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LSU Students of Concern


 

THIS FORM SHOULD NOT BE USED TO REPORT EMERGENCIES.
IF THERE IS A POSSIBILITY THAT A STUDENT MAY HARM THEMSELVES OR OTHERS
CALL LSU POLICE IMMEDIATELY BY DIALING 911 OR 225-578-3231.

 


LSU Student Advocacy & Accountability provides staff support for the CARE Team, an important asset to the LSU community. By completing this form, you will be sharing your concern with LSU Staff members who are trained in responding to student needs. Thank you for sharing your concerns and making a difference in the LSU community.


Disclaimer
Upon completion and submission, this form or information contained therein may constitute an educational record of any student(s) referenced, and is protected from disclosure except in some limited circumstances. As an educational record of a student, that student may have a right to review the form. The University will endeavor to maintain the information contained in the form as private, to the extent required and allowed by law.


Questions regarding the form and its completion or use should be addressed to (dossaa@lsu.edu).


The information contained in this form may be disclosed to appropriate University staff for evaluation and/or response including, but not limited to the following: LSU Police, Student Advocacy and Accountability, an academic college, Student Health Center, Disability Services, Residential Life, Academic Affairs, and/or the Center for Academic Success.



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Background Information

 
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Student(s) of Concern

Please provide as much information as possible regarding the student you are referring.

Involved party 1

Additional Information and Questions

I understand that this form is NOT to be used to report emergencies. Emergencies include students who are actively suicidal or homicidal (student has a plan, action, and/or means to harm themselves or others), or in need of immediate follow-up. Please contact LSUPD (225) 578-3231) or your local police department, The Phone (225) 924-5781 for after-hours emotional support and crisis management or call and/or text 988 for mental health crisis (mental health 911) and then submit this CARE Report.(Required)
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Please identify any concerns or needs for students in CRISIS, DISTRESS, OR EXHIBITING CONCERNING BEHAVIOR. Check all that apply:
You must make at least one selection.
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Referral Source (Please select which most accurately describes you)(Required)
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Is there a specific incident associated with this report?
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Have you addressed these concerns with the individual?
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Is the student aware of this referral?(Required)
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Are any other university personnel aware of this concern?(Required)
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What's been the best method of communicating with the student?
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I confirm and understand that reports should not be submitted for students who are an immediate threat to themselves or others.(Required)
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Supporting Documentation

Please provide an additional supporting documentation to substantiate your report. This can include reports, assignments, syllabus, emails, or any other documents. 5GB maximum total size.
Attachments require time to upload, so please be patient after submitting this form.

Submission