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Suicide Risk Reporting Form

About this Form

Form number: 335-54

Audience:  School Staff

Last revised: November 2021

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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.

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