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One controversy concerning suicide prevention contracts is that ____.


A) most communities are so upset with them that they refuse to sign
B) they rarely assess the lethality of clients accurately
C) they are hard to draw up
D) their effectiveness has not been appropriately researched

E) A) and D)
F) A) and C)

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What is the legal status of physician-assisted suicide among the various states in the United States?


A) Although suicide is illegal in most states, assisted suicide is legal for terminal conditions in Oregon, Washington, and Vermont.
B) The U.S. Court of Appeals for the 9th Circuit upheld the U.S. Attorney General's directive overturning Oregon's approval of physician assisted suicide, so assisted suicide is illegal in all fifty states.
C) All of the states in the U.S. now have "living will" laws that permit physician-assisted suicide.
D) Most states have determined that it is permissible for a parent or spouse to help a terminally ill patient end his or her life, but they do not allow physicians to do so.

E) B) and D)
F) A) and B)

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Rachel is studying suicide. She is surprised to learn that historically, people avoided talking about suicide because of the ____.


A) shame and stigma involved in taking one's life
B) pain of losing a loved one
C) lack of available statistics to make a discussion meaningful
D) aura of honor bestowed on people who take their own lives

E) A) and D)
F) B) and D)

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Research by Drum and colleagues (2009) found that ____.


A) more than 90 percent of undergraduate and graduate college students reported suicidal thoughts
B) more than 50 percent of undergraduate and graduate college students reported suicidal thoughts
C) more than 50 percent of undergraduate and graduate college students reported seriously considering suicide
D) more than 90 percent of undergraduate and graduate college students reported seriously considering suicide

E) B) and D)
F) B) and C)

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Norman, a 71-year-old white widower, is very depressed. He still lives in the small town that he grew up in and attends church every Sunday. He also attends many other regular social activities during the week. What statement regarding Norman's susceptibility to suicide is most accurate?


A) Norman is at minimal risk to commit suicide.
B) The fact that Norman is an elderly, white, depressed male puts him in a high-risk group, but his social support system is a positive sign.
C) Norman displays all the risk factors associated with suicide and is likely to commit suicide.
D) Norman requires immediate hospitalization.

E) None of the above
F) C) and D)

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As a result of the increase in adolescent suicides, approximately 41 percent of schools in the United States have developed ____.


A) community prevention programs
B) suicide prevention programs
C) crisis intervention programs
D) mental health centers on high school campuses

E) A) and C)
F) A) and D)

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Suicide should be discussed separately from depression because ____.


A) there is little correlation between depression and suicide
B) the cause of suicide is biological, while the cause of depression is environmental
C) there are many causes of suicide, and it may represent a separate clinical entity
D) suicide is more related to schizophrenia than to depression

E) A) and B)
F) B) and C)

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Suppose that five years from now, there is a blood test that assesses the likelihood of a person's committing suicide. It is likely that this test will measure the blood levels of ____.


A) dexamethasone
B) serotonin
C) dopamine
D) adrenalin

E) C) and D)
F) B) and C)

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Research seems to show that psychache about the future ____.


A) is unrelated to the likelihood of suicide
B) is even more strongly related to suicidal behavior than depression is
C) is not strongly related to depression
D) causes depression but not suicide

E) A) and D)
F) A) and C)

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What is considered to be a protective factor with regard to suicide intervention?


A) government prohibitions against suicide
B) easy access to mood-enhancing drugs
C) an increased number of comedy programs on television
D) restricting access to lethal means of suicide

E) A) and D)
F) A) and C)

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The stimulus for suicide is generally ____.


A) frustration with life
B) intolerable psychological pain
C) ambivalence about living
D) a desire to be remembered by others

E) A) and D)
F) A) and C)

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____ is patterned after a medical procedure, and is a systematic attempt to understand the reasons for a person's suicide or homicide through case history analysis and interviews with family and friends.


A) Psychological autopsy
B) Terminal probe
C) Anomic assessment
D) Postmortem analysis

E) A) and C)
F) A) and D)

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List and describe five different risk factors for suicide.

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Risk factors do not necessarily explain ...

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In general, the evaluation of suicide prevention centers' effectiveness indicates that ____.


A) nearly half of all adolescents who commit suicide call a hot line first, indicating that the prevention centers are ineffective
B) for the vast majority of callers, they are very helpful
C) although they may not stop every suicide, callers feel that the centers provide more help than their friends
D) although immediate mental health service is lacking, it is possible that they help

E) None of the above
F) B) and D)

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If you want to commence an assisted suicide in Washington, you must ____.


A) make a verbal request two days before the act.
B) have a terminal condition with less than six months to live
C) ask a doctor to write a statement noting your medical condition
D) make two written requests to a physician and a court

E) B) and D)
F) A) and B)

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Dr. Jack Kevorkian ____.


A) believed patients should be responsible for ending their own lives
B) only helped terminally ill individuals commit suicide
C) helped individuals commit suicide who did not necessarily have short-term terminal illnesses
D) believed that physician assisted suicide is immoral

E) B) and C)
F) C) and D)

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Honey makes daily threats that she is going to kill herself and she has had made several unsuccessful attempts. Mental health professionals who work with suicidal clients know that ____.


A) Honey is trying to get attention
B) Honey is not serious about taking her life
C) Honey's threats should be taken seriously
D) Honey is more likely to kill someone other than herself

E) A) and C)
F) A) and B)

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Regina, a 60-year-old widow, is most likely to use which means of attempting suicide?


A) a gun
B) a knife
C) sleeping pills
D) hanging

E) A) and C)
F) A) and D)

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Research addressing the connection between suicide and genetic factors suggests that ____.


A) there is very little relationship between the two
B) genetics plays a major role in susceptibility to suicide
C) the relationship between the two is not clear
D) environmental factors play a much stronger role than genetics

E) A) and D)
F) A) and C)

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What is the usual sequence of help in crisis intervention?


A) First, the client is helped to resolve the immediate crisis, and then traditional therapy is offered.
B) First, the individual is treated as an outpatient, and then the individual comes in for inpatient medical treatment.
C) First, relatives are contacted, and then the staff works on the crisis with the individual.
D) First, traditional therapy explores the motivation for the crisis, then the individual is hospitalized to prevent the suicide, and then therapy is provided to the individual and his or her family.

E) B) and C)
F) None of the above

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