Pre-Training Survey

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Pre-Training Survey

Your answers to the following questions will inform program improvements and help us understand the diversity of who we are serving. Your information is confidential and anonymous. The Santa Clara County Suicide Prevention Program is funded by the California Mental Health Services Act (Prop 63).

Please rate how much you agree/disagree with the following statements:

Strongly disagree

Disagree

Neither disagree or agree

Agree

Strongly agree

I know the warning signs for suicide.

I am able to identify someone who is at risk for making a suicide attempt.

I feel prepared to discuss with someone my concern about the signs of suicidal distress they are exhibiting.

Please rate how much you agree/disagree with the following statements:

Strongly disagree

Disagree

Neither disagree or agree

Agree

Strongly agree

I am aware of the resources necessary to refer someone in a suicide crisis.

I am confident in my ability to make a referral for someone in a suicide crisis.

I have the skills necessary to support or intervene with someone thinking about suicide.

Please rate how much you agree/disagree with the following statements:

Strongly disagree

Disagree

Neither disagree or agree

Agree

Strongly agree

I understand and can identify a number of ways in which culture affects how suicide is expressed and experienced.

I feel prepared to help people from diverse cultural backgrounds with their suicidal distress.

Please give us an example of how you feel prepared to help people from diverse cultural backgrounds with their suicidal distress.

In the past three months, approximately how many people have you ...been concerned about due to their suicidal distress or suicide risk?

...approached to discuss your concerns about their suicidal distress or suicide risk?

...referred to support services because of their suicidal distress or suicide risk?

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