Store It Safe Adolescent: Survey

Do you screen for suicide risks in adolescents?

Yes, but not with a standardized tool

Yes, using the following tool(s):Yes, using the following tool(s):

Do you screen for depression in adolescents?

Yes, but not with a standardized tool

Yes, using the following tool(s):Yes, using the following tool(s):

Have you heard of the Ohio AAP’s Store It Safe Program?

Yes, I am very familiar with this program

Yes, I am somewhat familiar with this program

I am unsure if I have heard of this program

No, I have not heard of this program

Do you have an experience or story, professional or personal, relating to adolescent suicide that you would like to share?

Stories provided will be used to assist in developing the Store It Safe program. The Ohio AAP will contact you in advance for permission if your story may be used in social media or public materials.

If you would like to be contacted for more information or to provide permission to share a story, please provide your name:

If you would like to be contacted for more information or to provide permission to share a story, please provide your email and/or phone number: