1.Indicators of High Risk Suicide among adolescents suicide intent along with a plan formulated are as follows:lack of strong family and/or social support;associated co morbidity factors (homosexuality, alcohol or drug use, violentoutbursts, accidents);access to firearms;family or friend with suicide or suicide attempt history;previous suicide attempt(s);impulsive behavior; andtrouble with the law.2.When the likelihood of a suicide attempt is high and the problem requires immediate and continuous adult supervision to protect the adolescent from harm, the counselors must notify parents or guardians of the gravity of the situation, even though the adolescent may not consent. Counselors should clearly outline to the adolescent their reasons for stepping outside the confidential relationship and work to devise a management plan that includes both adolescent and parents.3.The adolescent should be referred for an evaluation by a psychiatrist skilled in working with adolescents and their families. Parents should be advised to remove firearms and other weapons, as well as potentially lethal medications, from the home. Ongoing medical follow-up by the primary counselors is important to assure that the referral was completed. Most suicidal patients are ambivalent about their intentions and are willing to abandon suicidal behavior. Often, suicidal adolescents seek medical care shortly before their
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Suicidal ideation, mild depression, local strategic partnerships