SAC Risk Assessment & Management 2

Question 1

When a student discloses a plan to harm themselves but has no means available, how should this be classified on a lethality continuum?

Accepted Answer

Moderate risk requiring safety planning

Answer

The presence of a plan without means places the student at moderate risk, warranting a collaborative safety plan and increased monitoring.

Question 2

Which structured tool is most commonly used by school counselors to assess the severity of suicidal ideation in adolescents?

Accepted Answer

Columbia Suicide Severity Rating Scale (C-SSRS)

Answer

The C-SSRS is a validated, widely used instrument specifically designed to assess the intensity and severity of suicidal ideation and behavior.

Question 3

A student who has made a previous suicide attempt is being re-integrated into school. What is the MOST critical first step for the SAC?

Accepted Answer

Conduct a fresh risk assessment before the student returns

Answer

A prior attempt is the single strongest predictor of future suicidal behavior, making an updated risk assessment essential before re-entry.

Question 4

In risk management, what does the term 'means restriction counseling' refer to?

Accepted Answer

Educating families to secure or remove lethal items from the home

Answer

Means restriction counseling involves working with families to reduce access to lethal means such as firearms and medications, which significantly lowers suicide risk.

Question 5

A student expresses passive suicidal ideation ('I wish I were dead') but denies a plan or intent. What is the appropriate response?

Accepted Answer

Conduct a full risk assessment and document findings

Answer

Passive ideation still warrants a thorough risk assessment because it can escalate; documentation protects both the student and the counselor.

(SAC) Student Assistance Counselor Certification Practice Test

(SAC) Student Assistance Counselor Certification Practice Test

SAC Risk Assessment & Management 2