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Lives Worth Living
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Lives Worth Living
Applying Zero Suicide as a Prevention Approach for Schools

  • Stephen Sharp - Educational Consultant, 2017 Pennsylvania Middle School Counselor of the Year
  • Perri Rosen - Psychologist, Pennsylvania Office of Mental Health and Substance Abuse Services

Foreword by Kelly Posner



October 2025 | 280 pages | Corwin

Protect lives by building safer, stronger school communities

Suicide among our youth, especially the most vulnerable ones, is a growing yet preventable crisis. We can and must create a meaningful systemic change by creating school environments where every student feels safe, seen, and supported.

Lives Worth Living offers a comprehensive, actionable framework that empowers school leaders, counselors, psychologists, and others to address this critical issue head-on. Drawing from the Zero Suicide framework as well as decades of research and practice, the authors—experts in school counseling, school psychology, and mental health—integrate a proactive and comprehensive suicide prevention approach with multitiered systems of support (MTSS) to help schools move upstream in their prevention efforts. Inside you will find

  • Seven foundational components of the Zero Suicide framework adapted for schools—lead, educate, identify, engage, care, connect, improve—to elevate your prevention strategies
  • Proactive approaches that reduce risk while enhancing protective factors for all students
  • Real-world examples and voices from the field, centering on lived experiences of students, to inspire practical, compassionate implementation
  • Reflection questions and planning tools that guide school leaders and teams in creating sustainable, data-driven change

This hands-on guide blends leadership, education, engagement, and care into a unified approach that strengthens not only suicide prevention but also the entire school system. By taking action, educators can build safer school climates and empower students to lead lives worth living.


 
FOREWORD
 
ACKNOWLEDGMENTS
 
ABOUT THE AUTHORS
 
Introduction
Zero Suicide

 
Lives Worth Living

 
Zero Suicide in Schools Framework

 
 
Chapter 1: Lead
Leading Suicide Prevention in Schools

 
Comprehensive Suicide Prevention

 
Creating Safe and Supportive Environments in Schools

 
Teaming

 
Suicide-Center Lived and Living Exerience

 
Community Partnerships

 
Using Data

 
School Policies and Procedures

 
 
Chapter 2: Educate
Therapeutic Relationships

 
Suicide Concepts and Facts

 
Legal and Regulatory

 
Documentation

 
Follow-Up and Transition Matters

 
Cultural and Local Factors

 
Specific Issues to Location and Setting

 
Student Learning

 
Social and Emotional Learning

 
Selecting a Curriculum

 
Suicide Prevention Education

 
Other Topic Areas

 
Tiered Education

 
Evidence-Based Curriculum

 
 
Chapter 3: Identify
Identifying Suicide Risk

 
Screening in Schools

 
Universal and Targeted Screenings

 
Implementing Suicide Risk Screenings

 
Selecting a Tool

 
Evidence-Based Screening Tools

 
Policy and Procedure

 
Social Suicide Risk Detection

 
Suicide Risk Assessment

 
Suicide Risk Assessment Settings

 
Interview Approaches

 
Formulation

 
Schools Identify

 
 
Chapter 4: Engage
Pathways to Care

 
Resource Mapping

 
Teaming

 
School-Based Mental Health Professionals

 
Tiered Models of School-Based Mental Health Support

 
Teaming With Youth

 
Internal Mapping

 
External Mapping

 
Evidence-Based Resources

 
Adaptation

 
Suicide Care Management

 
Coordination and Collaboration

 
 
Chapter 5: Care
A Comprehensive Upstream System

 
Suicide Prevention Mtss

 
Zero Suicide in Schools—Systems of Care Framework

 
Systems of Care

 
System of Care: Tier 1

 
System of Care: Tier 2

 
System of Care: Tier 3

 
 
Chapter 6: Connect
Bridging the Gaps in Care

 
Components of Effective Care Transitions

 
Connect: Best Practices

 
The Rationale for Reentry Protocols

 
Key Considerations for School Reentry After a Crisis

 
The Reentry Process

 
 
Chapter 7: Improve
Getting Data

 
Keeping Data

 
Using Data

 
Sharing Data

 
 
Conclusion
The Value of Zero Suicide

 
Getting Started

 
Designed for Systemic Change

 
 
APPENDICES
 
APPENDIX A
Background and Instructions

 
General Guide to Rating

 
Lead

 
Educate

 
Identify

 
Engage

 
Care

 
Connect

 
Improve

 
 
APPENDIX B
 
APPENDIX C
 
APPENDIX D
 
APPENDIX E
Executive Summary

 
Key Findings On Trends And 2-Year Changes

 
Key Findings On Disparities

 
Key Findings On New And Emerging Issues

 
Actions To Improve Adolescent Health And Well-Being

 
 
REFERENCES
 
Index

Purchasing options

For large school/district orders, volume discounts, availability and shipping times contact customer service at 800-233-9936
or order@corwin.com.

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ISBN: 9781071876091
$40.95

For large school/district orders, volume discounts, availability and shipping times contact customer service at 800-233-9936
or order@corwin.com.

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