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Confidential Suicide Incident Referral Form If there is an emergency that involves an imminent risk of harm to self or others, please contact campus police at 2173331216 or dial 911 BEFORE filling
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How to fill out suicide incident referral form

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How to fill out suicide incident referral form

01
To fill out a suicide incident referral form, follow these steps:
02
Obtain a copy of the suicide incident referral form.
03
Fill out the basic information section, including the date and time of the incident, the location, and the names of the individuals involved.
04
Provide a detailed description of the incident and any relevant background information.
05
Include information about any known risk factors or warning signs leading up to the incident.
06
Indicate any immediate actions taken or interventions implemented.
07
Provide the contact information of individuals who can be reached for further information or support.
08
Review the completed form for accuracy and completeness.
09
Submit the form to the appropriate recipient or agency as instructed.
10
Remember to treat all information with confidentiality and respect the privacy of individuals involved.

Who needs suicide incident referral form?

01
The suicide incident referral form is typically needed by mental health professionals, crisis intervention teams, law enforcement agencies, and healthcare providers who are involved in responding to or investigating suicide incidents.
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A suicide incident referral form is a document used to report instances of suicide or suicide attempts, ensuring that appropriate support and resources are allocated to individuals in crisis.
Typically, mental health professionals, medical providers, educational institutions, and any parties who identify or are involved in a suicide incident are required to file the form.
To fill out the form, individuals need to provide details about the incident, including the individual's information, the circumstances surrounding the incident, responses taken, and any other relevant observations.
The purpose of the suicide incident referral form is to facilitate the timely reporting and assessment of suicide incidents, improve intervention strategies, and enhance the support systems available for at-risk individuals.
Required information includes the date and time of the incident, the individual's demographics, details of the event, actions taken, and referrals made for further support.
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