. |
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Term
Which of the following are not considered to be associated with an increased capability of action related to suicidal behavior and the need for active intervention?
intoxication, agitation, insomnia, absence of social support, rage, or available means |
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Definition
Absence of social support |
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Term
Poor educational and vocational performance can or cannot be considered as long term risk factors. |
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Definition
False, education and vocation are not considered chronic risk factors. |
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Term
An African American male is or is not considered to be part of a high risk demographic group. |
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Definition
African American males are not considered high risk, although those who are GLBT, elderly, unemployed, white male, or young Native American. |
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Term
A moderate risk rating (or higher) must be made if...- name 4 indicators |
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Definition
1. history of multiple prior suicide attempts
2. current mental disorder with prior suicide ideation
3. previous psychiatric hospitalization with prior suicide ideation
4. social isolation |
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Term
Grief education should include... |
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Definition
1. acknowledgement of the loss
2. explain that everyone experiences loss in their own time and in their own way
3. There is no right or wrong way to experience grief
4. one hour of intense grief is comparable to eight hours of physical labor
5. Grief is often like a roller coaster |
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Term
Identify questions to be used when asking about past loss:
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Definition
1. How did the person find out?
2. What was their reaction? How did they cope?
3. What did the loss mean? |
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Term
Identify questions to be used when asking about present loss: |
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Definition
1. How have things changed?
2. How are they feeling now?
3. What is bringing these feelings up?
4. How are they coping now?
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Term
Identify questions to be used when asking about future loss:
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Definition
1. How has their loss changed them as a person?
2. What are their fears for the future?
3. How would you like to deal with the loss?
What do you need in your life to deal with the loss? |
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Term
Mental health and suicide stigma may result in... |
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Definition
Secrecy about the death, isolation and guilt for survivors, blame for the death, lack of support from others |
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Term
Grief reactions in children often result in... |
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Definition
fear of the dark, temper tantrums, fear of separation from family, concern that they are to blame, lack of understanding of the permanency of it, may be sad one moment and playing the next |
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