Idaho Department of Education

The Idaho Youth Suicide Prevention Program (IYSPP), formerly known as the Idaho Lives Project, was created in 2013 after the Idaho Department of Education received a three-year Garrett Lee Smith State/Tribal Youth Suicide Prevention and Early Intervention Grant (GLS) from the Substance Abuse and Mental Health Services Administration (SAMHSA).

In its first three years, IYSPP brought a three-layered system of support to Idaho schools and communities:

1. Training for youth in ongoing-wellness and help-seeking
2. Training in suicide prevention and support for school staff and parents
3. Suicide risk assessment and treatment training for the mental health professionals supporting their school communities

These early years also included specialized training for juvenile justice centers and targeted training for universities.

In 2016 the Idaho Legislature funded the creation of the Idaho Suicide Prevention Program housed within the Division of Behavioral Health at the Idaho Department of Health and Welfare. With the exception of K-12 school communities, the Suicide Prevention Program is tasked with supporting and coordinating Idaho’s suicide prevention efforts. The legislature stipulated that a portion of the funding be used to continue the Idaho Youth Suicide Prevention Program. This established our current partnership with the Department of Health and Welfare. IYSPP received additional funding in 2018 to hire three regional coordinators to support schools implementing youth ongoing-wellness and suicide prevention programs.

In January 2020 the Idaho Department of Education again received a GLS grant for five years. In September 2020 the department received a second five-year Project Advancing Wellness and Resiliency in Education (Project-AWARE) grant, also from SAMHSA.

Today, with both state and federal funding, the Idaho Youth Suicide Prevention Program provides statewide services and resources to K-12 districts and schools helping to support youth suicide prevention, intervention, and postvention efforts, as well as some services for youth up to age 24.

The project is supported by the Youth Suicide Prevention Coordinator and a contracted team of subject matter experts who provide direct support to schools and districts. Three regional coordinators and trainers, located in northern, southwestern, and southeastern Idaho, are available to provide training, information, resources and other support to the schools and school communities in their regions.

Contact Your Regional Coordinator

Marie Gray, M.S.
Supports Northern Idaho schools in Education Regions 1 and 2
mariegray@resilienceconsultingservices.com

Patrick "Patxi" Connor, MEd
Supports Southwestern Idaho schools in Education Region 3
pconnor@goitiaconsulting.com

Holly Cunningham, M.S.
Supports Southeastern Idaho schools in Education Region 4
hcunningham.youthsp@gmail.com

Jeni Griffin
Supports Southeastern Idaho schools in Education Regions 5, and 6
jenigriffin@ddot31.org

The Idaho Youth Suicide Prevention Program provides a variety of resources and opportunities to help support K-12 school communities with youth suicide prevention. In 2020, the Idaho Department of Education received a five-year federal grant that allows the Idaho Youth Suicide Prevention Program to expand its youth suicide prevention efforts as well as support youth up to age 24. Please contact us for more information about any of the following services.

Training

• Gatekeeper Training: Suicide prevention training for school staff and other adults who serve youth up to age 24

Direct Services

• Consultations: Suicide prevention policy, practice, protocols, messaging and research consultations, as well as those related to individuals with serious ideation or suicide attempt
• Postvention: Postvention support after any sudden death that affects a school, not just death by suicide

Resources

• Conference Scholarships: Local and statewide conference scholarships for education professionals
• Protocols: Suicide prevention, intervention, and postvention protocols and resources
• Safe Messaging: Safe messaging guidelines for schools and the media
• Web Resources: Idaho School Mental Health website with resources that promote safe, consistent and positive learning environments for all students

Select District Services

In 2020, the Idaho Department of Education received a second five-year federal grant that allows the Idaho Youth Suicide Prevention Program to bring additional services and resources to three specific districts: Glenns Ferry, Kimberly, and Marsing.

• Behavioral Health Clinicians: Full-time, on-site clinician to provide behavioral health support to students and families
• Community Stakeholder Meetings: Community collaborative groups that enhance mental health promotion efforts at the community level
• Parent Support Groups: Support groups for parents or caregivers providing care to youth experiencing a mental health concern
• Positive Behavior Interventions and Supports (PBIS): School-based behavior frameworks and multi-tiered systems of support training and technical assistance

Suicide Prevention Consultations

Idaho Youth Suicide Prevention Program offers free consultations on topics related to youth suicide prevention from the individual level to statewide planning efforts.

IYSPP consults with schools, school districts, youth-serving organizations and community members and others on the following:

• Suicide prevention, intervention, and postvention
• Policy and protocol implementation
• Best practices and suicide research
• Safe messaging related to suicide
• Other suicide-related topics

These consultations are not mental health services.

To request a consultation, call (208) 332-6816 or email hcrumrine@sde.idaho.gov. IYSPP will respond to your request within three business days.

Idaho is one of more than 30 states with laws encouraging or requiring districts to adopt suicide prevention policies (NASBE.org). Enacted in 2018, Idaho Code §33-136(3)(a) requires districts to “adopt a policy on student suicide prevention. Such policy shall, at a minimum, address procedures relating to suicide prevention, intervention and postvention.”

To help ensure districts adopt evidence-based and evidence-informed policies, the Idaho Department of Education, with input from other suicide prevention stakeholders, has developed an Idaho Suicide Safer Model Policy. This two-page policy is a condensed version of a national resource, Model School District Policy on Suicide Prevention: Model Language, Commentary, and Resources.

Like the national model policy, Idaho’s Suicide Safer Model Policy is intended to help districts protect the health and wellbeing of their school communities. Educators have one of the most important jobs in the world. School personnel spend more time with youth than any other professionals and they can have a significant influence on student well-being. This impact can last a lifetime. In addition to academic benefits, actions by school staff can promote protective factors to build resilience and help prevent risky behaviors among youth including suicide.

To further assist Idaho schools with issues related to youth suicide, the Idaho Youth Suicide Prevention Program has developed protocols for school suicide prevention. These protocols are concise and meant to function as a quick and critical guide founded on well-researched best practices in youth suicide prevention, intervention, and postvention.

These protocols are not exhaustive and are not meant to replace, but rather augment, a school’s or district’s own suicide prevention plan. For comprehensive school guidance see Preventing Suicide: A Toolkit for High Schools. The document is also available from the Suicide Prevention Resource Center.

Rationale for School-based Prevention

• Schools have a responsibility to maintain a safe school environment
• Students’ mental well-being affects academic performance
• Student and staff suicides can impact other students and entire school communities
• School districts have been sued and found liable for not offering suicide prevention programs, for providing inadequate supervision of or failing to get help for at-risk students, and for failing to notify parents when their children were suicidal
• The tragedy of suicide is beyond measure, and evidence-based prevention, intervention, and postvention efforts are effective
• Idaho Statute requires school districts to have suicide prevention plans as well as policies on suicide prevention, intervention, and postvention

Idaho Administrative Rules, Statute, and Case Law

Various state rules, statutes, and case law influence suicide prevention efforts statewide. The references listed here are specific to youth suicide prevention and guide our efforts to support school communities.

Administrative Rules

IDAPA 08.02.03.160 – SAFE ENVIRONMENT AND DISCIPLINE

• Each school district will have a comprehensive district wide policy and procedure encompassing the following:
• School Climate
• Discipline
• Student Health
• Violence Prevention
• Processing Weapons on Campus
• Substance Abuse - Tobacco, Alcohol, and Other Drugs
• Suicide Prevention
• Student Harassment
• Drug-free School Zones
• Building Safety including Evacuation Drills
• Relationship Abuse and Sexual Assault Prevention and Response

Districts will conduct an annual review of these policies and procedures.

Idaho Statute

Idaho Code §33-512(4) — GOVERNANCE OF SCHOOLS

The board of trustees of each school district shall have the following powers and duties: (4) To protect the morals and health of the pupils;

Idaho Code §33-136(3)(a) — SUICIDE PREVENTION IN SCHOOLS

Each public school district shall adopt a policy on student suicide prevention. Such policy shall, at a minimum, address procedures relating to suicide prevention, intervention and postvention.

Case Law

The Idaho Legislature enacted Idaho Code § 33-512B in response to Brooks v. Logan, 127 Idaho 484, 903 P.2d 73 (1995), which the Legislature characterized as holding “that a teacher and a school district owe a duty to warn or otherwise take action when confronted with ambiguous, circumstantial evidence of a student’s suicidal tendencies.” Statement of Purpose, H.B. 598, 52d Leg., Reg. Sess. (Idaho 1996).

Idaho Code § 33-512B limits the duty to warn of the suicidal tendencies of a student to situations where a teacher has “knowledge of direct evidence of such suicidal tendencies.” In Carrier v. Lake Pend Oreille Sch. Dist., 142 Idaho 804, 809, 134 P.3d 655, 660 (2006), the Idaho Supreme Court held that “the Legislature intended the term ‘suicidal tendencies’ in I.C. § 33–512B to mean a present aim, direction or trend toward taking one's own life.”

Idaho Protocols for Suicide Prevention in Schools

School personnel spend more time with our children than any other professionals and are in a valuable position, through appropriate knowledge and action, to prevent suicide among students.

Idaho Code §33-136(3)(a) states “Each public school district shall adopt a policy on student suicide prevention. Such policy shall, at a minimum, address procedures relating to suicide prevention, intervention and postvention.”

For more information on suicide prevention for schools, see Preventing Suicide: A Toolkit for High Schools published by SAMSHA

Important factors to consider for suicide prevention in school settings include Student Well-Being, Staff Gatekeeper Training, Student Training and Student Screening.

Student Well-Being

Student Well-Being is complex as it relates to overall mental and physical health. Two aspects of importance in preventing suicide are documented by nationally-recognized suicide expert, Dr. Thomas Joiner. In his book Why People Die by Suicide, Dr. Joiner points to failed belongingness and perceived burdensomeness as the two fundamental elements involved in the desire for suicide. School personnel can play a key role in increasing student feelings of belongingness and capability/effectiveness (non-burdensomeness).

School climate, which is critical to student well-being, reflects how members of the school community experience the school and sets the tone for all the learning and teaching done in the school environment. Specific focus and effort on cultivating a supportive, and respectful school climate, through the implementation of school-wide strategies, is a key component to effective prevention measures.

Staff Gatekeeper Training

Gatekeeper trainings provide participants with critical information on identifying, intervening with, and supporting individuals who may be suicidal. Gatekeeper trainings should include all school personnel: teachers, paraprofessionals, nurses, administrators, bus drivers, administrative assistants, volunteers, cafeteria personnel, parent representatives, and anyone who has regular contact with students. Trainings must be completed before any student suicide prevention activities or curricula are in place. For gatekeeper training to be effective, best practice dictates that school personnel receive gatekeeper training annually.

For information on free gatekeeper trainings available through the Idaho Department of Education, please see the Events and Training page.

While certain elements of gatekeeper trainings are safe for youth, such as knowledge of warning signs and awareness of the hotline, gatekeeper training is not advised for youth. There are suicide prevention trainings that are safe for youth. See information about youth training below.

Gatekeeper training tools as well as a multitude of best practice prevention protocols are available on-line through www.sprc.org.

Student Training

Great care must be taken in selecting any suicide prevention-related activities, training, or curricula for students. The following are guidelines to know before implementation of any youth training or curriculum.

• Training and Curricula Type: Training or curricula should be evidence-based and carefully chosen. They should be fully researched, age appropriate, and emphasize often that there is hope and help. Curricula should include warning signs, protective factors, available school and community mental health services, and a strong message of hope. To prevent suicide, the curriculum’s purpose should help students identify and seek help from a trusted adult for themselves or a classmate.


• Caution: Training and curricula should never normalize suicide, discuss means, or share suicide statistics. Curricula content should emphasize to students that suicide is rare and that recovery from suicidal thinking is the norm. Curricula needs to address the code of silence among youth and remind them that trusted adults in their school and community are available to share concerns about a suicidal friend or themselves. Any presentations or discussions on suicide should be done in classrooms or small groups (See Training Group Size below).


• Embedded Training: Training and curricula are best embedded in mental health units within regular school classes, such as health or teen living, that routinely and sensitively address these issues.


• Adult Training Importance: Training and curricula should be presented to students only after school personnel, parents, and community mental health providers are trained as gatekeepers so they can support any youth with suicide ideation. Free training is available through the Idaho Youth Suicide Prevention Program.


• Training Group Size: Training and curricula should be presented in small groups (classrooms preferable) and with an additional adult present to watch for concerns and to provide support to vulnerable youth, while maintaining students’ rights to confidentiality. Schools should NOT hold assemblies or large group training because these do not allow for easy identification of students who may be at risk and can cause harm or activate those with mental health issues.


• Exceptions for Vulnerable Youth: Training and curricula should be carefully considered for any students who have experienced a recent death or suicide attempt themselves, in their family or friend circle, or who may be affected by a mental health issue. These youth should receive a confidential offer to opt out of this unit. If these students decide to attend, they must be carefully monitored. If they show any signs of distress or inappropriate response to the material, they should be taken to the school mental health personnel.


• Suicide Attempters as Speakers: Training and curricula should not allow students who have attempted suicide to be speakers. Other students may identify with them in an unhealthy way or see them as receiving extra attention, which may increase risk. In addition, the student presenters sometimes receive backlash from other students that causes them emotional harm.


• Cultural Competence: Training and curricula must address cultural competence as suicide affects people of all races, ethnicities, genders, sexual orientations, and socio-economic groups. It is important to include the contributions, images, and experiences of diverse cultural groups. Be sure the school has access to interpreters and community mental health services that have experience with cultures/ethnic groups represented in your school.


• Parent and Community Involvement: Training and curricula will require entire school and school community support as their delivery requires sensitivity and understanding of the importance of the issue. The curriculum chosen might be presented to school staff, to community agencies connected to youth, and to parents/guardians or others who are available and trained to follow up with students. Parents/guardians should be made aware the curriculum is being taught beforehand and be invited to review it online or at a presentation; this may include back-to-school nights, brochures sent home with students, or messages from the school’s communication system.


• Student Survey: Idaho Code requires that parents/guardians provide active consent before presentation of a survey (See Idaho Code 33-6001). Training and curricula sometimes contain a self-evaluation survey to evaluate the mental health issues of students. Even with parent approval, any mental health self-evaluation is not recommended. If you choose to do so, it is imperative that the teacher/student service provider review all completed surveys before students leave for the day and take action, when needed! For some vulnerable youth, completing these self-evaluations may activate suicide ideation and heighten their risk for suicide. If a student is deemed to be at risk, the student must not be left alone, and parents/guardians must be notified immediately! Always guard the student’s right to confidentiality during this process. More information on confidentiality is available (see the Intervention Protocols section below).


• Caution During Postvention: Consult with suicide prevention experts to determine the readiness of the school and school community before conducting any suicide prevention training if within twelve months of a completed suicide that affected the school (see the Postvention Protocols).

For sample curricula, contact the Idaho Department of Education's Youth Suicide Prevention Coordinator or visit www.afsp.org, www.sprc.org, or www.samsha.gov.

Individual Student Screening

For information on individual screening, please see the Screener Protocol under the Intervention Protocols section below.

Universal Student Screening

Universal screening is not recommended. If you choose universal screening, exercise extreme caution as many safeguards must be in place before administering. Legal issues are likely to arise unless parents/guardians have consented to such screenings (See Idaho Code 33-6001 (7)). Any students identified by the screenings as being at risk must have access to affordable, immediate, and appropriate mental health care.

Before implementing a school-wide screening:

• Obtain written consent from all students and parents/guardians if students are minors.
• Schools should convene a working group that includes community mental health services, parents, community resource groups, school staff and support personnel, school administration, and other important representatives. This group will need to carefully determine the value of school-wide screening and connect with other schools that have completed a school-wide screening to identify pros and cons.
• All school staff need to complete a gatekeeper training before implementing any school-wide or curriculum-based screening program.
• Schools should have a working crisis team and policies/protocols for dealing with suicidal youth or staff members.
• All parents must “opt in” to any school-wide screening, be offered gatekeeper training, and be provided a copy of the screener. They must receive resources that include information about free or sliding-scale mental health services and community resource lists that provide support for daily needs.
• Schools must identify clinicians who will offer immediate assessments to students who show signs of suicidality as there may be several false positives from screening programs.
• Schools must plan how they will review all screenings before students leave school for the day.
• Schools must identify and traing staff to follow up with students who screen positive so that they receive timely mental health access.

For information on the controversial nature and efficacy of universal screenings, see Suicide Screening in Schools, Primary Care and Emergency Departments or Service Use by At-Risk Youth after School-Based Suicide Screening

Idaho Protocols for Suicide Intervention in Schools

Schools can convey that they value and care for their students and staff by implementing best practices’ suicide prevention, intervention, and postvention plans.

The best intervention programs are successful because good training precedes them, allowing school communities to identify students at risk quickly and safely, and to follow-up regularly and monitor these students. Thankfully, good prevention and intervention lessen the need for postvention programs.

Idaho Code §33-136(3)(a) states “Each public school district shall adopt a policy on student suicide prevention. Such policy shall, at a minimum, address procedures relating to suicide prevention, intervention and postvention.

The following guidelines are largely excerpted from Preventing Suicide: A Toolkit for High Schools published by SAMSHA.

Intervention Program Goals

• Identify and respond to students at risk for suicide in a prescribed manner while keeping both the student and classmates safe.
• Utilize Regional Clinical Case Managers through BPA Health to connect home, student, and school for continuity of care.
• Set up pre-arranged building contact(s) for the preliminary screening and subsequent follow up of the student.
• Refer students at risk to recognized mental health programs which may include emergency personnel (ambulance or police) and designate people who make calls to these agencies and the required notification to parent/guardians.
• Have a pre-determined documentation plan, which must include dates and times of parent/guardian contacts and their responses.
• Help students integrate safely back into the school setting when appropriate.
• Monitor the student and adjust activities as needed after integration.
• Provide school or staff support if needed .
• Reach out for support from Idaho Youth Suicide Prevention Program or the Idaho Department of Education as needed.

Critical Pre-Planning

• The entire school community must be trained in prevention and intervention and then act accordingly. The school community includes administration, custodians, bus drivers, teachers, students, aides, lunchroom workers, regular volunteers, etc., so that they are ready to respond at the initial identification of students at risk. Protocols should be regularly discussed at staff or professional development meetings, and new staff and substitutes should be provided an opportunity to learn these protocols. If the district/school has a handbook for staff and substitutes, these protocols should be included.
• Schools should access Regional Clinical Case Managers (RCCMs) for support. RCCMs provide free services both to the school and family to:
• Advocate for the youth throughout the treatment and transition process.
• Act as liaisons among the family, behavioral health or emergency department, the school, and the student.
• Participate in school re-entry teams, if applicable, to support implementation of behavioral health goals.
• Provide youth suicide assessment services when the family has no other access to assessment resources.


• Pre-screening of agencies that can offer mental health help to the student and family is important so the intervention is effective. These agencies must include those that take sliding-scale fees and that are willing to work with the school to re-integrate the student. Consider agencies that have training in assessing and managing suicide risk and experience working with youth.
• Emergency personnel and police, including school resource officers and security, should be involved in planning so all parties understand procedures and their roles in managing the situation.
• Protocols should be available for times when parents/guardians are unavailable or when they refuse to take their child (deemed critical) to receive mental health services.
• Confidentiality rights must be explained and understood by anyone involved.
• Cultural issues and language barriers must be addressed, and protocols set up to accommodate these students and their families’ needs in a crisis.

NOTE: A crisis that affects a classroom or a group of students may require post-attempt work, including a letter/email sent to all parents/guardians with resources to support their own children. (Confidentiality issues apply here. Know your district’s confidentiality policies.) Classroom discussions about the incident, other than to debrief students involved, should be avoided. Staff involved with the student should receive appropriate information within the confines of confidentiality.

For additional information see Questions for Guiding Intervention Set Up.

Screener Protocol

NOTE: USE OF A SUICIDE SCREENING TOOL IS NOT PROHIBITED BY 2023 IDAHO LEGISTLATION RESULTING IN NEW LANGUAGE UNDER IDAHO CODE SECTION 33-6001(7).

After a student is identified and is in the custody of the person prepared to administer the screening tool, this person should follow specific guidelines.

• Never leave the student alone until they are in custody of the parent/guardian, mental health authority, or emergency personnel.
• Use screening tools carefully to assess the extent of the threat to self or others.
• Follow through with parent/guardian regardless of the screening outcome. If a student is deemed likely to make a suicide attempt or harm others, also contact the agency where the parent and student are to go and ask that the agency to call you if they fail to show up in a timely fashion. If parents seem reluctant or embarrassed, use some ideas from Engaging the Parent to alleviate their discomfort. Confirm parent/guardian contact (See Confirmation of Parental Contact Form).
• Follow up with the parent and the mental health agency and ask parents to sign a Release of Information (ROI) with that agency. (Use your district’s ROI or use the Exchange of Information Form. Best practice suggests obtaining the parent signature during the initial visit in your presence when possible.
• Debrief those involved — the student, teacher, and/or school personnel who originally identified the student at risk (See Self-Care for Adults). Confidentiality issues apply here. Know your district’s confidentiality policies.
• Decide with the parent/guardian and the mental health agency how and when the student is to return (See Sample Student Re-Entry Plan).
• Document all the preceding steps (See Document Actions List).
• NO STUDENT WITH ASCERTAINED RISK SHOULD BE SENT HOME ALONE. The student should be accompanied by an adult who is informed of the situation and to whom you have provided a list of resources, including those related to means restriction. The adult cannot leave the child until they are in custody of a parent/guardian, emergency personnel or other designated adult.

For a specific and comprehensive list of intervention actions for school counselors please see Helping Suicidal Youth: Detailed steps for Counselors.

Other Intervention Considerations

Screening Tool: Each school must find an evidence-based screening tool fit its needs, such as the Columbia Suicide Severity Rating Scale for Youth.

Effective screening tools should ask whether the student has lethal means - on person or accessible elsewhere.

Also, be sure to:

• Consult with other student services personnel and find out any other related information from teachers or peers, even if this is done after the original screening. Collect any current information about the student, such as, attendance, behavioral records, and previous evaluations from appropriate staff.
• Inform administration/crisis team of results of risk screening and determine next steps.

Avoid No-Suicide Contracts: No-suicide contracts should not be used. Such contracts normally consist of a written agreement between a person deemed at risk and their counselor/therapist in which the person at risk agrees not to attempt suicide. No-suicide contracts tend to be worded to instruct the person at risk what NOT to do rather than what To Do. Research also demonstrates that these contracts may increase hopelessness and may increase liability for the school.

Safety Plans Recommended: Instead of No Suicide Contracts use a safety plan. A safety plan is a concise, user-friendly crisis plan with a few simple statements. The development of the plan itself can help dilute the intense distress often experienced during intervention. Safety plan statements can be written on an index card, small piece of paper, typed and printed on card stock, or anything else that can be easily kept on one’s person or on their phone. Plans should focus on increasing feelings of belongingness and decreasing feelings of burdensomeness/ineffectiveness. (Joiner, 2005) Anyone can help a youth develop a safety plan, and the mental health clinician usually incorporates one as part of the treatment plan. The school crisis team member or counselor should be informed of this safety plan to better support the student upon return (See Safety Plan). In addition to the written safety plan, several phone apps are available for youth to use, both for suicide prevention and for other mental health issues:

1. Calm
2. Virtual Hope Box
3. notOK

Report Suspected Abuse or Neglect: When anyone has reasonable cause to suspect that a student has been, or is likely to be abused or neglected, they must make a report of suspected abuse or neglect to the proper authorities. In Idaho, school staff, as well as all adults, are mandated reporters. In Idaho, call 855-552-5437 to report child abuse or call your local police or SROs. If a school staff member determines that a student under age 18 appears to be at risk of attempting suicide or other serious harm or death, and the parent/guardian refuses to obtain services for them, a report should be made to the Idaho Department of Health and Welfare (IDHW) for negligence (failure to seek necessary mental health treatment). IDHW will conduct an assessment to determine if abuse or neglect exists and will engage the family to voluntarily meet the treatment needs of the child.

Lethal Means: Separate a suicidal student from lethal means if the means are on or near the student and if safe to do so. For example, if a weapon is near the student, such as in a backpack, leave the backpack and take the student to another room. If the student has pills on them, ask if you can hold the pills for them while you are talking.

Call the police when the student is in possession of a weapon, such as a gun, knife, or other dangerous item. Secure the area by either removing students to another classroom or area, or by preventing them from entering the room or area. Since lethal means must be removed without putting anyone in danger, immediately notify your school resource officers or local law enforcement agency. Law enforcement officers have special training to de-escalate a situation that can very quickly become dangerous. If a student requires evacuation by ambulance, the police need to be notified.

Guidelines for a Student Suicide Attempt on School Premises

• In classrooms or other small groups where the student was present during the crisis, offer a brief statement assuring others that the student who made the suicide attempt is receiving help. Keep the details of the attempt confidential, while addressing the facts of the situation in a respectful, non-glorifying way. Keep in mind that each situation is different. Remind students that this student has a mental health issue that will be addressed, just as if he or she had a broken leg or any other physical health problem. Ask students to please honor the privacy of this student.
• An at-school attempt warrants a letter/email sent to parents of all students, while maintaining the person who attempted's privacy as much as possible (See Sample Parent Email).
• Describe and promote resources for where students can get help both at school and in the all parent email.
• Notify all school staff about the incident in an internal staff email and request that they monitor students.
• Check in with close friends of the victim and students known to be vulnerable and offer support as needed.
• Conduct a mandatory informational debriefing for staff, administrators, and crisis response team members. Help other school staff by providing an opportunity to address feelings and concerns and conduct any necessary planning.
• Document actions taken as required by school protocol.

NOTE: Always consider requesting free assistance from the RCCMs through BPA Health at (208) 947-5155.

Guidelines for a Student Suicide Attempt off School Premises

A severe, life-threatening suicide attempt off school premises can have a significant impact on the student body. To prevent a crisis from escalating among students, it is important that school personnel follow these steps, or implement your school district’s crisis plan.

• The school administrator or designee must verify the crisis with emergency personnel or parents. Communicate with designated individuals, when needed to support the intervention process, such as crisis or student assistance team members, the school nurse, social worker, counselor or psychologist, emergency medical professionals, community crisis service providers, law enforcement and the superintendent.
• The superintendent or designee should alert principals at schools attended by siblings, who in turn will notify counselors, nurses, and others in a position to help siblings and other students who might be affected if the student’s parents agree.
• Mobilize the school-based crisis team, with support from community crisis service providers, to help staff address the reactions of other students. When other students know about a suicide attempt, steps must be taken to avoid imitation behavior among vulnerable at-risk students. (*Note: At-risk students may be friends and relatives of the student or other students who may not know the individual, but who themselves are at risk for other reasons.)
• Establish communication with the parent/guardian to determine intervention steps and how the school might be helpful and supportive to the student and family.

When a suicide attempt is severe and affects many of the students/staff, e.g., on social media, convene a staff meeting as quickly as is reasonable to address the issue of the crisis with the facts and how to proceed. Ask staff to monitor students for any signs of distress. If the suicide attempt is high profile or likely to result in death, an email message should be sent to all students’ parents alerting them of the attempt and providing them with resources (See All Parent Letter/Email). Alert the parents of the student who attempted that you will be sending this letter/email and that you will not identify the student, but that it is important to keep other vulnerable youth safe.

• Establish a plan for periodic contact with the student while away from school.
• If necessary, plan for class work assignments to be completed at home. If the student is unable to attend school for an extended period, determine how to help the student complete their requirements, e.g., homebound instruction (See Sample Student Re-Entry Plan).

NOTE: Always consider requesting free assistance from the RCCMs through BPA Health at (208) 947-5155.

Idaho School Response Guidelines for Suicide and Sudden Death

IYSPP provides support after any sudden death — youth or adult — that affects a school or school community, not just death by suicide. Postvention is most effective and successful when the response begins immediately. Knowing that some students and adults might be affected by a sudden death occurring outside of the school year, IYSPP provides postvention support year-round.

Why Postvention is Important

Swift and appropriate suicide crisis response and postvention are critical to maintaining student and staff safety. Good postvention is suicide prevention. In addition, postvention:

• Identifies individuals who need a suicide screening, referral, or additional follow-up
• Provides support to grieving and/or traumatized victims
• Reduces the likelihood of imitation

Suicide crisis response and postvention are critical as they

• Maintain student and staff safety.
• Provide support to grieving or traumatized victims.
• Screen or refer and follow-up with those who may need more support.
• Reduce the likelihood of imitation for suicide, other self-harm, and violent crises.

Idaho Code §33-136(3)(a) states “Each public school district shall adopt a policy on student suicide prevention. Such policy shall, at a minimum, address procedures relating to suicide prevention, intervention and postvention. As used in this paragraph, 'postvention' means counseling or other social care given to students after another student’s suicide or attempted suicide.” Postvention is also necessary after any sudden death that affects the students or staff of a school regardless of manner of death.

Responsibilities of School Principal or Designee

1. Verify the death with law enforcement, coroner’s office, hospital, or family of the deceased. IMPORTANT: The death may be labeled a suicide ONLY AFTER it has been confirmed as such by the coroner, law enforcement or the family. This determination may take weeks. See the note below if family does not want the death identified as suicide.
2. Convene Crisis Response Team immediately.
3. Contact the family of the deceased to express condolences, offer support, ask what students should be told and inquire about funeral arrangements.
4. Inform 1) your school district office, 2) the Idaho Department of Education at (208) 332-6960, and 3) administrators of schools where siblings are enrolled or where the deceased recently attended. In tribal communities, the Bureau of Indian Education may notify main offices that notify principals.
5. Notify staff. If news of the death is received before the start of the school day, ensure all staff have been contacted via phone tree before start of school and are advised how the school response will proceed. Set up a staff planning session before the school day. Be sure to consider staff who are not regularly part of the school but who may need to know, such as regular substitutes, after-school coaches, leaders of off-campus groups, relevant bus drivers, etc. Please note that some staff members may be significantly affected by the death and be unable to be at that school. If news is received during the school day, use your Crisis Response procedures for proper handling of staff notification (See Staff Notification Example).
6. Act as the media spokesperson. Direct all staff to refer all media requests to principal or designee (See Media Sample Statement). A prompt response to the media is critical to help mitigate rumors. When speaking with media, focus on the positive steps of the school’s postvention plan to help students through the immediate crisis. Offer warning signs and resources where parents and students can get help. If the media is talking about the death as a suicide, remind media of safe messaging guidelines (See Recommendations for Reporting on Suicide).
7. Ensure office personnel are prepared to deal with calls and in-person visitors concerned with the death (See Office Personnel Phone and Visitor Protocol).
8. Schedule a time and place for an after school de-briefing for school personnel to provide emotional support and review next steps.
9. Notify all parents of the death without naming the deceased. Every parent has a right to know about a death that can affect their child. Provide information about your school’s response including support services available to students at school, signs of grief, ideas to help (See What Helps) and other community resources, including the hotline number and warning signs if the death is a suicide (See Parent Sample Email).
10. 10. Provide information about the death and funeral arrangements to parents of other students when approved by the family of the deceased and after details become available. Please include in the notification that If students wish to attend the service, parents need to attend with their child. (See Students at the Funeral below).

Only refer to the death as a suicide if 1) verified as a suicide by the coroner, law enforcement or the family and 2) the family of the deceased does not object. Otherwise, refer to it as a sudden death. If the family objects, it may be helpful to have someone from school administration or counseling who has a good relationship with the family contact them and explain that students are already talking, texting, or using social media to discuss the death and that talking with the students about suicide can help keep students safe. If they still object, schools can state in notifications, “The family has requested that information about the cause of death not be shared at this time.” The school may then go on with suicide postvention activities without referring to this death as a suicide. Let the family know that the school will be sending out an email with general support and resources to all students’ parents so that they can watch for signs of concern in their own children. A school’s main responsibility is to keep all youth safe.

Keep the school open and return to normal after initial response. It is expected that school routine may not be normal for every student for the first few hours after initial notification. For safety purposes, permit students to leave school early only with parental permission and documentation and ask parents to pick up their children in person. If parents are unable to pick up and stay with their children, the students need to remain at school to ensure safety. Implement an enhanced system of tracking student attendance. Follow regular school routines to the extent possible.

DO NOT announce news of the death over the loudspeaker or in school assembly. Refer to Crisis Response Team protocols below for proper handling of student notification.

DO NOT empty the deceased’s locker without first contacting the family. The family of the deceased may prefer to do this in privacy or to have school personnel do it for them. Provide quiet time and support to meet their wishes. If the locker becomes a memorial, let students know that items outside will be collected and shared with the family after of the funeral. Inform students that following the funeral, the school will no longer keep memorials.

Responsibilities of School Crisis Response Team

The school Crisis Response Team manages the emotional fallout within the school community to decrease the potential for imitation (copycat behavior). The team will likely meet several times during the first day.

1. Ensure that the death has been verified by the principal. Always stick to the known facts of the case only.
2. Implement counseling support plan to:
1. Assess what resources are needed. Consider requesting resources from neighboring school districts, enlisting pre-screened available mental health services, and contacting clergy, if appropriate.
2. Clarify responsibilities for support of school personnel, students, and parents with regard to grief counseling, debriefing, etc.
3. Designate rooms and personnel for students in crisis. Keep student groups as small as possible in designated rooms. Do not allow bereaved students to congregate in halls or allow large groups of students to congregate anywhere on school ground without adult supervision. .
4. Coordinate with district or community mental health services for additional resources.
3. Implement communication plan, which should include:
1. Writing or reviewing existing scripts for office personnel or other designee — not students — for answering the phone, a staff announcement, a student announcement (by classroom), and parent letter/email. Scripts should be honest and direct (See Classroom Announcements Scripts and Staff Instructions).
2. Notifying staff. If news of the event happens before the start of the school day, or if phone tree notifications were not implemented before the start of school, conduct a staff planning session before starting class. If news of the event happens during the school day hold a brief staff meeting during the next available break. Substitutes may be needed if teachers are unable to return to class. (See Guidelines for Staff Session)
3. Notifying closest friends of deceased, if known. Keep in mind the family of the deceased may have the best information about which students were friends and might be at risk. Individually notify any students who may be particularly at risk. Student services staff need to provide immediate and ongoing support.
4. Notifying all staff and students. Read announcement from a written message, class by class as simultaneously as possible as resources allow. Provide special support in classes of the deceased student including a student support person to sit in the deceased’s desk throughout the day, or for any teacher or student needing assistance. Pay close attention to students who have attempted suicide or have previously experienced any loss (See Youth Suicide: Helping Your Student).
5. Ensuring notification of other schools where there are siblings or others who may be affected, including schools where the deceased student was engaged in extracurricular activities or schools where they recently attended.

Other Important Considerations for the Crisis Team

• Consider Manner of Death: If the death has not been verified to be a suicide by the coroner, law enforcement, or the family, refer to it as a sudden death.
• Squelch Rumors: Rumors create more anxiety and trauma. If anyone is sharing undocumented information, take them aside and ask them to keep other vulnerable students safe by sharing only what is determined to be fact.
• If the Family Objects: If the death HAS been determined to be a suicide, but the family objects to that determination being shared, honor the family’s wishes. For the announcements, use “sudden death”. However, if students ask or talk about this death as a suicide, tell them that since the topic of suicide has come up, we can discuss suicide prevention. Be sure to provide students with the hotline number and warning signs and ask them what trusted adult they will talk to if they are concerned about a friend or themselves. Let the family of the deceased know that the school is sending an email for families to watch for suicide warning signs in their own students.
• Exercise Discretion in All Notifications: How we talk about suicide and other sudden deaths matters.
• AVOID EXCESSIVE DETAIL, e.g., discussion of method of death, details of location.
• o Honor the victim deceased but do not glorify them or the death.
• Do not vilify the deceased.
• Provide resources known-to-be safe and appropriate.


• Staff to Follow the Deceased's Schedule: Assign a staff member to follow the deceased student’s schedule, even sit in the deceased’s chair, to observe reactions and comments of students and follow-up as necessary. Let students know that seating assignments will be re-arranged after the funeral.
• Watch for Others at Risk: Identify, monitor, and assist students who are considered at risk for suicide. Follow-up with these individuals and their families, and the school should continue checking in for as long as necessary. All school staff should be especially sensitive to students who are particularly affected by the death such as the deceased’s close friends, peer groups, teams, clubs, etc., including activities at other schools. These students may need to talk about their reactions. Attention to these students may prevent future suicidal behavior. Keep in mind that in small schools, this may mean every student (See Youth Suicide: Helping Your Students).
• Deceased’s Siblings Re-entry: Consider and provide accommodations for reintegration of the deceased student’s siblings. Ensure this is addressed if siblings attend a different school. (See Re-try for Student Loss Survivors)
• Keep Staff Updated: Conduct daily debriefing with faculty and staff during the crisis and postvention periods.
• Document: Document activities as dictated by school protocols.
• Manage Social Media: Document social media posts and memorial pages by taking pictures of them before they are taken down, usually 30-60 days after death. Documentation is important as each crisis presents an opportunity to improve the process for handling the next crisis and can help keep schools safe from liability. Use the school’s social media accounts to post resources and helpful, hopeful messaging.

Memorial Activities

Help students find a way to grieve without allowing inappropriate memorial activities. Avoid any activities that glorify, glamorize, or sensationalize the death. Ensure your school has an established policy about memorial activities. “Schools can play an important role in channeling the energy and passion of the students (and greater community) in a positive direction, balancing the community’s need to grieve with the impact that the proposed activity will likely have on students, particularly on those who might be vulnerable to imitation. The school should prioritize protecting students who might be vulnerable to imitation over what might comfort students who want to remember the deceased student" (After a Suicide: A Toolkit for Schools).

Please note: Memorials need to be the same for any student death regardless of manner. Administration needs to proactively and carefully consider the establishment of any permanent marker for any student death. School staff are advised to make assertive, proactive efforts to guide students in the direction of safe activities for grieving and honoring the student who died. Guidelines that safely honor the deceased are below.

Do Not Allow	Allow
AVOID that which other vulnerable youth may see as a way to receive recognition for considering suicide.	ALLOW that which honors the student who died and can help the living.
Do not allow memorial services within the school building.	Assign support staff to attend the funeral service to help monitor students during the service.
Do not send all students to the funeral or cancelling classes for the funeral.	Allow donations collected for the bereaved family, charities, suicide prevention efforts or youth support programs.
Do not fly the flag at half-mast.	Suggest positive notes or memories written by those students and staff who wish to be given to the family.
Do not allow large student assemblies about the deceased or a moment of silence at assemblies, games, or other activities.	Allow students to leave memorials at the deceased’s locker up to five days or until the day of the funeral, whichever comes first.
Do not allow permanent memorials of any kind, e.g. plaques, trees, benches, retirement of a sports jersey, photos of the deceased on school walls or in display cases, etc.	Allow pages in school newspapers or yearbooks that treat the dedication equally with that of any other death. Common guidelines suggest a small photograph, name, birth and death dates and something positive about what they did while living.
Do not allow visual displays of the deceased’s image, name, death date, etc., on posters, bracelets, t-shirts, or other attire. If this occurs, tell students of the dangers it poses to other vulnerable youth.
Do not dedicate of sports events or other events to the deceased.

Other Important Postvention Elements

Social Media: Assign an appropriate school official to monitor social media related to the deceased student such as TikTok, Facebook, Instagram, and Twitter pages. In some cases, the site many need to be taken down particularly if posts or comments are unsafe or traumatizing. Remind parents to monitor their own children’s social media accounts for concerns.

Self-Care: Remember self-care during this process! Be aware of your own emotional response to these events and take care of yourself (See Self Care for Adults).

Students at the Funeral: Suggest to the family, if possible, to hold the funeral after-school hours so staff and students might attend. When emailing parents, remind them that attending the funeral with their children will greatly support and help keep students safe.

These guidelines are meant as a basic list of critical functions for school postvention. For a complete postvention guide, see After a Suicide: A Toolkit for Schools published by SAMSHA.

For grief support see Children, Teens and Suicide Loss Flip Book published by the American Foundation for Suicide Prevention.

For immediate or ongoing questions or concerns, contact the Idaho Department of Education at (208) 332-6960. If you feel any student or staff poses an immediate threat to self or others, contact the Idaho Crisis & Suicide Hotline at 988, or call 911 if the person has lethal means.

For more information on school-related suicide prevention, intervention and postvention, visit www.sprc.org.

How to Report a Death & Request Support Services

If your school or school community experiences a sudden death, please contact Hannah Crumrine at hcrumrine@sde.idaho.gov or (208) 332-6816. You may text (208) 921-9422 outside of regular business hours. The sooner IYSPP receives notification, the sooner we can provide critical support.

Once we receive notification of a loss, our postvention specialist will immediately connect with the appropriate school personnel by phone. Your school will be provided a consultation and follow-up email that includes a discussion of protocols and other resources for school personnel, the family of the deceased, and all students and families. When requested, continued support is available including additional mental health support and IYSPP follow-up debrief visits.

Research has shown that the time of highest risk for those who have been treated for a suicide attempt or serious suicide ideation is right after they receive those services. Follow-up during this period is critical and saves lives.

In partnership with BPA Health, IYSPP offers free clinical regional support services for youth and their families that include:

• Peer-to-peer suicide attempt survivor support group: the clinicians co-facilitate peer-to-peer suicide attempt survivor support groups for young adults statewide.
• Post-attempt or serious suicide ideation follow-up services: the clinicians act as an advocate for students who have made a suicide attempt or have had treatment due to serious suicide ideation, and as a liaison among the student, their family, their school and their mental health provider, or provider agency.
• Suicide assessments when other resources are unavailable: the clinicians provide suicide assessments for youth in cases where the family has no other resources for such an assessment.

Services are available to youth up to age 24 and are provided by Regional Clinical Case Managers.

Please call the IYSPP/BPA Health Referral Line to request any of these services at (208) 947-5155, Monday – Friday from 9 am to 5 pm MT.

If you or someone you know is experiencing an emotional or suicide crisis, contact the Idaho Crisis & Suicide Hotline by calling or texting 988.