My student is considering suicide. What do I do now?

How to handle a (suspected) psychological crisis or emergency with a student? Follow the step-by-step plan or view the general tips at the bottom of the page.

The pressure of student and social life is not always enjoyable for everyone. It requires a good approach, discipline and focus. This doesn't work for all students. Students may start to worry and experience gloomy thoughts. Sometimes, there is a clear reason for this, and sometimes there isn't. A student psychologist from Fontys can work with the student to explore what the gloominess looks like and what the cause is.

It is important that the student promptly contacts their own general practitioner (gp). For instance, if there is a disrupted sleep pattern, a persistently low mood throughout the day, a clear decrease in interest and enjoyment in activities, fatigue or loss of energy during the days, feelings of worthlessness, and thoughts of death. The gp can refer the student to further support and therapy. The student psychologists at Fontys are willing to assist the student and you as a student coach. We do not offer long-term therapy, as this is often necessary for this issue.

What can you do as a student coach?

  • Refer the student promptly to their own general practitioner. If a student is already seeing an external therapist, refer the student to them.
  • Take some quiet and regular moments to review the "Guidelines for Dealing with (Suspected) Suicide." This document outlines how to respond to a student's psychological crisis or distress, providing a clear step-by-step plan and offering useful tips on what to do.
  • Save the phone numbers listed in the guidelines (including the phone number of the nearest general practitioner's office to your workplace) in your work phone.

  • Inform your colleagues about this website and share this information.
  • Discuss cases with colleagues and, if necessary, with your supervisor.
  • In the team, discuss which colleagues have experience and a passion for identifying and supporting students with gloomy thoughts. This colleague can serve as the primary point of contact within the program or institute regarding this issue. Ensure that everyone is aware of this and knows how to reach the colleague.

Useful tips and referrals

  • Do not promise confidentiality
  • Share your concern
  • Call your supervisor regardless of the time of day
  • Not every statement about suicide will lead to action; it may be a response to stress. Try to put it in perspective > binding study advice (BSA) approaching, lots of exams, etc. Some statements are a phase/age-related. Always take the student's feelings seriously and refer them to a student counsellor and/or student psychologist.
  • Always record the consultation(s) and the decision(s)
  • If you have an uneasy feeling after a conversation with a student, attempt to speak to the student (by phone or in person). Try to see if you can confirm your instincts.
  • If your instincts are correct, discuss the options for help internally at Fontys as well as externally.

The referral depends entirely on the situation at hand. This page includes a step-by-step guide with the appropriate referrals.

  • Encourage the student to make an appointment with a general practitioner or to the external therapist if a student has one.
  • If in doubt, consult a student psychologist via +31 (0)8850-80000.
  • You can also call 113Online (+31 (0)800-0113 or 113) for a consultation. See www.113.nl.
  • In case of immediate safety concerns at a Fontys location: contact the internal emergency number 08850-77119 (control room)! The control room will promptly coordinate with emergency services and provide gate access.
  • In case of immediate safety concerns outside a Fontys location: call 112!

Step 1: How serious is the situation?

Try to assess this based on the conversation you had, or ask the student about it directly. Asking a direct question about thoughts or plans to commit suicide will not cause the student to actually take action. The student will have these thoughts even without your intervention and would probably feel a sense of relief at being able to talk to someone about it.

  • Document the agreements with your student for evidentiary purposes.
  • Discuss the case with your colleagues; you don’t have to bear this alone.

Light

The student has occasional thoughts of suicide, is still able to think about other things, and is aware of the effect on friends and family. No definite plans or preparations yet.

Medium

The student often has thoughts and visions of suicide, feelings of despair, has a definite plan with preparations, thinks it would be better for others if he/she were no longer there. Farewell letters are sometimes considered or composed.

Serious

The student only thinks about suicide, has great feelings of despair, is not concerned about the effect on others, there is a definite plan, possibly already practised. A trigger could lead to suicide at any moment.

Step 2: Who should or should not be informed?

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Light

  • Ask questions and discuss options, both internally at Fontys and externally (student psychologist, general practitioner).
  • Discuss who else the student can seek help from. Example question: "Do you have someone who can help you?" (parents, friends, etc).
  • Encourage the student to contact a student counsellor and/or student psychologist via Fontys Customer Contact Centre (+31 (0)8850-80000) from Monday to Friday between 08.30 and 17.00 CEST or an general practitioner.
  • Schedule a follow-up appointment with the student and revisit any agreements made. In the meantime, ask the student to talk to their student coach.
  • Make sure that you know which colleague within your institute has experience and affinity with identifying and guiding students with gloomy thoughts and engage them in consultation with the student
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Medium

  • Discuss who the student can turn to (parents/friends).
  • Encourage the student to contact a student counsellor and/or student psychologist via Fontys Customer Contact Centre (+31 (0)8850-80000) from Monday to Friday between 08.30 and 17.00 CEST or an general practitioner
  • Schedule a follow-up appointment
  • Let the student know about www.113.nl / 0800-0113 (24/7).
  • Make sure that you know which colleague within your institute has experience and affinity with identifying and guiding students with gloomy thoughts and engage them in consultation with the student.

Ambience photo Fontys

Serious

  • Ask whether there is anyone who can come to collect the student. Contact the parents if necessary (with the student's consent).
  • If no one is able to collect the student: Call a general practitioner or out-of-hours GP service.
  • Make a concrete agreement: “Can I trust you not to harm yourself?”
  • Schedule a follow-up appointment.
  • Call 113Online (+31 (0)800-0113) on the spot to discuss the situation.
  • Call 112 in case of emergency (then call the Fontys incident room emergency number)
  • Call the Fontys incident room (+31 (0)8850-77119) to discuss the situation.