There are a number of factors that can indicate a student may need a referral to talk to a mental health counselor:

• Directly or indirectly talking or writing about suicide, health, self-harm, or harm to others
• Isolating themselves from friends, family, or social settings (e.g., school, social, athletic, community activities)
• Sudden, uncharacteristic mood or personality change
• Sudden changes in physical appearance
• Change in academic performance
• Unhealthy peer or family relationships (e.g., physical, emotional, sexual abuse)
• Risk-taking behaviors
• Signs of an eating disorder
• Bullying or involvement in violent behavior
• Any other concerns that a student may be experiencing anxiety, depression, substance use, or persistent negative self-talk

Elementary Students

• Difficulty coming to school or staying at school all-day
• Family stressors
• Interactions with peers
• Grief/loss

Middle & High School Students

• Depression, decreased motivation, apathy, isolation from others
• Anxiety symptoms interfering with daily living or school
• Overwhelmed by social interactions or school in general
• Family stressors
• Grief/loss

Important Phone Numbers

• Emergency: 911

• Suicide Prevention Line: 988

• Cascade Community Healthcare Crisis Line: 1-800-803-8833 (Lewis County)

• Text HOME to 741741 to contact a Crisis Counselor 24/7 (national hotline)

• Child Protective Service: 1-866-764-2233

Here are some resources that can help you support your student’s mental health needs:

• Drew North Foundation on Facebook
• Kevin Hines – suicide prevention speaker
• Safe Harbor from ESD 113

The 988 suicide and crisis helpline is available 24 hours and in English or Spanish. Dial or text 988 to be connected.