Aurora Public Schools
Suicide Risk Assessment Website
For urgent consultations contact the AWARE team: 720-948-3347
Welcome to the Aurora Public Schools Suicide Risk Assessment Website.
You will find everything you need to complete a suicide risk assessment including resources to enhance your practice.
All of the suicide risk assessment forms (Non-Acute, Acute, Safety Support Plan, School Re-Entry) are meant to be filled out electronically. After you submit each part, you will be emailed a confirmation email, PDF of the form you completed, and directions to proceed to the next section.
Below you will find information intended to help guide you through this process.
Suicide Risk Assessment Forms
**Starting Point for All SRA's**
This form includes all SRA forms (Non-Acute, Acute, and Retroactive Acute).
This is the documentation of the suicide intervention.
**Required for all Acute and Retroactive SRA's**
This form documents the conversation with the student/family about higher level assessments or treatments received due to acute
Children's Hospital: 720-777-4715 -> Select Option 3 -> Select Option 2
**Required for All SRA's**
This is the documentation of the plan discussed with the student and/or family that will help the student stay safe when they experience suicidal thoughts.
SRA Note Catchers
These note catchers are designed to help providers focus on the intervention with a student. If there is any additional tools that could be helpful in your intervention please let us know.
*When printing, make sure to adjust the scale to fit to paper*
*You must make a copy in order to use*
*You must make a copy in order to use*
Templates for Safety Support Plans:
Safety Support Plans are completed to document the steps the school is doing to with the student and family to ensure safety. The actual plans that are shared with the student to remind what steps can be taken to keep themselves safe have no required format. These plans should be individualized to meet the students needs and abilities. Below are templates of examples that can be used.
Resources
Intervention Resources
StartYourRecovery.org - a resource for young adults who may be struggling with substance abuse
Family Resources
Postvention Resources
StartYourRecovery.org - a resource for young adults who may be struggling with substance abuse
Need Assistance?
Please reach out to your Yamel Ramirez Morales for support and guidance with regard to completing a suicide risk assessment:
720-948-3347
Support, questions, or changes with regard to the SRA, Safety Support Plan or School Re-Entry form along with parent requests for a copy of the SRA please contact Yamel Ramirez Morales.
Note: Please DO NOT use Internet Explorer to complete any forms - Google Chrome is preferred.
For any other questions or if you cannot reach your AWARE Systems Consultant feel free to contact:
Kim Kaspar, Mental Health and Counseling Coordinator
(720) 640-8831
Jessica O'Muireadhaigh, Director of Mental Health and Counseling
Suicide Prevention & Crisis Resources
National Suicide Prevention Hotline: 1-800-273-8255
Nacional de Prevención del Suicidio: 1-888-628-9454
Lifeline Chat: suicidepreventionlifeline.org/chat
Crisis Text Line: Text HOME to 741741
The Trevor Project (LGBTQ youth): 1-866-488-7386, text START to 678678, or visit TrevorChat (www.thetrevorproject.org/get-help-now)
Trans Lifeline: 877-565-8860
Children's Hospital Lead Clinician: 720-777-4715 -> Select Option 3 -> Select Option 2
Fax: 720-777-7397
Child Abuse Reporting Guidelines
Child Abuse Reporting Process
Always:
Make verbal report ASAP. Note report tracking number and human service contact person.
Arapahoe County: 303-636-1750
Adams County: 303-412-5212
Document on CPS form 1203 (hard copy OR new PDF below)- complete all areas of form & submit
Form 1203 (hard copy) can be ordered through APS Print Services
*Fax completed form to APS Child Protection Fax # 303-326-1268
*File completed form in secure file at school
(*During school closure, faxing to APS and filing at school can wait until schools reopen)
Submitting completed forms:
1. Download (DO NOT complete until downloaded!) new PDF form and electronically fill out new PDF form with fillable fields. Form can be used for both counties.
2. Submit form:
Submitting to Arapahoe County: Download and complete. Submit through the button in the lower right hand corner of the form titled "Email Completed Form". If the "Email Completed Form" link does not work, email to ACDHSSchoolReports@arapahoegov.com .
Submitting to Adams County: Download, complete and email attached to Tashley@adcogov.org .
OR
B. Mail hard copy Form 1203 to proper county address at bottom of form
Child Abuse Prevention Resources
Alternate Resources to Emergency Rooms
Intensive Outpatient (IOP)
720-777-6200
Takes Medicaid
Takes Medicaid
Community Based Services (CBS) includes intensive in-home programs providing therapeutic services in the child’s home and community between two and 30 hours per week. This program serves the entire family and focuses on emotional and behavioral challenges, mental health concerns, case management, family preservation, reunification and preventing out-of-home placements. The treatment team consisting of a master’s level clinician and family support specialist(s), develop an individualized plan to focus on therapy, psycho-education, support and coaching. Services are available at flexible times during the day and seven days per week. The CBS team also offers bilingual, culturally-relevant services to Spanish-speaking families.
Contact the Admissions Department at 303-433-1232 or email admissions@tennysoncenter.org.
719-633-4114
Takes Medicaid
Partial Hospitalization Programs (PHP)
Partial hospitalization includes structured and intensive daily programming for children and adolescents experiencing serious emotional and behavioral challenges: Eating Disorders Program, Medical Day Treatment, Neuropsychiatric Special Care, Partial Hospitalization Program
For more information, or to schedule an appointment, call 720-777-6200
Takes Medicaid
A newer place in Denver (also in other locations). Denver location provides Partial Hospitalization treatment for adolescents (focusing on some diagnoses, including OCD, anxiety, and depression).
Medicare is handled differently depending on the type of Rogers program and the location a patient receives treatment.
Both IOP & PHP
- Health One/Medical Center of Aurora (Aurora)
303-360-3736 or 303-269-3303
Takes Medicaid
Does not take Medicaid
Phone: 720-780-1389 – this number will connect you to one of our admissions counselors.
Email: admissions@embarkbh.com – if you choose to send an email, please include the client’s name, date of birth, insurance information, and diagnosis
Web: for professional referrals, please visit www.embarkbh.com/refer-a-client
Contact information for staff at the clinic:
Dr. Myra Irani (Executive Director) myra.irani@embarkbh.com
Trevor Runyon (Executive Assistant) trevor.runyon@embarkbh.com
Madison Braid (Enrollment Director) Madison.braid@embarkbh.com
Emmett Wells (Clinical Director) Emmett.wells@embarkbh.com
Sydney Bartel (Clinical Therapist) sydney.bartel@embarkbh.com
Jenilyn Bartolo (Clinical Therapist) Jenilyn.bartolo@embarkbh.com
720-643-4300
720.348.2800
Summit is the adolescent Partial Hospitalization Program (PHP). Summit is designed for patients who may benefit from continued treatment once discharged from our inpatient program. Summit serves children and adolescents ages 11 to 17 who need intervention and treatment in a less-intensive environment than inpatient hospitalization. However, PHP is significantly more intensive than traditional outpatient treatment programs. Summit is designed to teach multiple coping strategies for patients who struggle with behavioral challenges resulting in: self-injury, lack of focus, hyperactivity, boundary-setting, and problem-solving. Summit meets each Monday through Friday (except holidays) from 8:30 AM to 2:30 PM. Children may enroll any day following a complimentary assessment.
Takes Medicaid
303-666-2009 or 720-362-8012
719-444-8484
Takes Medicaid
Substance Use Resources
"Suicide, addiction, and depression have a very close and interconnected relationship. More than 90% of people who fall victim to suicide suffer from depression, have a substance use disorder (SUD), or both."
"Of all the factors associated with suicide, only depression (66% of people who fall victim to suicide are dealing with depression at the time) is more closely correlated than substance abuse. Individuals with a substance use disorder are nearly 6 times as likely to attempt suicide at some point in their life."