Houston Psychological Association

* What is reactance theory?

A. The idea that someone may overreact if you suggest they are suicidal.

B. A theory stating that when one person is suicidal, everyone around them will become suicidal.

C. A theory stating that reactance is an emotional response to efforts to control behavior that may infringe on rights and autonomy.

D. The idea that suicidal individuals will always react positively when offered help.

* Putting barriers between a person and their suicidal method, such as firearms, drugs, etc, can help.

* Suicidal ideation lasts only for a few minutes each time.

* Choice of suicide method can be influenced by the meaning, symbolism, or cultural significance of the means.

* Recent discharge from an inpatient psychiatric hospitalization is a high risk time for suicide.

* If someone who has been treated for suicidal ideation seems to have drastically improved over night, it is a good sign.

* Which of the following are validating responses to someone who expresses that they no longer want to live

A. Suicide is a scary topic. Can we talk about it?

B. You must really be hurting if suicide is on your mind.

C. Given all that you’re dealing with, it’s understandable that suicidal thoughts have come up.

D. It’s normal to want relief from suffering. Can we talk about ways other than suicide?

E. All of the above

* No-harm contracts:

A. Keep a patient from killing themselves

B. Are really more for the clinician than the patient

C. Are really more for the patient than the clinician

D. Increase suicidal thoughts

* Which of the following are invalidating responses to someone who has expressed that they no longer want to live?

A. But you have so much to live for.

B. It’s normal to want relief from suffering. Can we talk about ways other than suicide?

C. Just try to think more positively.

D. A & C

E. All of the above

* Statements that suggest someone should not feel suicidal are invalidating.

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