Management referrals are usually conducted through and with the assistance of the human resources department and require signed paperwork.
According to the CDC, suicide is one of the leading cause of death in the United States. It claims more lives than automobile accidents or opioids and yet in some cases the numbers of suicides are under-reported as families want to hide the reasoning behind the death of a loved one. This secrecy exposes the stigma. The silence perpetuates the problem.