Welcome to our suicide awareness crowdsource project. Our goal is to spread hope, love, and encouragement to the patients in our facility as well as to those around the world suffering with thoughts of suicide. Simply fill out the form below to join. 

Your name (names will not be included in video)

Your email

I certify that I am at or above the age of 18

I understand that videos submitted must be in landscape (horizontal / sideways ) orientation and not portrait (vertical / upright) orientation.

I understand that my video must not exceed 30 seconds.

I would like to be emailed a link to the final video presentation as well as other mental health updates from Salt Lake Behavioral Health

YesNo

I have read, I understand, and I accept the terms of the Image Release Form. (Please type your name below.)