1. (a) Plan. The facility shall have a written suicide prevention plan developed in consultation with a mental health provider that, at a minimum, addresses the following components:

   1. (1) definitions of moderate and high risk for suicidal behavior;
   2. (2) a screening methodology to assess and assign a resident's risk of suicide upon admission into the facility, and upon any indication a resident previously screened may now be at moderate or high risk for suicidal behavior. The screening methodology shall include specific provisions regarding the assessment of risk when a resident refuses or is unable to cooperate with the screening process;
   3. (3) communication protocols among facility staff, mental health providers, the resident's juvenile probation officer, the resident, and the resident's parent, legal guardian, or custodian, including communication regarding observations or indications a resident previously screened may now be at moderate or high risk for suicidal behavior;
   4. (4) level of supervision for residents assigned to moderate or high risk for suicidal behavior;
   5. (5) policies and procedures for intervening in suicide attempts;
   6. (6) reporting of resident suicides and attempted suicides, in accordance with any applicable state law, administrative standard, or local policy or ordinance;
   7. (7) staff training on the contents and implementation of the suicide prevention plan;
   8. (8) housing of residents assigned to moderate or high risk for suicidal behavior, including the removal from the resident's presence any dangerous objects which may include clothing and bedding items; and
   9. (9) mortality reviews designed to review the facility's compliance and possible needed revisions to the suicide prevention plan following a resident's suicide.
2. (b) Implementation. The facility shall implement the suicide prevention plan, and all residents shall be screened and assessed for suicide risk upon admission and as necessary thereafter.

Source Note:The provisions of this §343.340 adopted to be effective January 1, 2010, 34 TexReg 7095; amended to be effective September 1, 2013, 38 TexReg 4387.