Response Guide
The response guide will assist you in determining how to respond to distressed, disruptive or at-risk individuals. The guide is divided into three categories:
- situations requiring immediate assistance,
- situations requiring some assistance and
- situations you can address on your own.
Urgent Situations Requiring Immediate Assistance
Immediate risk to self or others
Types of signs and symptoms:
- Situation presents an immediate threat of harm to self or others (e.g., individual has a weapon, verbal threats are being made).
- Individual discloses intent to harm others or take own life.
- Multiple indicators of distress are evident (e.g., difficulty focusing, decreased appetite or weight loss, poor class attendance, can’t sleep and appears exhausted).
- Issue is impacting multiple areas of an individual’s life (e.g., family, academic, social, personal).
Examples:
- Individual attempts or threatens to cause physical harm to others.
- Individual states that if a situation is not resolved appropriately “you will pay for it.”
- Individual threatens immediate danger to self (e.g., threatens to shoot self, take pills, jump off a building).
- Student in the classroom is yelling, does not respond to the instructor’s attempt to de-escalate the situation.
- Individual is unconscious, unresponsive or tells you that pills were ingested.
- Student has not followed an employee’s repeated requests to stop the disruptive behavior and is ignoring the employee’s request that the student leave the office.
How to respond:
- Call 911 when the individual poses an immediate danger to self or others.
- Share documentation with your supervisor or chair/director per department protocol.
Situations Requiring Assistance
Possible risk to self and others
Types of signs and symptoms:
- Individuals may be at risk to self or others.
- Several indicators of distress are evident (e.g., difficulty focusing, decreased appetite, poor class attendance, can’t sleep).
- Expressions of hopelessness.
- Emotional reaction is out of proportion to situation.
- Issue is impacting more than one area of an individual’s life (e.g., family, academic, social, personal).
Examples:
- Individual exhibits behavior that seems disorganized or paranoid. Individual may not be in touch with reality.
- Individual reports a history of self-injurious behavior (e.g., cutting or burning self) and reports the urge to engage in this behavior again.
- Individuals experiencing a sudden and distressing event (e.g., death of a loved
one, break up, divorce) and seems emotionally inconsolable.
How to respond:
- Consult with a resource about your concerns.
- Inform a distressed individual that you would like to call a mental health resource to obtain guidance about how to best help.
- Call NEOMED Police at 330.325.5911.
Situations You can Address & Make Referrals
Minimal risk to others
Types of signs and symptoms:
- Individual does not express or indicate issues of risk to self or others.
- Only a few indicators of distress are evident (e.g., difficulty focusing, trouble with sleep).
- Disrespectful or inappropriate language.
- Visible distress, academic difficulties, sleep or eating problems, emotional outbursts, social withdrawal.
- Issue is typically impacting only one area of the individual’s life (e.g., family, academic or social).
Examples:
- Individual reports being distressed or anxious and denies suicidal or homicidal thoughts.
- Individual sends an email with profanity demanding immediate response.
- Individual appears to have distorted body image and frequently references a desire to lose weight.
- Student raises voice at the office receptionist and demands assistance.
- Individual is stressed about an upcoming exam and discloses history of test anxiety.
How to respond:
- Offer information and resources.
- Share your concerns and offer campus and/or community resources that may help with the individual’s issue. Consult this card for specific resources.
- Consult with the Office of Student Affairs to determine an appropriate course of action for disruptive behavior.
- Consider following up with the individual to express concern and see if any help
is needed getting connected to campus resources. - If in doubt, consult with your supervisor or chair/director.
Contact
Main Campus
Phone: 800.686.2511
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