(Session 5) Parents of Suicidal Youth January 14th to March 4th, 2025

Virtual Support Group, Tuesdays from 6:00pm to 7:30pm

We are so excited to welcome you to Pleo’s Virtual Parents Support Groups for Parent of Suicidal Youth up to 25 years of age.

Your 8 week session will start on Tuesday, January 14th from 6:00 to 7:30pm and run weekly on the same day and time until March 4th, 2025

Please complete the information below and we will be in touch with everything you need to join us.

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Information collected from parents is kept strictly confidential. Pleo recognizes the trust that respondents place in us to protect their information and your privacy. This survey ensures that the information you provide will be kept confidential and will be used only for statistical purposes.

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* First Name and Last Initial

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* Phone Number

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* Email

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* What is the best way to contact you?

Phone (ok to leave voicemails)

Phone (not ok to leave voicemails)

No preference

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* In what city do you live?

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* What is your primary language?

French

English

Other (please specify)

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* Level of experience using Zoom Video Conferencing

No Experience

Some

Lots of Experience

Clear

i We adjusted the number you entered based on the slider’s scale.

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* What is/are the age(s) of your child(ren) of primary concern?

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* Is/are your child(ren) experiencing:

A mental health/behavioral issue

An addiction issue

Both mental health/behavioral and addiction issues

None of the above

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* Is/are your child(ren) talking about :

Wanting to die?

Great guilt or shame?

Being a burden to others?

None of the above

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* Is/are your child(ren) feeling:

Empty, hopeless, trapped, or having no reason to live?

Extremely sad, more anxious, agitated, or full of rage?

Unbearable emotional or physical pain?

None of the above

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* Is/are your child(ren) having changing behavior, such as:

Making a plan or researching ways to die?

Withdrawing from friends, saying good bye, giving away important items, or making a will?

Taking dangerous risks such as driving extremely fast?

Eating or sleeping more or less?

Using drugs or alcohol more often?

None of the above

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* Has/Have your child(ren) tried to take their life(ves)?

Yes

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* What are your concerns regarding your child(ren)?

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* As an organization, we strive to represent the voice of all families. Please help us by rating how challenging you find each of the following:

	Extremely	Very	Moderately	Slightly	Not at all	Not applicable
Finding mental health / addiction services for your child	Finding mental health / addiction services for your child Extremely	Finding mental health / addiction services for your child Very	Finding mental health / addiction services for your child Moderately	Finding mental health / addiction services for your child Slightly	Finding mental health / addiction services for your child Not at all	Finding mental health / addiction services for your child Not applicable
Being on wait-lists for mental health / addiction services	Being on wait-lists for mental health / addiction services Extremely	Being on wait-lists for mental health / addiction services Very	Being on wait-lists for mental health / addiction services Moderately	Being on wait-lists for mental health / addiction services Slightly	Being on wait-lists for mental health / addiction services Not at all	Being on wait-lists for mental health / addiction services Not applicable
Getting the right educational supports / options for your child	Getting the right educational supports / options for your child Extremely	Getting the right educational supports / options for your child Very	Getting the right educational supports / options for your child Moderately	Getting the right educational supports / options for your child Slightly	Getting the right educational supports / options for your child Not at all	Getting the right educational supports / options for your child Not applicable
Being involved as much as you would like in your child's treatment	Being involved as much as you would like in your child's treatment Extremely	Being involved as much as you would like in your child's treatment Very	Being involved as much as you would like in your child's treatment Moderately	Being involved as much as you would like in your child's treatment Slightly	Being involved as much as you would like in your child's treatment Not at all	Being involved as much as you would like in your child's treatment Not applicable
Having other people in your life understand your situation	Having other people in your life understand your situation Extremely	Having other people in your life understand your situation Very	Having other people in your life understand your situation Moderately	Having other people in your life understand your situation Slightly	Having other people in your life understand your situation Not at all	Having other people in your life understand your situation Not applicable
Understanding your child's situation	Understanding your child's situation Extremely	Understanding your child's situation Very	Understanding your child's situation Moderately	Understanding your child's situation Slightly	Understanding your child's situation Not at all	Understanding your child's situation Not applicable
Supporting your other family members	Supporting your other family members Extremely	Supporting your other family members Very	Supporting your other family members Moderately	Supporting your other family members Slightly	Supporting your other family members Not at all	Supporting your other family members Not applicable
Financial pressures associated with your child's situation	Financial pressures associated with your child's situation Extremely	Financial pressures associated with your child's situation Very	Financial pressures associated with your child's situation Moderately	Financial pressures associated with your child's situation Slightly	Financial pressures associated with your child's situation Not at all	Financial pressures associated with your child's situation Not applicable
Stigma and judgement from others	Stigma and judgement from others Extremely	Stigma and judgement from others Very	Stigma and judgement from others Moderately	Stigma and judgement from others Slightly	Stigma and judgement from others Not at all	Stigma and judgement from others Not applicable
Being able to cope and care for yourself	Being able to cope and care for yourself Extremely	Being able to cope and care for yourself Very	Being able to cope and care for yourself Moderately	Being able to cope and care for yourself Slightly	Being able to cope and care for yourself Not at all	Being able to cope and care for yourself Not applicable
Worrying about the future	Worrying about the future Extremely	Worrying about the future Very	Worrying about the future Moderately	Worrying about the future Slightly	Worrying about the future Not at all	Worrying about the future Not applicable
Managing crisis situations	Managing crisis situations Extremely	Managing crisis situations Very	Managing crisis situations Moderately	Managing crisis situations Slightly	Managing crisis situations Not at all	Managing crisis situations Not applicable

(Session 5) Parents of Suicidal Youth January 14th to March 4th, 2025

Virtual Support Group, Tuesdays from 6:00pm to 7:30pm

Question Title

* First Name and Last Initial

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* Phone Number

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* Email

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* What is the best way to contact you?

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* In what city do you live?

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* What is your primary language?

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* Level of experience using Zoom Video Conferencing

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* What is/are the age(s) of your child(ren) of primary concern?

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* Is/are your child(ren) experiencing:

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* Is/are your child(ren) talking about :

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* Is/are your child(ren) feeling:

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* Is/are your child(ren) having changing behavior, such as:

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* Has/Have your child(ren) tried to take their life(ves)?

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* What are your concerns regarding your child(ren)?

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* As an organization, we strive to represent the voice of all families. Please help us by rating how challenging you find each of the following:

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* What do you hope to get out of the support group?

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* How did you hear about this PLEO support group?

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* Are there any additional comments you would like to share with us?