Health II Curriculum Map
Lifelines Prevention Post-test: Students
Participant: __________________________________________________ Date: _____________________
1. What grade are you in? ___________________
2. What is your gender? _____ Female
_____ Male
3. What is your race/ethnicity?
_____ African American/Black _____ White/not of Hispanic origin
_____ Asian American/Pacific Islander
_____ Native American _____ Other or multiracial
_____ Hispanic/Latino
Circle the number that most closely represents what you think about these statements: 1 = Strongly disagree 2 = Disagree 3 = Neither disagree nor agree 4 = Agree 5 = Strongly agree
4. Young people can’t do very much to prevent youth suicide.
1 2 3 4 5
5. It is important to have at least one adult that you can talk to if something is bothering you.
1 2 3 4 5
6. A friend’s confidence about suicidal feelings should never be broken.
1 2 3 4 5
7. Young people are at a point in their lives when they should not rely on adults for help with problems.
1 2 3 4 5
8. It is not a good idea to ask someone if they are thinking about suicide, because you may give them the idea to try it.
1 2 3 4 5
9. My school is prepared to help a student who might be thinking about killing himself or herself.
1 2 3 4 5
10. If a friend came to school in a bad mood and casually mentioned, “My family would be better off without me,” I would encourage that person to get help from a responsible adult.
1 2 3 4 5
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LIFELINES PREVENTION GRADES 11–12 CURRICULUM
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CANYONS SCHOOL DISTRICT - SANDY, UT
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