Florida School Toolkit for K-12 Educators to Prevent Suicide

Tool 32 Annual Data Collection Report Item School Year and Report Date Number of students reporting suicidal ideation Number of students who made a suicide attempt Number of students who were treated under the Baker Act Number of students who were referred to community mental health providers Number of students whose family allowed record sharing between the school and community mental health providers Number of students who were hospitalized for suicidal behavior Number of reentry meetings held at school for suicidal students who were hospitalized Number of suicide safety plans developed jointly with suicidal students by school personnel Number of parents notified of the suicidal behavior of their child Number of students who died by suicide School:____________________________________________________________________________ Data Recorder Name:_________________________________________________________________ Phone:_____________________________ Email Address:_ _________________________________ Florida S.T.E.P.S.