● Establish whether parent contact is necessary and would be
supportive. Whenever possible, work with the student to inform
parents.
● If self-harm has a suicidal intent or could lead to accidental death,
then confidentiality has to be broken and parents/guardians must be
informed.
● If it is established that self-harm is superficial and cannot cause
serious injury or death, e.g. scratches, confidentiality can be
maintained (see Cornell program for Self-Injury for more information)
● If the self-harm consistently increases in either frequency or intensity,
an outside referral for psychiatric assessment should be made.
● If the self-harm is occurring on school premises, counsellors should
include a non-self harm agreement which is meant as an agreement
not to self harm on school grounds.
Responding to students at risk of suicide
If a counsellor believes that a student is at risk of suicide, the following procedure is
followed:
Students will be assessed for lethality by an external professional such as a
Psychiatrist or Clinical Psychologist. Students will be informed up front that
confidentiality cannot be maintained when a student is at risk of suicide.
Parents or guardians will be informed if the counsellor determines that the student
is indeed at risk. When possible, the student should be part of the conversation.
Parents should be given information and options of what they can do to help their
child. This may include:
● Family physician for referral
● Local hospitals with psychiatric services
● Local public mental health agencies
● If parents refuse to take action, refusal will be documented and the
student may be removed from school until support is provided and the
student is deemed safe.
If parents/guardians cannot be contacted and the child is seriously at risk…
● Consider treating the situation as a medical emergency
● Refer to student nurse or ask Principal to call for ambulance
● Transport to a hospital where psychiatric services are available
Students at Significant Risk:
If a student is considered at significant risk (suicidal, behavioral, addiction,
psychosis, etc.), CCS may require a letter from a Psychiatrist stating that it is safe
for them to continue to be at school. In order to maintain attendance at CCS the
student may be required to follow the Psychiatrist’s recommendations. This may
include outside support from a licensed Psychiatrist or other specialist in order to
ensure the student’s safety and well-being. If a family refuses or fails to provide
the specified support, the student may be dismissed from CCS until required
support and communication with recommended professionals is established.
Behaviour-related Issues:
The role of the counsellor is to support students and ensuring emotional welfare. At
times the counsellor may be involved in issues related to student discipline,
especially when issues involve student relationships. In these cases, the counsellor
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