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
Lives Worth Living
October 2025 | 280 pages | Corwin
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eBook
ISBN: 9781071876114
Available from January 0001
Paperback
ISBN: 9781071876091
Available from January 0001

Description

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.

Contents

FOREWORD

FOREWORD

ACKNOWLEDGMENTS

ACKNOWLEDGMENTS

ABOUT THE AUTHORS

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

APPENDICES

APPENDIX A

  • Background and Instructions
  • General Guide to Rating
  • Lead
  • Educate
  • Identify
  • Engage
  • Care
  • Connect
  • Improve

APPENDIX B

APPENDIX B

APPENDIX C

APPENDIX C

APPENDIX D

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

REFERENCES

Index

Index

Description

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.

Contents

FOREWORD

FOREWORD

ACKNOWLEDGMENTS

ACKNOWLEDGMENTS

ABOUT THE AUTHORS

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

APPENDICES

APPENDIX A

  • Background and Instructions
  • General Guide to Rating
  • Lead
  • Educate
  • Identify
  • Engage
  • Care
  • Connect
  • Improve

APPENDIX B

APPENDIX B

APPENDIX C

APPENDIX C

APPENDIX D

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

REFERENCES

Index

Index

SAGE Publishing Logo

Lives Worth Living

Applying Zero Suicide as a Prevention Approach for Schools


October 2025 | 280 pages | Corwin

Format Published Date ISBN Price
Paperback 01/02/2026 9781071876091 $40.95
Lifetime 01/02/2026 9781071876114 $37.00

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.


Table Of Contents:

  • 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

Recent Product Reviews:

"Stephen Sharp and Perri Rosen have created a crucial and comprehensive resource for school-based suicide prevention. This book is grounded in decades of research and practice, including an evidence-based and trauma-informed lens, has MTSS-alignment, and is rooted in culturally affirming practices rooted in relationships. It brings together recommendations across school, home, and community to address suicide prevention and intervention at the root. Thank you, Mr. Sharp and Dr. Rosen, for sharing your years of expertise and practice in this important book. It's a 'must read' for serving the K-12 youth of today."
Emily Goodman-Scott, PhD, LPC, NCC, NCSC, ACS, Director of the Holmes Scholars Program, Darden College of Education & Professional Studies, Department of Counseling and Human Services, Old Dominion University
"Lives Worth Living is a groundbreaking and essential resource for leaders and mental health professionals deeply committed to preventing suicide and fostering a culture of care. Rooted in compassion, lived experience, and systems change, this book offers more than a framework: It offers hope. With clarity and purpose, it challenges schools to treat suicide prevention as a life-saving responsibility and provides a powerful, evidence-informed roadmap to move beyond crisis response toward upstream, sustainable solutions. The Zero Suicide in Schools model has the power to transform school culture, protect lives, and ensure that no student is ever left behind."
Dr. Rebecca Pianta, Coordinator, College and Career Readiness, Santa Ana Unified School District, CA
"Suicide prevention in schools requires a comprehensive approach that can’t be relegated to one person or team. The blending of multi-tiered systems of support, something with which schools are already familiar, with Zero Suicide provides the planning, leadership, and training with the preparedness to respond effectively to youth at risk. I especially like the information about re-entry to school after hospitalization, which provides practical guidance on how the school can best support the youth and their family. This book is a must read for all who support youth in schools, from superintendents to teachers to the counseling office, each of whom play an important role in suicide prevention."
Julie Goldstein Grumet, Suicide Prevention Strategy and Director, Zero Suicide Institute
"This book is a must read for school personnel as it utilizes an innovative approach of integrating the Zero Suicide framework into all aspects of multi-tiered school systems. This book will help schools implement and develop programming to more effectively educate staff on suicide prevention strategies, identify youth of concern, care for those youth, and coordinate various systems of care to improve outcomes. The goal is zero suicides and this book is integral in providing strategies to go upstream to prevent future youth suicides and create lives worth living."
Terri Erbacher, School Psychologist, Erbacher Consulting Associates, PLLC
"The application of the Zero Suicide Framework to youth suicide prevention in schools is brilliant! This book should be on every principal's book shelf."
Guy Diamond, Professor Emeritus, University of Pennsylvania

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