Suicide report form 2025

See details

4.7 out of 5

39 votes

The document is a Suicide Incident Report Form used by the Counseling Center at the University of Illinois to report and address suicidal crises among students. It collects personal data about the student, details of the incident, background information, and prior counseling history to help identify risk factors and encourage students in crisis to seek counseling.

Here's how it works

01. Edit your spot report sample online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send suicide incident report via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out the suicide report form with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the suicide report form in the editor.
Begin by filling out the Personal Data section. Enter the student's name, age, race, sex, year in school, college, major, and university ID number. Ensure all fields are completed accurately.
Proceed to the Incident Information section. Record the date and time of the incident, along with its location. Select the nature of the incident by checking the appropriate box.
If applicable, provide detailed information about threats or attempts in their respective sections. Describe events leading up to the incident and any plans or means involved.
Complete the Background Information section by indicating living situations and potential stressors that may have contributed to the incident.
Finally, fill out your contact information as the author of this report and ensure all details are correct before submitting.

Start using our platform today for free to complete your suicide report form efficiently!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How to report on suicides?

10 Tips for Reporting on Suicide Use appropriate language such as died by suicide instead of committed suicide Report suicide as a public health problem and provide resources such as 988 Suicide Crisis Lifeline and treatment options. Provide information on warning signs of suicide risk.

Who is qualified for risk assessment?

Who should undertake a Risk Assessment? Only competent staff should conduct Risk Assessments. They must be able to demonstrate an understanding of the process, the hazard and risk, and the activity that forms the risk.

What are the five steps of the suicide assessment process?

This resource gives a brief overview on conducting a suicide assessment using a five-step evaluation and triage plan. The five-step plan involves identifying risk factors and protective factors, conducting a suicide inquiry, determining risk level and interventions, and documenting a treatment plan.

Who is qualified to do a suicide risk assessment?

Patients who screen positive for suicide risk on the ASQ should receive a brief suicide safety assessment (BSSA) conducted by a trained clinician (e.g., social worker, nurse practitioner, physician assistant, physician, or other mental health clinicians) to determine if a more comprehensive mental health evaluation is

What are the three Rs of suicide intervention?

This section introduces the Three Rs Framework recognize, respond, refer as a way to support students who may be in distress. This section focuses on how to recognize signs of distress, including signs that a student may be considering suicide.

spot report suicide incident

mcps crisis center form samaritans leading cause of suicidal death suicidal tendencies

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

What are three guidelines for assessing suicidal behavior?

Identify Risk Factors. Factors that may increase the risk of suicide: Identify Protective Factors. Protective factors buffer individuals from suicidal thoughts and behavior. Conduct a Suicide Inquiry. a. Determine Risk Level. The risk level is determined with the previous three steps: Determine Intervention.

What is the difference between suicide screening and suicide assessment?

Screening may be done orally (with the screener asking questions), with pencil and paper, or using a computer. Suicide assessment usually refers to a more comprehensive evaluation done by a clinician to confirm suspected suicide risk, estimate the immediate danger to the patient, and decide on a course of treatment.

What factors must be considered when conducting a risk assessment for a client with suicidal or self harm risks?

This includes assessment of the persons physical condition, previous suicide attempts, alcohol and other drug use, current mental state, history of mental illness, psychosocial factors and determination of current risk of suicide.

Suicide report form 2025

Here's how it works

How to use or fill out the suicide report form with our platform

Complete this form in 5 minutes or less

Got questions?

How to report on suicides?

Who is qualified for risk assessment?

What are the five steps of the suicide assessment process?

Who is qualified to do a suicide risk assessment?

What are the three Rs of suicide intervention?

Complete this form in 5 minutes or less

People also ask

What are three guidelines for assessing suicidal behavior?

What is the difference between suicide screening and suicide assessment?

What factors must be considered when conducting a risk assessment for a client with suicidal or self harm risks?

spot report format

Try more PDF tools