1. 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

2. 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

3. Elementary School Middle School/ High School G11

4. NSSI BEHAVIORS: REPETITIVE Significant risk for Borderline/Antisocial PD High incidence of adverse childhood experiences and complex trauma Dialectical Behavior Therapy: DBT G12

5. ETIOLOGY OF SELF INJURY IN ADOLESCENCE Richard Lieberman MA, NCSP, LEP G13

6. TREATING NSSI Mindfulness Emotional Regulation Distress Tolerance Interpersonal Effectiveness G14

7. 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

8. Risk Factors G18

9. 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

10. RECOMMENDED LOW-RISK PROCEDURES  Assess for risk  Collaborate with crisis team  Warn parents or DCFS  Take action/provide resources  Document all actions G20

11.  Identifying trusted adults at home/school  Help seeking behaviors  Resources G21 ESSENTIALS OF A SAFETY PLAN

12. 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

13.  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

14.  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

15. G25