ESO GUIDELINE FOR CONDUCTING | Página 58

>           >           >           >           >           >           >         5-8. Suicide prevention >           >            a. The POI for IET will include formal instruction on suicide awareness and identification of potentially suicidal Soldiers.  The commanders and orientations will instruct Soldiers on the appropriate actions they should take in the event a fellow Soldier talks to them about suicide; specifically, Soldiers must recognize the need to immediately notify the first cadre member available in the chain of command. >           >            b. Commanders must comply with the provisions of DOD Directive 6490.1 and DOD Instruction 6490.4, before sending Soldiers for behavioral health evaluations to avoid violations of legal requirements.  Commanders must counsel Soldiers reported to have discussed or alluded to suicide. The commander will ensure Soldiers in emergency/urgent situations are immediately referred to behavioral health care providers for counseling and evaluation, and accompanied by an NCO to the appointment until the behavioral health care provider assumes control.  An NCO is required to pick the Soldier up from the behavioral health facilities and to meet with the behavioral health care provider as a representative of the commander to ensure the Soldier’s condition and diagnosis is clearly communicated to the unit.  Soldiers in this category will not be left alone or unsupervised.  Escorts for subsequent appointments are not required to be an NCO.  Counsel individuals in routine (non-emergency) situations, IAW DOD Instruction 6490.4, section F, prior to referral/meeting with behavioral health professionals. >           >            c. Behavioral health care providers may return IET Soldiers to their units, once they have determined the Soldier is no longer an imminent threat to harm themselves or others, following an outpatient evaluation or upon discharge from the inpatient status. >           >                   (1)  The behavioral health care provider may make precautionary recommendations to the commander that the Soldier be watched for some period of time.  The behavioral health care provider must stipulate specific guidance regarding precautions and must establish an appointment for follow-up as part of the release to the unit. >           >                   (2)  TRADOC service schools and major subordinate commands will develop a unit watch program, which will involve supervised watch of the IET Soldier in the implementation of behavioral health care provider guidance.  The decision to place a Soldier under supervised unit watch will always be made in close coordination and consultation with behavioral health care providers.  In unit watch, the unit/cadre will observe/supervise the IET Soldier pursuant to the precautionary timeframe and conditions recommended by the behavioral health care provider. >           >                   (a)  The commander will cre ate a positive environment for the Soldier, utilizing teamwork and unit cohesion as the foundation for support for the Soldier on watch.  Soldiers will not be marked in any way which identifies him or her publicly as a Soldier at risk.  Soldiers will be treated with dignity and leaders will prohibit behaviors and comments which serve to stigmatize or ostracize a Soldier.  >