LivingWorks ASIST v.12

Counselor / Addiction

12.00 - CE credit hours training

$78.00 - Cost of course

This page contains important information about the course, including training details, a comprehensive course description, learning objectives, and source references. We encourage you to review each section to gain a clear understanding of the course content, educational goals, and supporting materials before beginning your training and taking the POST TEST below.

Target audience and instructional level of this course: foundational
There is no known conflict of interest or commercial support related to this CE program.

Course Training

This exam should only be taken if you have personally attended and completed a LivingWorks ASIST v.12 workshop. If you have not attended a workshop, please visit https://www.livingworks.net/ for dates and locations. If you have attended a LivingWorks ASIST v.11 workshop, you can access that training - CLICK HERE

Post Test

51 Questions

1. What is the purpose of suicide first aid?

a. To prevent someone with a physical injury from bleeding to death. b. To increase safety from suicide for individuals and in the community. c. To transport someone who has made a suicide attempt to the emergency department. d. To talk someone thinking about suicide out of making an attempt.

2. What is the focus of suicide first aid?

a. Helping a person with thoughts of suicide stay safe for now. b. Convincing someone with thoughts of suicide they would be better off alive. c. Distracting a person with thoughts of suicide so they do not act on their thoughts. d. Telling someone with thoughts of suicide how they can stay safe for now.

3. Where does suicide first aid fit in keeping a community safer from suicide?

a. It is the lifesaving care that prevents someone who has intentionally hurt themselves from dying. b. It addresses the factors that contribute to people developing thoughts of suicide before they consider harming themselves. c. It provides an intervention between someone thinking about suicide and taking action on those thoughts. d. It provides help and support to the family and friends of someone who has died by suicide.

4. Many people who participate in LivingWorks ASIST training have personal experiences with suicide. How do those experiences contribute to learning?

a. Lived experience of suicide makes a person an expert on suicide prevention. b. It is harder for people with lived experience to learn to provide suicide first aid than for those without that experience. c. It is easier for people with lived experience to provide suicide first aid than for those without that experience. d. Experience with suicide often motivates people to learn more about preventing suicide.

5. What is the overall goal of LivingWorks ASIST training?

a. Learning how to intervene with individuals who are thinking about suicide. b. Learning about suicide risk and protective factors for communities. c. Learning how to implement community suicide prevention programs. d. Applying information about groups of at-risk people to prevent individual suicides.

6. How do individual participants in a LivingWorks ASIST workshop contribute to the overall learning that occurs?

a. Each learner teaches one small portion of the workshop. b. Learners sharing their experiences with suicide enriches the workshop for everyone. c. Learners with professional experience with suicide teach the group how to most effectively intervene. d. Learners with lived experience of suicide always role play a person with thoughts to keep practice realistic.

7. During the LivingWorks ASIST workshop you spent a good amount of time discussing the Cause of Death? video. What was the most important point of that discussion?

a. Some people have wrong ideas about suicide. b. Talking about suicide is hard and rarely beneficial. c. When a trusting environment is created, talking about suicide can be done openly and honestly. d. It is important to know what people did wrong in the video to avoid making the same mistakes when I'm helping someone having thoughts of suicide.

8. Individuals in my LivingWorks ASIST workshop had a range of personal experiences with suicide. Hearing their experiences taught me

a. that there is only one correct way to help someone experiencing thoughts of suicide. b. that each of our experiences influences the approach we take to helping someone experiencing thoughts of suicide. c. that you really can't do anything to help someone experiencing thoughts of suicide other than listening to their experiences. d. that trying to help someone with thoughts of suicide is much harder than I thought.

9. Why was so much time spent discussing attitudes and beliefs about suicide after watching the Cause of Death? video?

a. To help illustrate how beliefs and attitudes affect the helping relationships we have with people experiencing thoughts of suicide. b. To help us work through our issues related to our lived experiences of suicide and make us more effective helpers. c. To get practice identifying ways that people make mistakes when intervening with someone who is thinking about suicide. d. To illustrate that even poorly performed interventions can be effective.

10. Skilled suicide first aid helpers

a. always put their personal attitudes about suicide aside so they do not interfere with the intervention. b. always carefully match their intervention behaviors to the attitudes of the person with thoughts of suicide. c. know that attitudes about suicide rarely matter when intervening with someone thinking about suicide. d. understand that attitudes may help or hinder when intervening with someone experiencing thoughts of suicide.

11. What does the term guidance refer to in using the PAL model when providing a suicide first aid intervention?

a. The amount of leadership the trainer needs to provide when teaching helpers how to provide an intervention. b. The amount of leadership the person with thoughts of suicide needs to provide when receiving an intervention. c. The amount of leadership the helper needs to provide during an intervention to facilitate a safe outcome. d. The extent to which the helper needs to rely on their notes from the LivingWorks ASIST workshop to remember the exact steps in the PAL model.

12. Guidance might take many forms, but this is not one that was discussed during the LivingWorks ASIST workshop

a. Prompting b. Backing off c. Taking charge d. Clarifying

13. In the LivingWorks ASIST workshop you spent time discussing attitudes towards suicide. When deciding how much guidance to provide in a suicide first aid intervention it is important to remember that

a. our attitudes about guidance help balance leadership and respect. b. our attitudes about guidance have no impact on the balance of leadership and respect. c. the attitudes of the person with thoughts of suicide help balance leadership and respect. d. our attitudes must be balanced by the attitudes of the person with thoughts of suicide leading to leadership and respect.

14. The amount of guidance provided in a suicide first aid intervention should also

a. ensure that the person with thoughts of suicide doesn't impulsively act on those thoughts. b. be flexible and take into account not only the helper's style but what is needed from the person with thoughts. c. be flexible and take into account not only the amount of time the helper has for the intervention but also the time constraints of the person with thoughts. d. ensure that the person with thoughts of suicide promises to stay safe no matter what.

15. What is the overall purpose of the PAL suicide first-aid model?

a. To provide a way for helpers to remember how to connect a person with thoughts of suicide to emergency services during a suicidal crisis. b. To provide a way for helpers to determine the needs of the person with thoughts of suicide and how to stay safe for now. c. To remind helpers the correct order in which to ask a person with thoughts of suicide questions about their level of risk. d. To provide an acronym for helpers that reminds them of how to convince someone not to kill themselves.

16. Ultimately, the LivingWorks ASIST PAL model provides a way to help those thinking about suicide to strengthen their connection to life and

a. their ability to keep safe from suicide. b. share why they think suicide is not the right choice. c. to strengthen their connection to the helper. d. their ability to distract themselves from thoughts of harm.

17. Why is the PAL model divided into three phases?

a. To provide a checklist of work that must be done before you move to the next part of the intervention. b. To mirror the way that people develop thoughts of suicide in the first place. c. To remind you that it is a linear process you must guide the person with thoughts through. d. To show how the model unfolds sequentially and make it easier to remember that it is a process.

18. What do the two helper tasks in each phase of the PAL model correspond to?

a. What a person with thoughts of suicide must do when creating their SafePlan. b. What a person with thoughts of suicide needs at each stage of the intervention. c. What a person with thoughts of suicide must be told at each stage of the intervention. d. What a helper needs at each stage of the intervention.

19. What is the correct order of the three phases in the PAL model?

a. Understanding Choices, Connecting with Suicide, Assisting Life. b. Connecting with Suicide, Assisting Life, Understanding Choices. c. Connecting with Suicide, Understanding Choices, Assisting Life. d. Assisting Life, Connecting with Suicide, Understanding Choices.

20. What is the correct order of the six tasks of the PAL model?

a. explore invitations, ask about suicide, hear their story, support turning, develop a SafePlan, confirm actions. b. explore invitations, hear their story, ask about suicide, confirm actions, support turning, develop a SafePlan. c. hear their story, explore invitations, ask about suicide, develop a SafePlan, support turning, confirm actions. d. support turning, ask about suicide, hear their story, explore invitations, confirm actions, develop a SafePlan.

21. Each pair of tasks in the three phases of the PAL model meets corresponding needs of the person with thoughts of suicide. Why is it important to work through the phases and tasks in the correct order?

a. It reduces the chances the helper will be sued if the intervention is unsuccessful. b. It guarantees the person with thoughts of suicide will stay safe for now. c. It should result in the reasons why the person is thinking of suicide being resolved. d. It keeps the helper and person with thoughts of suicide in sync and increases the chances of achieving safety for now.

22. What is the Safety Framework in LivingWorks ASIST?

a. The template that is used to capture the details of the person's SafePlan. c. A reflection of the six intervention goals in the PAL model. d. It guides development of the SafePlan by describing the key things to consider, based on what is known to contribute to safety from suicide.

23. Which of the following is NOT a key element of the PAL Safety Framework?

24. What is the purpose of the Jack case example in the LivingWorks ASIST workshop?

a. Helping get over fears about asking people if they are thinking about suicide. b. Demonstrating the basic skills required to apply the PAL model with someone thinking about suicide. c. Illustrating to the workshop trainers that you can correctly create a SafePlan. d. Giving learners something to do in the workshop besides listening to the trainers lecture.

25. Creating a SafePlan is the final step in a PAL intervention. What is it and what does it entail?

a. A contract between the person with thoughts and the helper that guarantees they won't suicide. b. A collaboratively created list of all the reasons why the person with thoughts shouldn't kill themselves which they can use as a reminder during a crisis. c. A collaboratively developed plan with concrete steps the person with thoughts of suicide can take to try to stay safe during a suicidal crisis. d. An agreement between the person with thoughts and the helper that increases the chances they won't suicide.

26. What did developing a SafePlan for Jack in the case example best illustrate?

a. Some people can't come up with a plan to stay safe for now, so it is better to use other interventions instead. b. The PAL safety framework is a rough guide and following it is only necessary when you are first learning how to create SafePlans for a person with thoughts of suicide. c. Collaborating with the person with thoughts of suicide in creating a SafePlan is more of a goal than a requirement. d. Once a person with thoughts of suicide has made the choice to stay safe for now, there are many possible SafePlans that can be collaboratively developed and that will be helpful.

27. You learned in LivingWorks ASIST that working together in PAL to increase safety from suicide requires that the helper and person with thoughts of suicide must collaborate and [] to be successful.

a. hope. b. stay in sync c. not panic d. call for help

28. How does the PAL Quick Reference tool on the Wallet Card or the CareGuide in LivingWorks Connect support you as a helper?

a. By reminding me of the phases and tasks in the PAL model and with the CareGuide walking me through them with reminders of things I can say, if I need it. b. By giving me a risk assessment script to use to determine the information I need to convey to emergency services when I call them. c. By giving me a handout or screen shots I can show to the person with thoughts of suicide to review while I call a crisis line for more help. d. By providing me reminders of the key text I need to include in the no suicide contract I will have the person with thoughts of suicide sign before I proceed with the intervention.

29. How do you know when you have successfully concluded a PAL intervention?

a. The person I am helping has figured out solutions to the problems that made them initially want to die by suicide. b. The person I am helping has promised they won't make a suicide attempt and says I do not need to worry about them. c. The person I am helping has a SafePlan that they agree will help them to stay safe while they work to address the reasons why they care considering suicide. d. The person I am helping agrees to fill out a SafePlan template later when they have time.

30. What is the purpose of the two-person practice simulations you worked through during Day 2 of the LivingWorks ASIST workshop?

a. To allow our instructors to evaluate our skills and certify that we can deliver suicide first aid. b. To provide us with the experience of being in a suicidal crisis so we can better empathize with the people we help in the future. c. To allow us to consolidate our PAL learnings in a supportive and non-judgmental environment. d. To better prepare us to work on a suicide crisis line if we decide to become volunteers later.

31. Now that you have completed the LW ASIST workshop, how would you describe the nature, opportunities and limits of your suicide first-aid role?

a. I now have the skills to help someone figure out how to stay safe for now, I know that I can use these skills any time I interact with someone who may be thinking about suicide, and I am obligated to help every time an opportunity arises. b. I now have the skills to identify when someone is at risk of suicide, connect them to someone who can provide an intervention, and I can set limits on when I am in a helping role and when I am not. c. I now have the skills to help someone figure out how to stay safe for now, I know that I can use these skills any time I interact with someone who may be thinking about suicide, and I can set limits on when I am in a helping role and when I am not. d. I now have the skills to predict who is most likely to act on their thoughts of suicide, connect them to someone who can provide an intervention, and I am obligated to help every time an opportunity arises.

32. Creating Networks of Safety in my community will take sustained effort. Doing that work will be less challenging if

a. I collaborate with others in my community to strengthen connections, build networks and share the work. b. I found a job where I will be paid to use my new suicide first aid skills as part of an existing network. c. I use my social media accounts to share suicide first aid information with others in my community who are committed to suicide prevention. d. I stay focused on the necessary tasks and realize that if I don't do the work no one else will do it for me.

33. The LivingWorks Connect app is a powerful tool to support me as a suicide first aid trained helper. It will make it easier for me to

a. complete a no-suicide contract with every person I help. b. create communities and connections, which are both important in effective networking. c. sell resources I create to other helpers I have connected with in the app. d. securely communicate with the professional providers working with people I help.

34. The LivingWorks Connect app can also help me more effectively collaborate with people experiencing thoughts of suicide when we create their SafePlan by

a. using the app's resources feature to find the most appropriate ones to add to the plan. b. harnessing artificial intelligence to finalize the plan. c. using the app's communities feature to help them find groups of people to engage in distracting activities with. d. using the app's connections feature to communicate with other people experiencing thoughts of suicide and offer them support.

35. The LivingWorks ASIST workshop concluded with a discussion of the importance of self-care for all people working in suicide prevention. Which of the following was NOT a question you might ask yourself to help you think of good self-care options?

a. What self-care decisions or activities provide nurture and enjoyment? b. Are there things you would like to do more of, or less of, to care for yourself? c. Who would you turn to for support or supervision as a suicide first-aid helper? d. How can you distract yourself from thinking about the negative impacts of suicide?

36. Which of these terms best describes the focus of LivingWorks ASIST?

a. Primary Prevention b. Intervention c. Postvention d. Tertiary Prevention

37. What is the main takeaway from the iceberg slide shown early on day one of the LivingWorks ASIST workshop?

a. Suicide is a huge global problem and trying to prevent it by helping one person at a time is overwhelming. b. Only 2-5% of people in any given year will have thoughts of suicide, so the problem isn't that big. c. Prevalence of thoughts of suicide and rates of suicide-specific behaviors vary for many reasons, but potentially anyone might be thinking about it at any moment. d. With potentially 10% of suicides never being reported, there is no way to know if our interventions are helping.

38. Our attitudes affect our approach to guidance when helping. All of these are attitudes we examined during the LivingWorks ASIST workshop except

a. suicide is wrong. b. all suicides are preventable. c. people have a right to suicide. d. there are limits to what I will do to prevent suicide.

39. The level of guidance needed may change during an intervention. What are you likely to be doing when providing less guidance?

a. I am giving clear direction or priority to specific actions. b. I am giving information, seeking clarity, and focusing options. c. I am explaining that the main thing we need to do now is find ways to keep the person safe-for-now. d. I am mainly listening, facilitating, and encouraging the person with thoughts of suicide.

40. People experiencing thoughts of suicide may show different types of distress which invite help. Some examples of Actions they might exhibit are

a. misuse of alcohol or drugs, reckless activities, and withdrawal. b. disturbed sleep, significant health problems, and change in weight. d. feeling guilty, desperate, and ashamed.

41. Which of these is NOT an element of Active Listening?

a. Focus the story. b. Seek clarifying information. c. Judge what you are hearing. d. Check out what you are hearing.

42. A good example of a Turning Point would be

a. the person says they are tired of trying to find solutions to their problems. b. the person expresses some hope that things could maybe get better in the future, but they aren't sure how. c. the person is willing to sign a no-suicide contract. d. the person acknowledges the main reason they are considering suicide is to make their family feel bad about how they were treated.

43. When helping a person with thoughts of suicide develop a SafePlan you should always include

a. a 24/7 crisis helpline number. b. your phone number and email address. c. the local poison control center phone number. d. their therapist's phone number.

44. What is the correct order when Confirming Actions in someone's SafePlan?

a. Protect, prevent, promote, and prepare. b. Prevent, protect, prepare, and promote. c. Prevent, protect, promote, and prepare. d. Prepare, prevent, protect, and promote.

45. In working with PAL, what is true about the pathways in the helping relationship?

a. The person with thoughts of suicide and the helper are always in sync. b. The helper and the person with thoughts of suicide each have their own roles and pathways within the intervention. c. The helper's role and pathway through the intervention is more important than the person with thoughts of suicide. d. The person with thoughts of suicide's role and pathway through the intervention is more important than the helper's.

46. Which of the following is NOT a change that creates hope in a PAL Intervention?

a. The person with thoughts of suicide realizes it's easier to go along with what the helper tells them to do than to think of ways they might kill themselves. b. Hearing the person's story about suicide helps them feel understood and discover potentially life-saving connections. c. Being present as a person with thoughts of suicide tells their story helps them let go of the past enough to choose safety now as a step toward the future. d. As the helper engages, the person with thoughts of suicide feels less alone and more supported.

47. Working to keep or get back In-Sync is essential to using the LivingWorks ASIST PAL model. What is the correct order you are trying to maintain or get back to during an intervention?

a. Keeping safe for now. Suicide is our focus. Safety for now is our focus. b. Keeping safe for now. Safety for now is our focus. Suicide is our focus. c. Safety for now is our focus. Suicide is our focus. Keeping safe for now. d. Suicide is our focus. Safety for now is our focus. Keeping safe for now.

48. What is the recommended way of using the CareGuide in LivingWorks Connect?

a. Pull up the tool on my phone and hand it to the person I'm helping so they can fill in their SafePlan details. b. With the permission of the person I'm helping, use the tool on my phone as a step-by-step guide to collaborating in creating their SafePlan. c. Use the tool on my phone as a step-by-step guide to creating a SafePlan for the person I'm helping. d. Turn on the AI feature to create a SafePlan for the person I'm helping.

49. Using the LivingWorks ASIST wallet card differs from the Connect CareGuide in what main way?

a. There is no difference; they perform the same functions, but the wallet card does not require an app. b. The wallet card has more prompts and sample questions to use compared with the app. c. The wallet card provides a refresher of how the PAL Safety Framework is used to help create a SafePlan, whereas the Connect app can walk you through the steps. d. The Connect app provides a refresher of how the PAL Safety Framework is used to help create a SafePlan, whereas the wallet card can walk you through the steps.

50. What questions did your workshop trainers NOT ask you to consider when thinking about your role as a Suicide First-Aid Helper?

a. How can I be sure of being compensated for the help I provide? b. How would you describe your role as a Suicide First-Aid Helper to someone who asked? c. What limits of your Suicide First-Aid Helper role would you want to be clear about? d. Do you anticipate different challenges using PAL with family, friends, or co-workers compared with formal Helping roles like a counselor?

51. Which of these is NOT one of the four key areas where LivingWorks ASIST has prepared you for an active role in creating Networks of Safety?

a. Modeling attitudes that dispel stigma and encourage open, honest conversations about suicide. b. Providing Suicide First-Aid Help using PAL as a solo practitioner. c. Creating opportunities to work together by networking, sharing resources, and collaboration. d. Facilitating community connections through relationships, online tools, and better access to resources.

Course Description

LivingWorks Applied Suicide Intervention Skills Training (ASIST) is for learners who want to feel more comfortable, confident and competent in helping to prevent the immediate risk of suicide. LivingWorks ASIST prepares learners of all backgrounds to provide suicide first aid to persons at risk of suicide. The course is designed to help individuals learn how to intervene to prevent the immediate risk of suicide and provide safety-for-now.

Learning Objectives

can describe suicide first aid goal and their helping role.
aware of how attitudes about suicide affect helping.
can describe and apply the PAL model.
know about community resources and networks.
more willing, confident and able to provide suicide first aid.
can attend to own safety.

Source

This exam should only be taken if you have personally attended and completed a LivingWorks ASIST workshop. If you have not attended a workshop, please visit https://www.livingworks.net/ for dates and locations.

Counselor / Addiction