90 Day Follow Up

Section A: Demographics

1. Which of the 8 classes in the “Youth Suicide Prevention for Educators” course did you complete? (check all that apply)*

Class 1: Suicide Prevention 101 and Debunking Myths
Class 2: School-related Epidemiology
Class 3: Risk and Protective Factors
Class 4: Warning Signs
Class 5: Review of School District Policies and Procedures
Class 6: How Educators Can Respond to Youth about Whom They Are Concerned
Class 7: Safe Messaging
Class 8: Postvention
I completed all 8 classes.

Have any students at your school or organization died by suicide in the last 3 months?*

Yes
No

How many students have died by suicide in the last 3 months at your school or organization?*

0 students
1 student
2 students
3 or more students

3.How many times in the last 3 months have you approached a student about your concerns that he or she might be feeling depressed?*

None
1 time
2-3 times
4 or more times

4. How many times in the last 3 months have you approached a student about your concerns that he or she might be feeling suicidal?*

None
1 time
2-3 times
4 or more times

5. How many times in the last 3 months have students approached you because they were feeling depressed or having thoughts of suicide?*

None
1 time
2-3 times
4 or more times

6. In the past 3 months, how many times did you refer/recommend a student for help (e.g., to a school counselor, psychologist, SAP, or crisis team) because you were concerned that he or she might be suicidal?*

None
1 time
2-3 times
4 or more times

7. In the past 3 months, how many times did you consult with a school mental health professional regarding concerns about a student’s mental health but did not formally refer the student?*

None
1 time
2-3 times
4 or more times

Section B: Attitudes

For each of the following statements, please indicate your response on the scale from "Strongly Disagree" (1) to "Strongly Agree" (6).

1. Teachers should not be responsible for discussing suicide with students.*

2. If a student contemplating suicide does not seek assistance, there is nothing I can do to help.*

3. I cannot understand why a student would contemplate suicide.*

4. I can recognize students contemplating suicide by the way they behave.*

Section C: Preparedness

Please indicate how prepared you feel to do the following:

1. Recognize when a student’s behavior is a sign of psychological distress.*

2. Recognize when a student’s physical appearance is a sign of psychological distress*

3. Discuss your concern with a student about his/her psychological distress*

4. Recommend a student who is exhibiting signs of psychological distress to seek mental health support services*

Section D: Self-Efficacy

Please indicate how confident you feel to do the following:

1. Discussing your concern with a student exhibiting psychological distress*

2. Knowing where to refer a student for mental health support at school or in the community*

3. Making a referral for supports/services for a student exhibiting psychological distress*

4. Following up with a student after a referral has been made or after the student returns to school to provide additional support*

Section E: Likelihood

Please indicate how likely you would be to do the following:

1. Discuss your concerns with a student who is exhibiting signs of psychological distress*

2. Recommend a student exhibiting signs of psychological distress to mental health/support services (e.g, a referral to school counselor, services outside the school such as a hotline or website)*

3. Discuss with school mental health staff your concerns about a student exhibiting signs of psychological distress*

90 Day Follow-up Survey

Section A: Demographics

Section B: Attitudes

Section C: Preparedness

Section D: Self-Efficacy

Section E: Likelihood

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