11/30/17

WHY DO A BEHAVIORAL HEALTH

SCREENING?
Pennsylvania
In the past 12 months Youth Survey
(2015) SUICIDE IS A LEADING CAUSE OF DEATH FOR ALL ADOLESCENTS
Considered suicide 16% LEADING CAUSE OF DEATH FOR ADOLESCENT GIRLS GLOBALLY
Had a suicide plan 13% ITS PART OF COMPREHENSIVE SUICIDE PREVENTION
Attempted suicide 10% AN INCREASE CALL FOR SUICIDE SCREENING
Needed medical treatment for
suicide attempt
2% SUICIDE IS PREVENTABLE
Felt very sad or hopeless for at
22%
least 2 weeks

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BALANCING OPPORTUNITIES AND

BARRIERS PREPARATION - BASICS
OPPORTUNITIES BARRIERS WHERE TO GET STARTED
STUDENT WILL DISCLOSE SUICIDAL THOUGHTS OR PARENT OR SCHOOL STAFF RESISTANCE, ASKING SELECT AN INSTRUMENT
OTHER BEHAVIORS WHEN ASKED DIRECTLY ABOUT SUICIDE MAY CAUSE SUICIDE. SELECT A TEAM
SELF-REPORTED SCREENING IS THE ONLY SUICIDE SCREENING IS A LESS PREFERRED SUICIDE HOW WILL THE INSTRUMENT BE
PREVENTION PRACTICE THAT DIRECTLY ASSESS
PREVENTION PROGRAM THAN CURRICULUM-BASED DELIVERED?
STUDENTS IN SCHOOLS.
PROGRAMS FOR STUDENTS AND OR STAFF TRAINING.
STUDENTS THAT WOULD NOT COME TO THE ATTENTION WHERE OR HOW THE ADMINISTRATION
OF SCHOOL PERSONNEL OTHERWISE MAY BE LOGISTICS (COST, EFFORT, TIME) BE STAGED?
IDENTIFIED FALSE POSITIVES
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LEGAL & ETHICAL CONSIDERATIONS DISTRICT LEVEL POLICY &

PROCEDURES
PRIOR TO THE SCREENING POLICY PROCEDURES
PASSIVE VERSUS ACTIVE PERMISSION Prevention Aware of a concern
Identification Dont leave alone
MAINTENANCE OF RECORDS Intervention Notify Principal (and or Suicide Prevention
CULTURAL CONSIDERATIONS Reporting Coordinator)
Risk Assessment
DURING THE SCREENING Safety Planning
SUPERVISION OF STUDENTS Document
Communicate results to parents
COMMUNICATION OF RESULTS Hand-off
CONFIDENTIALITY PSBA Model Policy, 2015
Re-entry and on-going monitoring

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DEVELOPING SCREENING
PROCEDURES RESOURCE MAPPING
A SYSTEM-BUILDING PROCESS TO ALIGN RESOURCES,
CONSIDERATIONS
STRATEGIES, AND OUTCOMES AVAILABLE. (CRANE & MOONEY,
DECISION TREE 2005)

COMMUNICATION PLAN
RESOURCE MAPPING

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TRAINING OF STAFF BUILDING PARTNERSHIPS

KEY TRAINING TOPICS Scale Score INTERNAL AND EXTERNAL
USE OF THE SCREEN Depression

Anxiety
0-4 ; Mean of 5 items

0-4 ; Mean of 4 items

SCHOOL TEAMING
MULTI-TIERED SYSTEMS OF SUPPORT (E.G., PBIS)
INTERPRETATION OF RESULTS Suicide - Current

Traumatic Distress
0-4 ; Mean of 3 items

0-4 ; Mean of 3 items STUDENT ASSISTANCE PROGRAM (SAP)

REVIEW OF PROCEDURES Eating Disorder 0-4 ; Mean of 4 items COLLABORATION AND CROSS-SYSTEMS PARTNERSHIPS
ASSIGNING ROLES
Substance Abuse 0-4 ; Mean of 4 items
STUDENTS AND FAMILIES
SCHOOL MENTAL HEALTH PROFESSIONALS
DRAFTING TRAINING AND COMMUNITY MENTAL HEALTH REFERRALS
SUPPORTING DOCUMENTS CRISIS REFERRALS

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ENROLLMENT & REGISTRATION SCREENING BASIC LOGISTICS

qTARGET POPULATION qPROCURING DEVICES
qGROUP/COHORT SIZE qLOGGING IN
qACCOMMODATION/MODIFICATION qSUPERVISION
qTIMING/SCHEDULING qHAND-OFF PROCEDURES
qIDENTIFY SPACE qDOCUMENTATION
qSCREENING ENVIRONMENT qPARENT COMMUNICATION
qSUPPLIES

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AFTER SCREENING
CLINICAL INTERVIEWS TEAM DEBRIEFING
1 . WISH TO DIE* BASIC DISCUSSION POINTS Scale Score
o HAVE YOU WISHED YOU WERE DEAD OR WISHED YOU COULD GO TO SLEEP AND NOT
WAKE UP?
2. SUICIDAL THOUGHTS*
WHO WAS RED FLAGGED Depression
Anxiety
0-4 ; Mean of 5 items
0-4 ; Mean of 4 items
o HAVE YOU ACTUALLY HAD ANY THOUGHTS OF KILLING YOURSELF?
3. SUICIDAL THOUGHTS WITH METHOD
WHO WAS INTERVIEWED Suicide - Current
Traumatic Distress
0-4 ; Mean of 3 items
0-4 ; Mean of 3 items
o HAVE YOU BEEN THINKING ABOUT HOW YOU MIGHT KILL YOURSELF?
4. SUICIDAL INTENT (W/O SPECIFIC PLAN) WHAT YELLOW FLAGS Eating Disorder 0-4 ; Mean of 4 items

REVIEW OF PROCESS
Substance Abuse 0-4 ; Mean of 4 items
o HAVE YOU HAD THESE THOUGHTS AND HAD SOME INTENTION OF ACTING ON THEM?
5. SUICIDAL INTENT W/ SPECIFIC PLAN
o HAVE YOU STARTED TO WORK OUT OR WORKED OUT THE DETAILS OF HOW TO KILL
YOURSELF? DO YOU INTEND TO CARRY OUT THIS PLAN?
6. SUICIDAL BEHAVIOR
DISCUSS AREAS FOR
o HAVE YOU EVER DONE ANYTHING, STARTED TO DO ANYTHING, OR PREPARED TO DO IMPROVEMENT
ANYTHING TO END YOUR LIFE? YES - HOW LONG AGO DID YOU DO ANY OF THESE?

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DATA ANALYSIS WHY NOT???

INDIVIDUAL STUDENT LEVEL RISK AND REFERRAL INFORMATION
INTEGRATION WITH OTHER STUDENT-LEVEL DATA FOR DECISION-MAKING, INTERVENTION, AND REFERRAL WE SCREEN FOR EVERYTHING ELSE
AGGREGATE DATA USAGE ITS PART OF COMPREHENSIVE SUICIDE PREVENTION
PROGRESS MONITORING WERE BEING ASKED TO DO SO
ITS BOTH OUR LEGAL AND ETHICAL OBLIGATION

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QUESTIONS?

Melissa Boas Perri Rosen Stephen Sharp

melissa_boas@hempfieldsd.org c-prosen@pa.gov stephen_sharp@hempfieldsd.org

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