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Course 5J - The Quiz



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In Course 5J, 'Suicide Risk and Prevention for Lesbian, Gay, Bisexual, and Transgender' .... The term SEXUAL ORIENTATION means one's affection and/or sexual attraction toward males, females, or both.
True False
Which below is NOT an example of SEXUAL ORIENTATION?
The term 'GENDER IDENTITY' refers to
whether a person cross-dresses or not
whether a person identifies as male or female
whether a person displays the emotional and behavioral characteristics culturally associated with a particular gender
refers to a sexual ORIENTATION, almost always LGB
refers to persons whose GENDER IDENTITY and/or EXPRESSION is INCONSISTENT with ..... their BIOLOGICAL SEX
means the SAME thing as 'homosexuality'
refers to a person who has recently 'come out' as LGB
refers to cross-dressers
In the section entitled 'SCOPE OF THE PROBLEM - Suicide Deaths Among LGB Youth' . . .

This publication questions the accuracy of the often-quoted statements that 'Homosexual youth may represent up to 30 percent of youth suicide deaths' and 'Suicide is the leading cause of death for LGBT youth'.
True False
STILL IN THIS SECTION . . . Hard data on suicide rates for young LGB people are lacking, but studies of suicide ATTEMPTS among young people suggest that the rate of suicide among LGB youth exceeds the rate for youth who are not LGB.
True False
One of the strongest predictors of suicide is one or more prior suicide attempts.
True False
In 'Scope of The Problem - OVERVIEW OF SUICIDE ATTEMPTS . . .

Studies that compare the rate of suicide attempts among LGB youth with those among heterosexual youth show _________________ for LGB youth.
the same rate
slightly higher rates
significantly higher rates
Which answer is the most accurate conclusion, when COMPARING ATTEMPTED SUICIDE by teen and young adult LGB INDIVIDUALS with teen and young adult NON-LGB INDIVIDUALS?
LGB youth have a significantly higher rate of attempting suicide than heterosexual youth.
As with suicide attempts among people of all sexual orientations, most suicide attempts among LGB people occur during adolescence and young adulthood.
Based on the higher rate of suicide attempts among LGB youth and the relative seriousness of their suicide attempts, it is likely that LGB youth experience higher rates of suicide deaths than their non-LGB peers.
All of the above.are true.
Only the first and third answers.
The data indicate that the suicide attempts of LGB youth are more 'serious' than the attempts of non-LGB youth, based upon the potential lethality of the method used to attempt suicide, and the expressed intent to actually die.
True False
Looking at the TABLE OF CONTENTS on page 9 . . .

Which of the following is NOT one of the factors which will be addressed in the section entitled 'RISK AND PROTECTIVE FACTORS FOR SUICIDAL BEHAVIOR AMONG LGB YOUTH'?
Social Environment, Family Support
Internet Use, Gender Nonconformity, Ethnicity
Suicidal Behavior in Family and Friends
Socio-economic Instability
AIDS/HIV Prevalence, Depression and Substance Abuse
In the introduction to 'RISK AND PROTECTIVE FACTORS' . . .

R.L. Kitts' research found that the same STRESSORS which impact non-LGB youth also impact LGB youth - but that SOME psychosocial stressors are MORE PREVALENT among LGB adolescents than among non-LGB adolescents. The more prevalent stressors for LGB youth are these: [SELECT the MOST ACCURATE answer]
dropping out of school, family problems, homelessness, lack of support, and suicide attempts by acquaintances
incarceration of a parent or sibling, family income at or below the poverty level, and having a LGB parent
gender nonconformity, victimization, substance abuse and psychiatric disorders
All of the above.
The first and third answers above
Research indicates that LGB youth are more at risk for suicide attempts if they acknowledge their sexual orientation at an early age because 'compared with older persons, early and middle adolescents may be generally less able to cope with the isolation and stigma of a homosexual identity'.
True False

Studies find that INTERNALIZED HOMOPHOBIA and INTERNAL CONFLICT about sexual orientation DO NOT appear to contribute to suicide risk among LGB youth.
True False
Looking at the FAMILY SUPPORT section under RISK . . .

LGB youth experience a rise in suicide attempts and ideation around the time of disclosure to their family ('coming out'). In this research, youth who had disclosed to their family
were somewhat more likely to have attempted suicide, compared to LGB youth who had not disclosed.
were more than four times as likely to have attempted suicide, compared to LGB youth who had not disclosed.
were twice as likely to have attempted suicide, compared to LGB youth who had not disclosed.
In particular, family connectedness plays a vital role for LGB youth: Those with strong family connectedness are _________________ to experience suicidal ideation as those with low family connectedness.
75% less likely
25% less likely
half as likely
Concluding the Family Support section . . . which factor(s) below have NOT been identified as appropriate targets for intervention, aimed at protecting young LGB people from self-harm?
school safety - protecting LGBT youth from harassment, bullying, stigma, discrimination, and isolation
improving the ability of parents and other influential adults to connect with and support adolescents grappling with issues of sexual identity
establishing 'LGB-only' classrooms and parent advocates
Regarding the INTERNET, which statement is NOT TRUE, according to this publication?
LGBT youth rely on the Internet and related technologies to a GREATER DEGREE than their peers in order to find an accepting peer group and social support.
Such networks offer the potential to disseminate suicide prevention or other targeted health messages to audiences of LGBT individuals.
The existence of sites that promote suicide and describe specifics of methods, as well as chat rooms that may facilitate suicide pacts, are mostly a myth which has not been substantiated.
Further research is needed on how social networking and other Internet applications can raise—or lower—risks of suicide among LGBT and other adolescents.
Online contacts may decrease isolation and build positive relationships.
In the section entitled AIDS-HIV PREVALENCE . . . there is very little information about the instance or impact of AIDS-HIV, for LGBT people in the 'youth' age range.
True False

Drug use is NOT associated with increased risk of suicidal ideation for LGB respondents, and problem drinking, drug use, and depression are NOT associated with increased risk of suicide attempts for LGB respondents.
True False
What statement is NOT TRUE about 'GENDER NONCONFORMITY'?
'Gender Nonconformity' is the same as 'CROSS-GENDER ROLE'
'Gender Nonconformity' means that the individual exhibits “PERSONALITY TRAITS associated with the OPPOSITE SEX”
Gender Nonconformity in gay and bisexual males is found to be PREDICTIVE OF SELF HARM - and one study found that GENDER NONCONFORMITY accounts for almost ALL of the variation in suicidal behavior between heterosexuals and LGB people.
Gender Nonconformity occurs only with LGB individuals - not with heterosexuals
Gender Nonconformity is more prevalent among LGBT people than among heterosexuals.

When comparing transgender youth who reported having attempted suicide with those who had not, researchers found that transgender youth who had attempted suicide had experienced more physical and verbal abuse from their parents.
True False
SUICIDAL BEHAVIOR as a risk factor: Exposure to suicide or suicide attempts by family members or friends is NOT a significant risk factor for suicidal behavior in LGB youth.
True False
Looking at the status of SUICIDE PREVENTION FOR LGBT youth . . .

The TREVOR PROJECT operates _________________ for LGBT and questioning youth.
a large 23 hour crisis intervention unit in New York City
a runaway shelter
the nation’s only 24-hour toll-free suicide prevention helpline (1-866-4-U-TREVOR).

Most programs serving LGBT youth _________________ give priority to Protective Factors such as school safety, health promotion, violence and harassment prevention, civil rights, peer education, emergency support, and HIV and AIDS prevention and support services
offer services explicitly related to suicide prevention, and ALSO
do not offer services explicitly related to suicide prevention, but INSTEAD

A Cultural Competence Model is an appropriate approach to working with LGBT youth because
LGBT youth include a significant number of individuals from racial minority groups.
LGBT youth are a minority dealing with negative social forces, and have distinct cultural characteristics of which service providers must be aware.
agencies can't obtain Federal funding unless they report delivery of services to a minority population.
Which activity below is NOT part of LGBT Cultural Competence training for service providers?
Comprehending the existence of LGBT people, and learning and becoming comfortable with LGBT terminology.
Developing an initial awareness of one’s own biases and assumptions, and exploring the group’s values about LGBT people.
Sensitivity training through values clarification and empathy development. Participants are asked to imagine the stresses that sexual and gender minority people face.
Developing an initial awareness of one’s own LGB or T inclinations.
Using case studies and exercises in which participant groups develop LGBT-inclusive policies and programs.
Moving down to SUICIDE PREVENTION PROGRAMS - 'Other Considerations' .....

Which statement is NOT TRUE?
Family connectedness—including the ability of youth to talk with parents, youth feeling cared about and understood, and the family having fun together—has been shown to reduce the risk of suicidal ideation and suicide attempts for some LGB groups by half.
Gatekeeper training teaches people to recognize youth at risk for suicide and to refer them for help.
Peer gatekeeping programs are unlikely to be an effective intervention with LGB youth because youth rarely first confide their problems to peers.
In the SCHOOLS section: In a study of high school students, LGB youth were almost five times as likely as non-LGB youth to have missed school because of fears about their safety.
True False
Schools can be an important PROTECTIVE FACTOR in preventing suicidal behavior among LGBT youth, by taking certain steps. Which IS NOT one of those recommended steps?
Ensure that the school is a safe and supportive environment for LGBT youth by instituting and enforcing policies that prohibit harassment and discrimination
Include specific content about the needs of LGBT youth in trainings for staff, teachers, and parents.
Include material on LGBT youth, in curricula and resources related to sexuality which are available in the school library.
include specific activities for LGBT youth.
Teach school personnel, gatekeepers and parents that they should assume that a child or adolescent is heterosexual until the individual chooses to disclose his or her LGBT orientation.

Staff dedicated to speaking out against harassment and supporting LGBT students are called _________________ and commit to activities including the following:

• Be accurately informed and continue learning about LGBT issues
• Examine personal attitudes and beliefs
• Challenge speech and actions that harass or are violent against LGBT people
• Be comfortable talking with LGBT people and about LGBT issues
• Respect confidentiality
• Be aware of services for LGBT people
• Help set a school climate of safety and support for all students
LGBT Advocates
Youth Services Partners (YSPs)
Safe Staff
Still in Box 1. 'Model School Program - Out for Equity' ....

Out for Equity has developed a list of ways for staff to end homophobia in schools. Which activities are NOT on the list:
Do not assume heterosexuality. Making schools inclusive and safe for sexual and gender minorities by adapting forms, classroom materials, and textbooks; redesigning counseling services, school activities, and student resources; and adopting anti-harassment policies and procedures.
Guarantee equality. Include sexual orientation and gender identity in non-discrimination and harassment policies as well as diversity statements. Broaden entertainment and extracurricular activities to include content that reflects diversity.
Create a safe environment that does not tolerate physical violence or harassing language. Demonstrate respectful language, intervene in harassment instances, and bring diverse images into the classroom.
Advise counselors to assume that any given youth is heterosexual unless clear indicators for LGB orientation are present.
Counselors and health staff need to make their sensitivity to LGBT issues clear. Provide support for students, include Gay-Straight Alliances.
Moving on to the MENTAL HEALTH and SOCIAL SERVICES Section:

Select the answer below that does NOT ACCURATELY COMPLETE this sentence:

Per Meyer (2007), 'Prevention programs can build LGB youth sense of self, while CLINICAL INTERVENTIONS can focus on issues of ...... '
internalized homophobia,
anti-gay violence
gay-straight alliances
rejection and discrimination
To whom is this quotation credited? 'Ignoring the social environment would erroneously place the burden on the individual, suggesting that minority stress is only a personal problem for which individuals must be treated.'
Turner, K. L., Wilson, W. L., & Shirah, M. K. (2006).
Meyer, I. H. (2007).
Ybarra, M., & Mitchell, K. (2008).
Moving on to the section entitled 'HEALTH CARE SERVICES', Box 2. MODEL HEALTH CARE PROGRAM: Fenway Community Health . . .

Which item below IS NOT listed as a feature of the Fenway Community Health model program?
Peer Listening Line and GLBT Helpline - anonymous and confidential phone lines that offer LGBT adults and youth information, referrals, and support.
Is a LGBT Health Center that is a program model for providing LGBT people with services that reduce the risk of suicidal behavior.
Published the nation’s first medical textbook focused on LGBT people, The Fenway Guide to Lesbian, Gay, Bisexual and Transgender Health -- a comprehensive textbook that aims to eliminate disparities in health care for sexual and gender minorities.
Engages in lobbying to further the legislative interests of LGBT youth.
Staff members are trained to address depression and suicide and to provide training and technical assistance to health care providers.
Moving on to the major section entitled 'WORKING with LGBT YOUTH AT HIGH RISK:

Although LGBT youth in general are at higher risk for suicidal behavior, certain subpopulations of LGBT youth are at especially high risk. Which was NOT mentioned as a high risk subpopulation in this section?
Youth with Serious Medical Conditions
Homeless and Runaway Youth
Youth in Foster Care
Youth in Juvenile Justice
In the 'HOMELESS AND RUNAWAY YOUTH' subsection . . .

Which was NOT said to be true about homeless and runaway LGB youth?
LGB youth are at higher risk of being told to leave — or feeling that they need to leave — their homes than young heterosexual people.
A study in New York City found that 40 percent of homeless youth identified as LGB.
Studies have also found that LGBT homeless youth have higher rates of depression, posttraumatic stress disorder, and psychopathology than do non-LGBT homeless youth.
Families in conflict relating to a youth’s sexual orientation may benefit from family therapy and other forms of support to reduce family stress and the likelihood that LGBT adolescents will leave the home.
In the FOSTER CARE section . . .

A recent survey found that most state child welfare agencies have policies prohibiting discrimination based on sexual orientation and requiring training for staff or foster parents on the needs of LGBT youth
True False
Still in FOSTER CARE . . . LGBT youth have longer stays out of their homes, more frequent placement changes, and difficulties accessing appropriate physical and mental health services.
True False
IN BOX 3 - The Model Standards Project for LGBT Youth in Child Welfare and Juvenile Justice Systems . . .

The Child Welfare League of America recommends displaying posters and other visuals that demonstrate an LGBT-friendly environment, in Foster Care and Juvenile Justice settings.
True False


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