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________________________________________________ b. What was the primary means that the person used to hurt him/herself? ________________________________________ ______________________________________________________ ______________________________________________________ c. Were there any secondary means involved (e.g., alcohol, drugs, medication)? If medication was involved, where was it obtained? ______________________________________________________ ___________________________________________.

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Related content

Making Illinois Safer: Injury, Violence, and...
The Burden of Injury, Violence, and Suicide in Illinois, 2010-2015 ... resources...
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University of Illinois Suicide Incident Report...
Suicide Incident Report Form. Revised 07/2014. The University of Illinois Suicide...
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Contact support

We offer individual counseling, group counseling, referrals to community therapists, and specialized assessments for alcohol and other drug use, ADHD, and disordered eating. All Counseling Center services are covered through the Health Service Fee.

Non-suicide Psychological Emergency Contact the Counseling Center at 217-333-3704, Monday through Friday between 8 a.m. and 5 p.m. For emergency services after-hours, please call the Crisis Line at 217-359-4141 (TTY: 217-352-4217).

Contact the Student Assistance Center (SAC) (Mon. - Fri. 8:30 a.m. – 5:00 p.m.) or the Emergency Dean (after hours), at 217-333-0050. If it is a true health or safety emergency, call 911.

The Faculty and Staff Mental Health Ambassador Program is a set of initiatives that aims to help current University of Illinois Urbana-Champaign faculty and staff understand and address student mental health concerns. Specifically, it provides training for faculty and staff to increase awareness of mental health.

To make an appointment with the Counseling Center, call 217-333-3704 or visit our online appointment scheduler. We also have embedded counselors whose work is focused on students in specific colleges or housing. Learn more about making an initial appointment with the Counseling Center.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232