Submit a Suicide Incident Referral Form

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  • Any individual (friend, relative, faculty, residence hall staff) can submit a Suicide Incident Referral form if they are aware of a student who has recently made a suicidal threat or attempt and is no longer in imminent danger. 
  • PLEASE NOTEIf there is an emergency that involves a risk of harm to self or others, please contact campus police at 217-333-1216 or dial 911 BEFORE filling out this referral form. Referrals are reviewed during normal business hours and are not monitored after hours, on weekends, or on holidays. Although referrals from this form are reviewed by a variety of campus partners working to assist students, it is NOT designed for emergency response situations.
  • Information about University of Illinois Suicide Prevention Policy.