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SUICIDE ASSESSMENT AND INTERVENTION …

KPBSD SUICIDE ASSESSMENT manual Page 1 KENAI PENINSULA BOROUGH SCHOOL DISTRICT SUICIDE ASSESSMENT AND INTERVENTION manual October 2010 KPBSD SUICIDE ASSESSMENT manual Page 2 Table of Contents Page Acknowledgements 3 PART 1: Preventing SUICIDE SUICIDE and schools: Why we must be proactive 4 KPBSD policy statement (Currently being developed) 5 Risk Factors and Warning Signs 6 SUICIDE Risk ASSESSMENT and INTERVENTION Procedural Flow Chart 10 APPENDIX A: School Procedure Checklist 11 APPENDIX B: Form S-1: SUICIDE Risk ASSESSMENT Screener and Interview 14 APPENDIX C: SUICIDE Risk ASSESSMENT Worksheet 21 APPENDIX D: SUICIDE INTERVENTION Protocols: SIP-1 to SIP-5 22 APPENDIX E: Notice of Emergency Conference 29 APPENDIX F: No Harm Contract 30 APPENDIX G: Release of Confidential Information Form 31 APPENDIX H: Comm

KPBSD Suicide Assessment Manual Page 1 . KENAI PENINSULA BOROUGH SCHOOL DISTRICT . SUICIDE ASSESSMENT AND INTERVENTION MANUAL

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