JIBC Crisis Intervention and De-escalation 3

Question 1

Which factor most commonly triggers a psychiatric crisis for individuals with schizophrenia in a community setting?

Accepted Answer

Medication non-compliance

Answer

Medication non-compliance is the leading precipitating factor for acute psychiatric crises in individuals diagnosed with schizophrenia.

Question 2

During a suicide risk assessment, which question is most direct and recommended for clarifying intent?

Accepted Answer

'Do you have a plan to end your life?'

Answer

Directly asking about a specific plan is evidence-based and does not increase suicide risk; it clarifies immediate danger level.

Question 3

What is the concept of 'emotional contagion' as it applies to crisis intervention?

Accepted Answer

The tendency for people to unconsciously mirror others' emotional states

Answer

Emotional contagion describes how emotions spread between people; a calm officer can help lower a subject's emotional arousal through this mechanism.

Question 4

A subject in crisis is refusing to speak and withdrawing. What is the most appropriate initial response?

Accepted Answer

Maintain a calm presence and allow silence without pressure

Answer

Allowing silence and maintaining calm presence respects the person's pace and avoids escalating the situation through pressure.

Question 5

In crisis negotiation, what does 'active listening' primarily require from the responder?

Accepted Answer

Full attention, verbal acknowledgment, and non-judgmental responses

Answer

Active listening requires focused attention, minimal encouragers, empathic acknowledgment, and avoiding judgment throughout the interaction.

JIBC - Justice Institute of British Columbia Practice Test