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Quiz-Suicide Assessment and Prevention in Multicultural Communities (Graham)
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*
" indicates required fields
QUESTION 1: Asking someone about suicide can increase their risk of committing suicide?
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True
False
QUESTION 2:Which of the following is NOT a risk factor for suicide?
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Support
Financial instability
Access to lethal means such as a weapon or medications
History of suicide ideation or plan
QUESTION 3:There are no specific populations that are at a higher risk for suicide.
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True
False
QUESTION 4: There is a lower risk of suicide attempt associated with individuals that report both passive and active ideation.
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True
False
QUESTION 5: What is defined as passive suicidal ideation?
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Feeling sad every day
Sleeping more than usual
Creating a plan for suicide
A desire for death
QUESTION 6: Which populations are at higher risk for suicide?
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U.S. Veterans
LGBTQ+ Community
BIPOC
All of the above
QUESTION 7: Which of the following inequitable systems that have been established through structural racism pose an increase risk for suicide?
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Criminal justice
Health care
Housing
All of the above
QUESTION 8:What is defined as active suicidal ideation?
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Running away from home and starting a new life
Thoughts of killing oneself with intent or plan
Isolation from friends and family members
Crying everyday and having little to no energy to complete tasks
QUESTION 9: What methods are used to commit suicide?
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Suffocation, Poisoning, Firearms
Boarding an airplane, Running, Building a campfire
All of the above
None of the above
QUESTION 10: One way to support someone who experiencing suicide ideation to provide them with crisis resources?
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True
False
Satisfaction Survey: "Suicide Assessment and Prevention in Multicultural Communities"
Course Objectives: Identify risk factors and warning signs for suicide. Explain which populations are at an increased risk. Describe methods you can implement to ensure prevention.
Full Name
Age
*
Under 18
18-24
25-34
35-44
45-54
55-64
65 or Above
Prefer Not to Answer
Ethnicity
*
American Indian and/or Alaska Native
Asian American
Black and/or African American
Native Hawaiian and/or Other Pacific Islander
White and/or European American
Prefer not to answer
Location
*
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Education Level
*
High School
Associate Degree
Bachelor's Degree
Graduate or Professional Degree
Some College
Other
Prefer Not to Answer
What percentage of your current clients identify as BIPOC (Black, Indigenous, and/or People of Color)?
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0%
1-25%
26-50%
51-75%
76-100%
unsure
What percentage of your clients identify as LGBTQIA+ (Lesbian, Gay, Bisexual, Transgender, Queer/Questioning, Intersex, Asexual, or other identities)?
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0%
1-25%
26-50%
51-75%
76-100%
unsure
What age groups are represented in your caseload? (Select all that apply)
*
Infants & Toddlers (0–5)
Children (6–12)
Adolescents (13–17)
Adults (18–64)
Older Adults (65+)
Did the course met their expectations as outlined in the promotional material?
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Usefulness of the course content to their needs or interests.
*
Very Important
Important
Somewhat Important
Not Important
Effectiveness of the course’s supporting materials.
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Clarity and effectiveness of the instructor’s/author’s delivery.
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Course registration process.
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Responsiveness of the administrative staff to questions or concerns.
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Adequacy of accessibility accommodations.
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Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
Relevance of the Course to Professional Clinicians.
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Very Important
Important
Somewhat Important
Not Important
Identify risk factors and warning signs for suicide
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I extremely agree
I agree
Neutral
I disagree
I extremely disagree
Explain which populations are at an increased risk
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I extremely agree
I agree
Neutral
I disagree
I extremely disagree
Describe methods you can implement to ensure prevention
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I extremely agree
I agree
Neutral
I disagree
I extremely disagree
Course technology satisfaction.
*
Very Satisfied
Satisfied
Neutral
Unsatisfied
Very Unsatisfied
How many clients do you serve in a year?
*
0-25
25-50
50-75
75+
Length of time to complete this course and quiz in minutes. (e.g. 60 for 60 minutes)
*
Additional Comments
Phone
This field is for validation purposes and should be left unchanged.
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