ROLE OF THE STAFF Don’t be afraid to talk Know the risk factors and warning signs Act immediately and supervise Escort to Crisis Team Join Crisis Team G7
ROLE OF THE STUDENT Stand by your friend Make no deals to keep your friend’s suicidal intentions a secret Tell a trusted adult G8
Elementary School Middle School/ High School G11
NSSI BEHAVIORS: REPETITIVE Significant risk for Borderline/Antisocial PD High incidence of adverse childhood experiences and complex trauma Dialectical Behavior Therapy: DBT G12
ETIOLOGY OF SELF INJURY IN ADOLESCENCE Richard Lieberman MA, NCSP, LEP G13
TREATING NSSI Mindfulness Emotional Regulation Distress Tolerance Interpersonal Effectiveness G14
GUIDELINES FOR SUICIDE INTERVENTION Assessing students for suicide risk Notifying parents Providing culturally responsive resources Writing student safety plans Providing strategies for students returning from hospitalization G16
Risk Factors G18
BRIEF SUICIDE ASSESSMENT 1.Have you had thoughts of suicide or killing yourself? 2. Have you ever tried to kill yourself? 3. Do you have a plan to kill yourself today? And how would you do it? G19
RECOMMENDED LOW-RISK PROCEDURES Assess for risk Collaborate with crisis team Warn parents or DCFS Take action/provide resources Document all actions G20
Identifying trusted adults at home/school Help seeking behaviors Resources G21 ESSENTIALS OF A SAFETY PLAN
Follow all guidelines for LOW-RISK Supervise student at ALL times Release to: Parent Law Enforcement Psychiatric Mobile Response Team Document all actions GUIDELINES FOR MODERATE OR HIGH-RISK STUDENTS G22
Replace rumors with facts Encourage ventilation Stress normality of grief and stress reactions Identify students at risk and refer Address staff reactions GUIDELINES FOR STAFF G23
Strive to treat all student deaths the same way Encourage students to attend funeral Reach out to the family Contribute to a suicide prevention effort Develop living memorials Address spontaneous memorials on school grounds SUICIDE POSTVENTION MEMORIALS G24
G25