Forms → Staff → Health/Safety → Suicide Risk Reporting Form
Form number: 335-54
Audience: School Staff
Last revised: August 2017
Form 270-1 - Summary of Parent Conference
Form 336-32 - Authorization for Release/Exchange of Confidential Information
Form 560-10 - Crisis Center Referral Information
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 on the form before the end of the school day. Indicate date and time when each step occurred. Some steps are mandatory.
Forms require Adobe Acrobat Reader 8 or higher. Get Acrobat