Get University Of Illinois Suicide Incident Report Form

The University of Illinois Suicide Incident Report Form is a crucial tool for alerting the Counseling Center to students in crisis. This guide provides detailed steps to help you fill out the form accurately and efficiently, ensuring that your report is clear and helpful.

Follow the steps to complete the online form effectively.

1. Press the ‘Get Form’ button to access the form and open it in your preferred online editor.
2. Begin filling in the personal data section. Start with the student’s name, including their last and first names. Proceed to enter the age, race, and sex from the provided options.
3. Indicate the year in school by selecting the appropriate option: Freshman, Sophomore, Junior, Senior, Masters, Doctoral, Professional, or Other. If 'Other' is chosen, specify the year.
4. Complete the college and major fields with the relevant information. Also, provide the University ID number in the specified format.
5. In the incident information section, input the date and time the incident occurred. Be specific about the location, including the room number and residence hall, street, and city.
6. Choose the nature of the incident by checking one of the three provided options concerning the threat, gesture, attempt, or actual suicide.
7. If a threat was made, answer the questions regarding the events leading up to it, indicating whether the threat was verbal or written, if the person had a plan, and if they had the means to carry out the threat.
8. If it was a gesture, attempt, or actual suicide, provide detailed descriptions of the event, the means used, involvement of any secondary means, how the incident was discovered, and how it was handled.
9. In the background information section, indicate the living situation of the person, and check all applicable stressors that may have contributed to the incident.
10. Answer the questions regarding prior counseling and previous suicide behaviors, providing descriptions as necessary.
11. List any contacts who could provide further information about the incident, including their names, phone numbers, and relationship to the student.
12. Finally, fill in the author's information. Include your name, title or relationship to the student, department, phone number, and date of the report.
13. Once all sections are completed, review the entire form for accuracy, then save your changes. You can download, print, or share the form as needed.

Complete the University of Illinois Suicide Incident Report Form online to help support those in crisis.