AAS Crisis Hotline & Text Line Operations 2

Question 1

When a text-line counselor suspects a texter is in immediate danger but the texter stops responding, what is the standard protocol?

Accepted Answer

Attempt active rescue by contacting emergency services with any location information available

Answer

When a texter goes silent and imminent danger is suspected, counselors initiate active rescue, contacting 911 with whatever location information is available.

Question 2

Which documentation element is MOST critical to record immediately after a high-risk hotline call?

Accepted Answer

Risk level assessment, safety plan details, and any emergency actions taken

Answer

Thorough documentation of risk level, safety planning outcomes, and emergency actions taken is essential for continuity of care and liability purposes.

Question 3

A caller on a crisis hotline discloses they are actively cutting themselves but states they do not want to die. How should the counselor prioritize their response?

Accepted Answer

Assess lethality of the self-harm and engage collaboratively in safety planning regardless of suicidal intent

Answer

Non-suicidal self-injury still requires lethality assessment and safety planning, as it carries medical risk even without suicidal intent.

Question 4

What is the primary purpose of the 988 Suicide and Crisis Lifeline's 'chat' and 'text' channels compared to its phone line?

Accepted Answer

They expand access for individuals who prefer or need non-voice communication, including those with hearing impairments

Answer

Chat and text channels broaden access to crisis support for populations who find voice communication difficult, including those with hearing impairments or social anxiety.

Question 5

During a hotline shift, a counselor receives a call from someone who is intoxicated and expressing suicidal thoughts. What is the best approach?

Accepted Answer

Engage with the caller as they are, assess risk, and adapt communication style to the impaired state

Answer

Intoxication increases suicide risk and does not disqualify someone from crisis support; counselors adapt their approach while still assessing and addressing safety.

(AAS) American Association of Suicidology Certification Practice Test

(AAS) American Association of Suicidology Certification Practice Test

AAS Crisis Hotline & Text Line Operations 2