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Suicidal Youth: An Inservice Training Module for Faculty and Staff Jeannine Studer, The University of Tennessee, Knoxville ASCA Conference, Dallas, Texas June 2009 Appendix A Pre- Post Test Examples Decide whether each of these statements is true (T) or false (F) 1. Suicides are most likely to occur around the winter holidays (F) 2. Talking about suicide increases the likelihood that a student will attempt suicide (F) 3. Females attempt suicide more often than males (T) 4. Elementary aged children almost never attempt suicide (F) 5. Firearms, poisoning, and stabbing are the most common methods used by children and adolescents (F) 6. Most people who are suicidal really want to die (F) 7. Alcohol and drug use increase the risk of suicide (T) 8. Suicide is the seventh leading cause of death for adolescents (F) 9. Generally speaking, African Americans are more likely to commit suicide than Caucasians (F) 10. People who commit suicide are unwilling to seek help (F) Select the best answer for each question 1. If I thought a student was suicidal, I would: (C) a. Try to talk the student out of it b. Call the student’s parents c. Refer the student to the school counselor d. Encourage the student to talk with the school counselor 2. Which of the following are verbal cues to suicide: (E) a. I wish I could just disappear b. Life is hopeless c. No one would care if I die d. B and C only e. A, B, and C 3. Which of the following is true? (B) a. Females usually attempt suicide because they want attention b. Males complete suicide more often than females because they use guns c. Females are more likely to complete suicide than males because they use more lethal means d. Males are more likely to attempt suicide because they do not like to talk about their problems 4. Children and adolescents from which of the following ethnic groups are most likely to attempt suicide? (B) a. African American b. European American/Caucasian c. Hispanic/Latino d. Asian American 5. Which of the following increase the risk for suicidal behavior? (D) a. Family conflict b. Poor coping skills c. Lower socioeconomic status d. A and B only e. A, B, and C Adapted from: www.suicidology.org/associations/1045/files/youth2004.pdf www.save.org/basics www.nimh.nih.gov/publicat/suicidefacts.pdf Appendix B Examples of Verbal and Behavioral Warning Signs Verbal Cues Behavioral Cues I can’t go on Increase in risky behavior I want to kill myself Giving away possessions I wish I were dead Change in eating or sleeping I can’t stand living anymore Drug and/or alcohol abuse Life is hopeless/meaningless Decline in school performance My family would be better off without me Change in social interactions I wish I could sleep forever Preoccupation with death Adapted from: www.save.org/basics Capuzzi and Gross (2004) Appendix C Examples of General Statistics about Suicide 1. Each day, there are approximately 12 youth suicides 2. In a typical high school classroom, one male and two females have attempted suicide within the past year 3. Suicide rates among youth have tripled since the 1950’s 4. Firearms, suffocation, and poisoning are the most common methods in youth suicide 5. Almost four times as many males than females die of suicide 6. Suicide is the third leading cause of death for 10-19 year olds. 7. Suicide occurs equally across socioeconomic levels 8. Nearly all suicidal people try to let someone know how they feel before attempting suicide 9. Youth suicide attempts are usually precipitated by a recent stressful or perceived humiliating event 10. Risk factors such as prior suicide attempts, history of mental disorder, family violence, and recent losses increase the chances of a suicide attempt Adapted from: www.suicidology.org/associations/1045/files/youth2004.pdf www.save.org/basics www.nimh.nih.gov/publicat/suicidefacts.pdf Capuzzi and Gross (2004) Appendix D Examples of Open-Ended Statements about Suicide 1. Everyone considers suicide at one time or another; it is a normal part of development 2. People who attempt suicide are severely mentally ill 3. Adolescents who attempt suicide do not believe in a higher being 4. Most kids who attempt suicide are acting on impulse 5. Engaging in risky behavior is the same thing as being suicidal 6. Since I do not condone suicidal thoughts, I should not have to deal with suicidal students 7. If I refer a student I suspect is suicidal, the student will never trust me again It is my job as a member of the school community to lend an ear to students in need, including suicidal students Appendix E Example of Post-Test and Workshop Evaluation Rate each of the following using the following scale: Not at all Very 1 2 3 4 5 1. How helpful was the suicide awareness workshop? 2. How useful was the information presented? 3. How likely is it you would recommend this workshop to others? Please answer each question 1. What three words would you use to describe this workshop? 2. What is the procedure for referring a suicidal student? 3. List three behavioral warning signs of suicide. 4. What is your role as a school staff member regarding suicidal students? 5. List three statistics about youth suicide. References Barrio, C. A. (2007). Assessing suicide risk in children: Guidelines for developmentally appropriate interviewing. Journal of Mental Health Counseling, 29, 50-66. Capuzzi, D., & Gross, D. R. (2004). “I don’t want to live”: The adolescent at risk for suicidal behavior. In D. Capuzzi and D. R. Gross (Eds.), Youth at risk: A prevention resource for counselors, teachers, and parents (4th ed.). Alexandria, VA: American Counseling Association. Gibbons, M. M., & Studer, J. R. (2008). Suicide Awareness Training for Faculty and Staff: A Training Model for School Counselors. Professional School Counseling, 11, 272-276 Milsom, A. (2002). Suicide prevention in schools: Court cases and implications for principals. NASSP Bulletin, 86 (630), 24-33. Wise, A. J., & Spengler, P. M. (1997). Suicide in children younger than age fourteen: Clinical judgment and assessment issues. Journal of Mental Health Counseling, 19, 318-335.
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