Appomattox County Public Schools Suicide Threat Intervention Procedures I. Reporting Concerns a. Teachers and school administrators are required by Virginia State Law to report students believed to be at risk of suicide (Code of Virginia—Section 22.I-272.I) i. Teachers will refer the student to the school guidance counselor. ii. The school guidance counselor will consult the school principal and/or assistant principal. iii. The school guidance counselor will contact the school psychologist for consultation. iv. If the school guidance counselor is unavailable, then principal should directly contact the school psychologist. v. If both the school counselor and psychologist are unavailable, then the principal should refer the student to (in the following order): 1. Visiting Teacher 2. Central Office Administrator. b. Until the student is under the supervision of the guidance counselor, or other adult named above, he or she should be supervised by an adult at all times. The student should not be sent alone to the school office. c. The staff member to whom the threat is reported should begin completion of the Documentation of Suicidal Intent form. II. Assessment of the Threat a. The school guidance counselor or psychologist should administer and score the SIQ (Suicide Ideation Questionnaire) or SIQ-JR to the student who threatened. i. The SIQ should be used with students in grades 10, 11, and 12. ii. The SIQ-JR should be used with students in grades 7, 8, and 9. b. The counselor or psychologist should obtain a total SIQ score and determine if it is above the cutoff (41 for SIQ and 31 for SIQ-JR). i. Each item is scored from 0 to 6 based on the severity of the response ii. Responses to each item are totaled and compared to the respective cutoff score c. If the student is too young for the SIQ-JR (6th grade or lower) the counselor and/or psychologist should assess the severity of the threat using the following questions. i. Does the student understand the permanence of suicide? ii. Does the student have a plan by which to commit suicide? iii. Does the student have access to the means by which he or she plans to commit suicide? III. Contacting Parents/Outside Agencies a. If the student scores above the cutoff on the SIQ or SIQ-JR or if the student is too young for the SIQ-JR but the guidance counselor or school psychologist believes the student poses a high threat risk: i. Contact one of the student’s parents ii. If a parent cannot be contacted, call emergency contacts and attempt to locate the parent. Do not share confidential information with the emergency contacts; only attempt to find the parent. iii. The local (Appomattox) or state Social Services Intake Worker and/or Child Protective Services office should be contacted in lieu of the parents if: 1. Contact with the parent/guardian cannot be made 2. Parental abuse or neglect is believed to be the reason the student is contemplating suicide 3. If in the course of contacting the parents the school learns that the parent has no intent to act in the well being of the child, then the school is obligated to contact social services. 4. If the social services office is contacted, then the parents should later be informed of the social services contact by phone call and letter. 5. If the intake worker is out of the office (after hours), then the Social Services Statewide Hotline should be called (1-800-552-7096) and/or the Appomattox Sherriff’s Office (911). iv. Before the student leaves school grounds, the school and parents/social services should reach an agreement on immediate treatment for the student. b. If the student scores below the cutoff on the SIQ or SIQ-JR or if a younger student’s guidance counselor/school psychologist believes the student’s threat risk is low: i. Notify the parent/guardian or social services (if no parent/guardian can be contacted). ii. Recommend appropriate outside counseling/services. iii. Provide a list of agencies providing such services. c. The student, whether deemed high or low risk, should be supervised by an adult until he or she is in the custody of a parent or social services. d. If the student is a client of an outside counseling agency and the school is in possession of a release of information, then the guidance counselor should contact the outside counseling agency for consultation. IV. Procedures post-contact a. The call to the parent/social services should be confidentially but thoroughly documented (Documentation of Suicidal Intent form) in the school records. The following should be documented: i. Date/time of call ii. The individual contacted iii. The agreed upon plan for the student (treatment) b. Prior to the student’s return to school, a meeting should be scheduled with the parents or the student (if over the age of 18), a school administrator, the school guidance counselor and/or psychologist. The meeting should be held regardless of the parents’ willingness to be involved. During the meeting the following should be discussed: i. The mental/emotional status of the child ii. Any needed interventions iii. A plan by which the school guidance counselor should monitor the student’s progress for the remainder of the school year