Colorado Crisis and Support Line

  • 1-844-493-TALK (1-844-493-8255)

Metro Crisis Line

  • 1-888-885-1222

National Suicide Prevention Lifeline

  • Call 988 (press 2 for Spanish) or visit the Suicide & Crisis Lifeline website: 988 is now the three-digit dialing code that routes callers to the 988 Suicide & Crisis Lifeline (or 988 Lifeline). On July 16, 2022, the 988 Lifeline transitioned away from the National Suicide Prevention Line reached through a 10-digit number to the three-digit 988 Lifeline. It is funded by the Substance Abuse and Mental Health Services Administration (SAMHSA) and administered by Vibrant Emotional Health (Vibrant).

When people call, text, or chat with the 988 Lifeline, they are connected to trained crisis counselors who are part of the existing 988 Lifeline network, made up of over 200 local crisis centers. These crisis counselors are trained to provide free and confidential emotional support and crisis counseling to people in suicidal crisis or emotional distress and connect them to resources. These services are available 24 hours a day, seven days a week, across the United States.

  • National Suicide Prevention Lifeline, TTY 1-800-799-4TTY (1-800-799-4889)
  • National LGBT Youth Suicide Hotline, 1-866-4-U-TREVOR (1-866-488-7386)

Colorado School Safety Resource Center Created Suicide Prevention Materials

  • NEW - - Suicide Prevention and Intervention Risk Factors & Warning Signs

    • Created by the Colorado School Safety Resource Center (Updated: August 2022)
    • There is no definitive checklist of either risk factors or warning signs for adolescent suicide. This handout is provided as a guideline. Please consult the Colorado School Safety Resource Center’s: Resources for Youth Suicide Prevention and Intervention for additional information.

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  • NEW - - CSSRC Crisis Response Guidelines for K-12 Schools and Institutions of Higher Education (IHEs)

    • The new CSSRC Crisis Guidelines incorporate recommendations based on lessons learned from school tragedies in Colorado and across the country in an effort to prepare others for the possibility of one of these events. The guidelines also incorporate the input of K-12 and higher education school security experts, mental health providers, and crisis responders. 
  • CSSRC Suicide Assessment and Intervention Toolkit

    • Created in 2020 by staff of the CSSRC, this toolkit is based on the seminal text, Suicide in Schools A Practitioner's Guide to Multi-level Prevention, Assessment, Intervention and Postvention, 2nd Ed. Routledge, 2020. This text was written by Drs. Terri Erbacher, Scott Poland and Jonathan Singer and used with their permission. CSSRC would be happy to train any school mental health provider in using the toolkit but it is not disseminated without training. Please contact the Center at 303.239.4534 or CDPS_School_Safety_Center@state.co.us to arrange training. Resources for Youth Suicide Prevention and Intervention "A Guide for Schools CSSRC Risk Factors and Warning Signs (you'll find a copy on the CSSRC Tools and Templates page)
  • CSSRC Update: Youth Suicide Prevention: How to Recognize Signs and What to Do

    • This brief video provides tips on how to recognize signs that a youth may be suicidal and outlines the primary steps to take if you suspect a youth is suicidal. Features Anna Gisetti of the Colorado School Safety Resource Center
  • A Media Guide on the Reporting of School Tragedies

    • Created by the Colorado School Safety Resource Center in October 2014
    • This guide summarizes the copycat effect that media coverage can have on suicides and school shootings. Tips for covering school tragedies responsibly are presented.
  • Organizing A School Crisis Response

    • A checklist of considerations for responding to a school crisis event.
  • Preventing Suicide: The Role of High School Mental Health Providers

    • As a high school mental health provider, you have an important role to play. You are in a key position to:
      • Observe students' behavior and act when you suspect that a student may be at risk for suicide
      • Provide expertise, support, and information to teachers and other staff, students, and parents/legal guardians who may notice that a student is struggling
      • Determine the next steps to take regarding a student's safety and treatment
  • Resources for Youth Suicide Prevention and Intervention - A Guide for Schools (Compiled by CSSRC)

    • This guide includes a variety of resources that address suicide prevention and intervention for youth. It is a compilation of information and not an endorsement of any specific program or services.
    • This guide provides information resources for further investigation by a district and/or school before implementation in their community. Any program should be considered with adequate staff training and available school and community intervention resources. This information were updated in June 2021, and may be subject to change.
  • Student Suicide: Best Practice Recommendations Working Group

    • Student Suicide: Best Practice Recommendations Working Group Meeting Notes - Jan. 2018
      • In January 2018, a group of district and community mental health professionals spent an entire day reviewing the suicide protocols within their districts and making recommendations for any schools in addressing suicide. Notes from that meeting including links to resources that the group was willing to share and which the Colorado School Safety Resource Center (CSSRC) identified., If you have any questions about this document, please contact the CSSRC for more information.

Other Suicide Materials

13 Reasons Why Netflix Series

American Association of Suicidology

American Foundation for Suicide Prevention (AFSP)

Archives of Pediatrics & Adolescent Medicine

  • Recent Victimization Exposure and Suicidal Ideation in Adolescents
    • Published in October,  2012 in Archives of Pediatrics & Adolescent Medicine.
    • A team that studied the association between victimization and suicidal ideation concluded that it is important to assess young people who are believed to be at risk for suicidal ideation for a history of recent victimization and to assess young people who have histories of recent victimization for suicide risk. The team explored the relationship between victimization over the past year with self-reported suicidal ideation in the past month in children 10-17 years of age.
    • The data analysis revealed that four aggregate categories of victimization experiences by young people are associated with an increased risk of suicidal ideation:
      • Peer victimization
      • Sexual assault
      • Maltreatment by a caregiver (including physical and sexual maltreatment, as well as neglect)
      • Witnessing family violence

Centre for Addiction and Mental Health (CAMH)

Centers for Disease Control and Prevention (CDC)

  • As part of the injury prevention unit, the CDC provides research and information about suicide prevention. Bullying in any capacity-as a victim, perpetrator, or both-and suicidal ideation and behavior are significantly related. This key finding comes from the U.S. Department of Health and Human Services, Centers for Disease Control and Prevention (CDC)'s systematic review and meta-analysis of 47 studies published today in Pediatrics. Youth who bully others and who are bullied themselves were particularly likely to report suicidal ideation and behavior compared to youth who were only perpetrators or only victims.

Child Trends

  • Child Trends is a nonprofit, nonpartisan research center that provides valuable information and insights on the well-being of children and youth. For more than 30 years, policymakers, funders, educators and service providers in the U.S. and around the world have relied on our data and analyses to improve policies and programs serving children and youth. Our team of experts brings together a range of educational, work, policy and cultural experiences to provide cutting-edge research on issues affecting children from birth to early adulthood. Our work is supported by foundations, federal, state and local government agencies, and by nonprofit organizations.
  • Transitioning to Adulthood: The Role of Adolescent Depression and Suicidal Ideation (Nov. 2014)

Children's Safety Network (CSN)

  • Children's Safety Network
  • National Resource Center for Injury and Violence Prevention is dedicated to working with state, territorial and community Maternal & Child Health and Injury & Violence prevention programs to create an environment where all children and youth are safe and healthy. We work with states and territories to infuse knowledge, expertise, and leadership to reduce injury, hospitalization, disability and death for all children and youth.
  • Suicide Prevention

Colorado Department of Public Health and Environment (CDPHE)

CO Attorney General

Douglas County Sheriff Office

Dougy Center, the National Grief Center for Children & Families

eMed International Inc.

Journal of Adolescent Health

International Association for Suicide Prevention (IASP)

Mayo Clinic

  • Reach Out - Preventing Teen Suicide
    • Brief video produced in June 2013.
    • This positive music video encourages troubled teens to communicate with an adult for support and depicts how teens can talk to adults in a variety of situations.
  • Teen Suicide Prevention
    • Brief video published in June 2013.
    • Describes common signs that a teen is considering suicide and provides encouragement for communicating directly and immediately for support and safety. It also includes suggestions for what to say to a teen who may be at risk for suicide and ways to keep them safe.

National Association of School Psychologists (NASP)

National Child Traumatic Stress Network

  • Suicide and Refugee Children and Adolescents
    • Refugee children and adolescents who experience suicidal ideation may not receive the help they need as many refugee families do not seek traditional mental health services and lack access to other sources of support. Being informed about risk and protective factors for suicide among refugees can help identify those in need of services at an earlier stage. This 3-page fact sheet explains risk and protective factors as related to suicide and refugee children and adolescents and gives strategies for talking with refugee children and adolescents about suicide.

The Office of Community Oriented Policing Services (COPS Office)

  • Officer Safety and Wellness 
    • This document describes a variety of suicide prevention and awareness training programs, refutes some common myths, and provides concepts, resources, and promising practices for law enforcement executives. It also discusses strategies such as peer counseling, mentoring, employee assistance programs, and the use of staff psychologists.

Office of Juvenile Justice and Delinquency Prevention (OJJDP)

  • Juvenile Suicide in Confinement: A National Survey
    • Published February 2009. The primary goals of this first national survey on juvenile suicides in confinement (juvenile detention centers, reception centers, training schools, ranches, camps, and farms) were to determine the extent and distribution of such suicides and to obtain descriptive data on the demographic characteristics of each victim, incident characteristics, and the characteristics of the juvenile facility in which the suicide occurred.
  • Suicidal Thoughts and Behaviors Among Detained Youth
    • Published July 2014.
    • This bulletin examines rates of suicidal ideation and behaviors, the relationship between suicide attempts and psychiatric disorders, and differences by gender and race/ethnicity.

Partners for Children's Mental Health

  • The Partners for Children's Mental Health in collaboration with the Mental Health Youth Action Board (YAB) at Children's Hospital Colorado has developed youth-led video on suicide prevention in schools that would drive home a message in a powerful, memorable, and authentic way.
  • This video will now be incorporated into the trainings delivered as part of PCMH's efforts to increase the capacity of Colorado high schools to effectively identify, intervene, and support students at risk for suicide. The aim is that school professionals - from counselors to coaches to teachers - will feel encouraged to approach students and start a conversation about how they're doing. Partners for Children's Mental Health has also created a discussion guide to help school administrators and leaders discuss the video with staff after sharing it. If you have questions or want to learn more, reach out to the PCMH team at info@pcmh.org

Prevention Paradigm HuffPost

  • Native Americans are at higher risk for suicide than the general population, but suicide rates vary widely across tribal communities. That variation is important to keep in mind, according to Doreen Bird, an expert on tribal mental health. Each Native community has different mental health challenges and ways of coping with them. Bird recommends that researchers get to know these differences, as well as the specific cultural context of each tribal group, such as their views on illness and death. Involving Native people in prevention efforts can help ensure programs leverage local resources to meet the needs of the community. For example in Bird's, New Mexico Kewa Pueblo Tribe, spirituality and family are key sources of support. "As outsiders trying to make an impact, it behooves us to look at strengths and resilience that lie within each community," said Bird.

Purdue Global

  • Our Nation's Young and Suicide 
    • By Lisa Wright, PT, PhD. Professor, Purdue Global College of Social and Behavioral Sciences.
    • This resource provides review of the urgent need to prevent youth suicide, and offers tools in warning sign recognition and other tips for educators.

QPR Institute

RMC Health

  • Suicide Issue Brief
    • In an effort to prevent suicide, it is important to understand that students can experience suicidality in different ways. Suicidality can increase when a student experiences a painful loss, life event, or change that makes it difficult to cope. Although not everyone who dies by suicide exhibits observable warning signs, the majority of people do express some sign of suicidal ideation to someone else. Learning how to identify warning signs can help prevent suicide attempts. This document is produced in collaboration by Advancing IDEAS for Health and RMC Health with support from The Colorado Health Foundation. Suicide Issue Brief (PDF - 2.2MB)

Second Wind Fund

  • Second Wind Fund offers actual treatment services to at-risk children and youth. Second Wind Fund has built an innovative program to urgently match children and youth ages 19 and younger, who are at risk of suicide, with a licensed therapist in their local community.
  • Referrals are typically made by school mental health staff (School Counselors, Social Workers or Psychologists) and sometimes by other mental health professionals. Home schooled youth or those no longer attending school are also eligible. If the referred youth is at risk for suicide and does not have adequate insurance or the means to pay for the necessary mental health treatment, the cost of therapy is paid for by Second Wind Fund.
  • Eligibility Requirements and Making a Referral

Society for the Prevention of Teen Suicide (SPTS)

  • The mission of the Society for the Prevention of Teen Suicide is to reduce the number of youth suicides and attempted suicides by encouraging public awareness through the development and promotion of educational training programs.
  • Teens (SPTS). General information about youth suicide prevention. With links to additional SPTS resources.
  • FACTS - Warning Signs of Suicide (SPTS) - PDF
  • Talking to Your Kids About Suicide
    • From the Society for the Prevention of Teen Suicide, this guide provides practical information designed to enable parents to be comfortable in communicating with their children on the topic of suicide prevention.

Suicide Prevention Resource Center (SPRC)

  • Recommendations for Reporting on Suicide (pdf) | en Español
    • The Recommendations for Reporting on Suicide were developed by leading experts in suicide prevention and in collaboration with several international suicide prevention and public health organizations, schools of journalism, media organizations and key journalists as well as Internet safety experts. The recommendations are based on more than 50 international studies on suicide contagion.
    • Media and online coverage of suicide should be informed by using best practices. Some suicide deaths may be newsworthy. However, the way media covers suicide can influence behavior negatively by contributing to contagion or positively by encouraging help-seeking.
  • Suicide Prevention Resource Center (SPRC),Resources for Parents, Guardians & Families
    • This sheet lists a selection of websites and online information sheets that have suicide prevention resources for parents, guardians, and other family members. The resources provide guidance on talking with your child if you think he or she may be at risk for suicide and on coping with a suicide attempt or death. A few of the resources also discuss how you can take action at the school and community level to prevent suicide.

Substance Abuse and Mental Health Services Administration (SAMHSA)

  • National Strategy for Suicide Prevention (2012)
    • A report of the U.S. Surgeon General and the National Action Alliance for Suicide Prevention
    • The revised strategy emphasizes the role every American can play in protecting friends, family members, and colleagues from suicide. It also provides guidance that takes into account nearly a decade of research and other advancements in the field since the last strategy was published. The strategy includes 13 goals and 60 objectives across four strategic directions: wellness and empowerment, prevention services, treatment and support services, and surveillance, research, and evaluation.
    • The audience for the strategy includes prevention professionals, researchers, community coalitions, educators, media, policymakers, program planners, administrators, project managers, and public health professionals, among others.
    • Overview of National Strategy for Suicide Prevention
  • National Suicide Prevention Campaign for Teens - ReachOut.com
    • created by SAMHSA Ad Council and Inspire USA Foundation
    • Suicide is the Third Leading Cause of Death Among 15- to 24-Year-Olds
    • We Can Help Us campaign empowers teens by reminding them that there are ways to get through whatever problems they face.
    • Web site features stories from teens, as well as tips to help cope with tough issues and links to resources, including the National Suicide Prevention Lifeline, for teens who need immediate help. The PSAs will be distributed widely in the national media this week.
  • The National Suicide Prevention Lifeline
    • The National Suicide Prevention Lifeline is a 24-hour, toll-free suicide prevention service available to anyone in suicidal crisis. If you or someone you know needs help, please dial 1-800-273-TALK (8255). With more than 130 crisis centers across the country, the mission is to provide immediate assistance to anyone seeking mental health services.
    • This site provides materials to spread the word about the Lifeline. These materials can easily be customized with your organization's logo and contact information.

Suicide Awareness Voices of Education (SAVE)

  • TIPS for Watching New Netflix Series 13 Reasons Why
    • On March 31, Netflix will launch Thirteen Reasons Why, a TV series based on a popular novel of the same name. The fictional story is cautionary tale of a young girl's suicide, and covers other sensitive subject matter as the series progresses. In response to the series and in partnership with the Jed Foundation, SAVE drafted the following talking points to assist, parents, teachers, and other gatekeepers in talking to youth about suicide as it relates to the situational drama that unfolds in Thirteen Reasons Why.
  • Resource Page

Suicide Prevention Coalition of Colorado (SPCC)

  • The Suicide Prevention Coalition of Colorado was formed in 1999, when concerned citizens set out to create a statewide agency with the purpose of preventing suicide and creating a resource network for those who were working to prevent suicide around the state. Today, SPCC's membership of concerned agencies, organizations and individuals who are working in the areas of suicide prevention, intervention and postvention has statewide reach.
  • Suicide and Mental Health Resources by Colorado County
  • Suicide Prevention Resources for Colorado Middle and High Schools (Published - June 2014)
    • The development of this online resource is the result of a joint venture between the Office of Suicide Prevention (OSP) in the Colorado Department of Public Health and Environment (CDPHE) and the Suicide Prevention Coalition of Colorado (SPCC). The purpose of this compilation is to provide useable information about suicide prevention in schools which can be accessed by any concerned person who works in a school setting (i.e. teachers, psychologists, principals, students themselves), and to help them better understand the risk factors, signs and symptoms of suicide.
  • The Suicide Prevention Resource Center (SPRC) provides prevention support, training, and resources to schools and individuals to develop suicide prevention programs, interventions and policies, and to advance the National Strategy for Suicide Prevention.
  • The Best Practices Registry for suicide prevention (published as a collaboration between the Suicide Prevention Resource Center and the American Foundation for Suicide Prevention). The registry is funded by the Substance Abuse and Mental Health Services Administration (SAMHSA).
  • Recommendations were released for delivering public messages about suicide prevention that are strategic, safe, positive, and based in best practices. Explore the Framework for Successful messaging online.
  • Help Seeking by Young People based on "Associations between suicidal high school students' help-seeking and their attitudes and perceptions of social environment" Journal of Youth and Adolescence, 2012.
    • The reluctance of teens to seek help is not simple embarrassment or a lack of information, but often based on their perceptions - accurate or not - of whether asking for help will result in assistance that effectively addresses their problems.
  • Policies and Protocols Addressing the Needs of Youth Who Have Attempted or Are Considering Suicide
    • The purpose of this document, created in 2012,,is to provide recommendations for developing protocols designed to meet the immediate needs of adolescents and young adults who have expressed suicidal plans or have attempted suicide. All youth-serving organizations should have a protocol in place to guide the actions of program administrators and staff.
  • The Role of High School Mental Health Providers in Preventing Suicide (Published - Sept. 2012)
  • The Role of High School Teachers in Preventing Suicide (Published - Sept. 2012)
  • Suicide Prevention Primer (2011)
  • "Suicide and Bullying" Issue Brief (2011) on the relationship between bullying and suicide, especially as it relates to lesbian, gay, bisexual, and transgendered youth. The brief describes the extent of the problem and identifies strategies for bullying and suicide prevention.
  • Suicide Prevention Resource Center (SPRC) Online Training
    • All courses are available free of charge and can be completed at your own pace. Courses include:
      • A Strategic Planning Approach to Suicide Prevention
      • Locating and Understanding Data for Suicide Prevention
      • Counseling on Access to Lethal Means
      • Choosing and Implementing a Suicide Prevention Gatekeeper Training Program
      • The Research Evidence for Suicide as a Preventable Public Health Issue

Suicide Prevention | en Español

Suicide Prevention Resources Center

The Trevor Project

Trust for American Health

  • Alcohol and Drug Misuse and Suicide and the Millennial Generation - a Devastating Impact
    • In 2017, more than 152,000 Americans died from alcohol- and drug-induced fatalities and suicide. That's the highest number ever recorded and more than twice as many as in 1999. The largest number of these deaths, almost half, were the result of drug overdoses - more than the peak annual total from HIV, guns, or car crashes. Trust for America's Health and Well Being Trust have called for immediate and sustained attention and investment in a National Resilience Strategy to address this rising death toll.

University of Pittsburgh

U.S. Department of Health and Human Services

  • Ask Suicide-Screening Questions (ASQ) Toolkit
    • The Ask Suicide-Screening Questions (ASQ) Toolkit is a free resource for medical settings (emergency department, inpatient medical/surgical units, and outpatient clinics/primary care),that can help nurses or physicians successfully identify youth at risk for suicide. The ASQ is a set of four screening questions that takes 20 seconds to administer. In an NIMH study, a "yes" response to one or more of the four questions identified 97% of youth (aged 10 to 21 years) at risk for suicide. By enabling early identification and assessment of young patients at high risk for suicide, the ASQ toolkit can play a key role in suicide prevention.

Youth Suicide Report: Data through an Equity Lens (PDF - 2.1MB)

  • The Colorado Department of Public Health and Environment recently released a new report: "Suicide among Youth in Colorado, 2013-2017: Ages 10-18." The report includes summaries of demographic characteristics, trends, and life and situational circumstances most frequently associated with youth suicide deaths in Colorado. Its purpose is to inform, prevention and intervention efforts by agencies interested in decreasing the impact of youth suicide.

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