Factors that reduce the risk of suicide include: a. Willingness to accept treatment b. Recent substance abuse c. Good social support d. A,B e. A,C f. B,C g. All of the Above
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Bob is a 45-year-old African American man. He was recently medically discharged from the US Navy due to extensive injuries he sustained during his last time in combat. He is separated from his wife and has two teenage children. He has a prescription for an opioid pain medication and discloses that he has been engaging in daily marijuana use and drinks about 5-6 beers a day "to cope." He has an extensive history of childhood physical and emotional trauma. His mother was an alcoholic, and his father was physically abusive to him and his siblings. He says that he is struggling over the past few months with "what could have been" if he was not so "damaged." He sounds very agitated, stating that the pain is unbearable and he "can't stand it anymore." He mentions that he might be better off dead. Which of the following risk factors are present in the case description? Select AS MANY as you consider indicated. (Refer to Case #3) a. Radical shifts in behaviors and mood. b. Lack of belongingness. c. History of previous attempts. d. History of drug and/or alcohol use. e. Cut off from others. f. Specific plan. g. Feelings of helplessness. h. Financial loss. i. Access to firearms.
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15.) Romeo is grandiose in his thinking, incoherent in his speech, and so hyperactive he has hardly sat down in the past week. DeJuan is overactive and elated, starting projects but not completing them. However, he shows neither delusions nor incoherence in his speech. According to the DSM-5, a. Romeo illustrates the hypomanic state, and DeJuan the manic state. b. Romeo and DeJuan both illustrate the manic state. c. Romeo and DeJuan both illustrate the hypomanic state. d. Romeo illustrates the manic state, and DeJuan the hypomanic state. 16.) Based on cross-cultural research, which individual has the lowest risk of developing depression? a. Sam, a middle-aged white man b. Monica, a 25-year-old Native American c. Juan, a 20-year-old Hispanic college student d. Sharon, a 45-year-old white divorcee 17.) Which disorder would most likely include psychotic features? a. cyclothymic disorder b. bipolar I disorder c. bipolar II disorder d. dysthymic disorder 18.) Greta's psychiatrist advises her to buy bright lights, which are to be turned on in the early morning hours of winter days to reduce her problem with depression. We can guess that Greta's problem is a. dysthymia due to a medical condition b. seasonal depression c. postpartum onset d. rapid-cycling bipolar disorder 19.) Which treatment involves creating routines in day-to-day life and has been effective in reducing relapse of bipolar disorder? a. social rhythm therapy b. psychoeducation c. family-focused therapy d. cognitive-behavioral therapy 20.) A person who believes that his or her behavior has little effect on the environment and who becomes passive and depressed illustrates which perspective on depression? a. Beck's low self-esteem b. Seligman’s learned helplessness c. Lewinsohn's operant d. Freud's psychodynamic 21) Which treatment is considered by many clinicians to be an effective for treating profound depression but remains controversial among the general public? a. ECT b. CBT c. MAOIs d. RET 22.) Depressed behavior is related to ____. a. low levels of serotonin b. high levels of serotonin c. high levels of estradiol d. low levels of estradiol 23.) Jeannie, a 36-year-old woman, sees a psychiatrist while suffering from an initial episode of unipolar depression. Which biological treatment is her psychiatrist most likely to prescribe? a. electroconvulsive therapy b. amphetamines c. SSRIs d. MAOIs 24.) Mel's therapist helps him create routines for his daily life, such as setting daily times for sleeping, eating, and exercising. This form of therapy for bipolar disorder is called ____. a. psychoeducation b. social rhythm therapy c. cognitive behavioral therapy d. interpersonal therapy 25.) An insurance company is interested in the most effective treatment for acute depression. Based on recent research, what is the best advice that one could give to the company? a. "Medication, interpersonal psychotherapy, and cognitive-behavioral treatments are all equally effective." b. "Interpersonal psychotherapy is far more effective than either medication or cognitive-behavioral therapy." c. "Belief in treatment is enough—even placebo pills are as effective as psychotherapy or medication." d. "Only antidepressant medication is effective." 26.) 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 27.) Research on college student suicide indicates that ____. a. more than 50% of college students report suicidal thoughts b. money problems is the most common contributing factor c. there are almost no resources available for suicidal college students d. almost all students who die by suicide seek help before killing themselves 28.) ____are more likely to attempt suicide; ____are more likely to succeed at committing suicide. a. White adolescents; Native American adolescents b. Females; males c. White males over 40; African American males in their 20s d. Unattached individuals; married persons 29.) Statistically, who is at greatest risk for committing suicide? a. Bobby, a 14-year-old African American male b. Star, a 35-year-old Native American female c. Stuart, a 65-year-old white male d. Sue, a 30-year-old Japanese American female 30. ) Which statement is accurate? a. It is rare for people to communicate their intention to commit suicide. b. Suicide rates are generally at their highest during times of war. c. In the United States, Asian Americans have the highest overall rates of suicide. d. Most people who attempt suicide are ambivalent about dying. 31. ) 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 32.) Based on research, which teenager is at greatest risk for completing a suicide? a. Sandy, whose parents are both employed b. Sam, who is the family scapegoat c. Sarah, who shows little hostility d. Steve, who shows no signs of impairment 33. ) John calls a suicide prevention hot line in a desperate state of helplessness. A well-trained worker should focus John's attention on ____. a. research evidence that helplessness is a product of operant conditioning b. the fact that helplessness is a normal reaction to an absurd world c. specific interpersonal limitations related to his helplessness d. his strengths and resources to cope with his problems 34.) Which statement about research on suicide prevention contracts is accurate? a. There is a lack of research supporting their effectiveness. b. Almost every study has shown these contracts save lives. c. These contracts increase risk of nonsuicidal self-harm. d. These contracts seem to increase risk of suicide. 35. ) Risk factors for suicide include ____. a. experiencing a violent crime b. failing a class c. recent severe loss d. adopting a gothic lifestyle 36.) Self-harm that is intended to provide relief from negative feelings is referred to as ____. a. a suicide attempt b. nonsuicidal self-injury c. a cry for help d. attention-seeking behavior
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