63N-1.0092. Screening for Suicide Risk

(1) Suicide risk screening conducted by the JPO or in the JAC shall include a review of available youth records, review of the PACT Mental Health and Substance Abuse Screening Report and Referral Form suicide category, administration of the MAYSI-2 which contains a suicide ideation subscale and administration of the Suicide Risk Screening Instrument (SRSI) (MHSA 002) sections denoted for the JAC or JPO unit. If further assessment is indicated by the SRSI, MAYSI-2 suicide ideation subscale or the PACT Mental Health and Substance Abuse Screening Report and Referral Form suicide category, or information obtained at initial intake suggests the youth is a Potential Suicide Risk, the following action must be taken in these circumstances:

(a) If the youth is to remain in the custody of DJJ, a Suicide Risk Alert must be entered into JJIS and the youth placed on Constant Supervision until an Assessment of Suicide Risk is conducted.

(b) If the youth is to be released to the custody of the parent or guardian, the parent or guardian must be informed that Suicide Risk Factors were disclosed during screening and that an Assessment of Suicide Risk should be conducted by a Mental Health Provider in the community.

1. The parent or guardian must be provided the Suicide Risk Screening Parent/Guardian Notification Form (MHSA 003, August 2006) which is incorporated by reference and is available at http://www.flrules.org/Gateway/reference.asp?No=Ref-03786 or may be obtained by contacting: DJJ, Office of Health Services, 2737 Centerview Drive, Tallahassee, FL 32399.

2. The parent or guardian’s signature is to be recorded on form MHSA 003.

3. A copy of form MHSA 003, signed by the parent or guardian, is to be permanently filed in the youth’s case management record and Individual Healthcare Record.

(2) Suicide Risk Screening in Detention Centers.

(a) Suicide risk screening conducted in a Detention Center shall include the following:

1. Review of Alerts in JJIS and available youth records, including the MAYSI-2 suicide ideation subscale, PACT Mental Health and Substance Abuse Screening Report and Referral Form suicide category and SRSI sections administered in the JAC or JPO Unit prior to the youth’s admission to the Detention Center.

2. Administration of the Suicide Risk Screening Instrument (SRSI) (MHSA 002) upon the youth’s admission to the Detention Center.

(b) If further assessment is indicated by the Suicide Risk Screening Instrument (MHSA 002) administered by the detention officer, detention nurse or Mental Health Clinical Staff Person or by the screening conducted by the JAC or JPO Unit or other information obtained at intake suggests the youth may be a Potential Suicide Risk, the procedures specified in Rule 63N-1.00921, F.A.C., shall be followed.

(3) Suicide Risk Screening in Residential Commitment Programs.

(a) Suicide risk screening conducted upon a youth’s admission to a residential commitment programs shall include:

1. Review of each youth’s commitment packet information; youth records and reports which document mental health or substance abuse problems, needs or risk factors; the PACT; MAYSI-2; and Alerts on JJIS.

2. Administration of the Massachusetts Youth Screening Instrument, Second Version (MAYSI-2) or Clinical Mental Health/Substance Abuse Screening which includes administration of a suicide risk screening questionnaire which has been confirmed to be valid and reliable in published research.

(b) When Suicide Risk Factors are identified by the MAYSI-2 suicide ideation subscale, Clinical Mental Health/Substance Abuse Screening or other information obtained at intake or after admission to the residential commitment program, the procedures specified in Rule 63N-1.00921, F.A.C., shall be followed.

(4) Suicide Risk Screening in Day Treatment Programs.

(a) Suicide risk screening conducted upon a youth’s admission to a day treatment programs shall include:

1. Review of available youth records and reports which document mental health or substance abuse problems, needs or risk factors, the PACT Mental Health and Substance Abuse Screening Report and Referral Form suicide category and Alerts on JJIS.

2. Administration of the Massachusetts Youth Screening Instrument, Second Version (MAYSI-2).

(b) When Suicide Risk Factors are identified by the MAYSI-2 suicide ideation subscale or other information obtained at intake or after admission to the day treatment program, the procedures specified in Rule 63N-1.00921, F.A.C., shall be followed.

Rulemaking Authority 985.64(2) FS. Law Implemented 985.601(3)(a), 985.14(3)(a), 985.145(1), 985.18, 985.48(4), 985.64(2) FS. History–New 3-16-14.