Suicide Risk Reporting Form

Under Maryland law, MCPS staff members have a legal duty to act when they suspect a student’s suicidal intent. This law has two essential elements:
Intervene: MCPS staff have a duty to use reasonable means to attempt to prevent a suicide when they are on a notice of a student’s suicidal intent.
Parent/Guardian Notification: MCPS staff are required to warn parents/guardians of any suicide threat, including secondhand information, even
when the student denies the threat.
Please complete all items below before the end of the school day. Indicate date and time when each step occurred. Some steps are mandatory.

Suicide Risk Reporting Form	154 K	English
Formulario para Reportar Riesgo de Suicidio	77 K	Spanish
Formulaire pour Signaler le Risque Suicidaire	76 K	French
Đơn Báo Cáo Nguy Cơ Tự Vận	102 K	Vietnamese
自殺風險報告表	283 K	Chinese
자살 위험 보고 양식	236 K	Korean
ራስን የመግደል ጥርጣሬ ሪፖርት የሚደረግበት ቅጽ	74 K	Amharic

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