Lucas Holter, Senior Photographer

Content warning: This article contains references to suicide and self-harm.

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The National Suicide Prevention Lifeline is a hotline for individuals in crisis or for those looking to help someone else. To speak with a certified listener, call 1-800-273-8255.

Crisis Text Line is a texting service for emotional crisis back up. To speak with a trained listener, text HELLO to 741741. It is costless, available 24/seven and confidential.

To talk with a counselor from Yale Mental Wellness and Counseling, schedule a session here . On-call counselors are bachelor at any time: call (203) 432-0290.

Additional resources are available in a guide compiled by the Yale College Council here .

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In recent days, questions about medical withdrawals accept circulated on social media, prompting students to share their experiences and qualms regarding Yale Higher's withdrawal and reinstatement policies.

The loss of Rachael Shaw-Rosenbaum '24, who died by suicide final week, has sparked conversations about Yale's medical withdrawal policies. Afterwards a Facebook post inaccurately claiming that Yale denied Shaw-Rosenbaum medical withdrawal prior to her death was widely circulated in her habitation community of Anchorage and amidst higher students beyond the country, students spoke out online about Yale'south policies governing withdrawals, sharing fears about the reinstatement procedure and the threat of forced withdrawals.

Yale has since released a statement denying that Shaw-Rosenbaum always formally requested a medical withdrawal, and a source close to Shaw-Rosenbaum corroborated Yale'due south statement to the News. Beyond the lack of a formal request, the circumstances leading up to her decease remain unclear.

Still, students familiar with Yale'due south medical withdrawal process said that changes to the University procedures are long overdue. The News spoke to eight individuals who withdrew or considered withdrawing from Yale for mental health reasons. All of the students expressed some level of frustration with the policies that they say tin experience overly punitive, isolating and expensive. Four individuals cited fears of forced withdrawal as barriers to being able to seek the aid that they demand.

"To make a student that has zero control over what they're experiencing, whether it'south mental health related or physical health related — to brand them choose between their well being and their Yale education is completely ridiculous," Griffin Wilson '24, a educatee who considered a medical withdrawal due to struggles with mental wellness, said. "And ultimately information technology can lead to some pretty severe consequences."

Contempo controversy

On Friday, a Facebook post written by an Anchorage parent circulated widely in the Anchorage and Yale communities. It included an inaccurate description of Shaw-Rosenbaum twice petitioning and twice being denied medical withdrawal from Yale. In its first public comment on Shaw-Rosenbaum's death, Yale released a argument Sabbatum denying that she requested a leave of absence or withdrawal. The News confirmed with her boyfriend, Zack Dugue, that she never formally requested withdrawal. The larger circumstances leading upward to her decease remain unclear.

The post, which included a letter written by another author, described Shaw-Rosenbaum allegedly petitioning Yale "to have a leave from school and attend a mental wellness facility." The letter of the alphabet alleged that Yale informed her that "her enrollment would non exist held and she would take to reapply. Rachael petitioned the determination. Yale denied her appeal."

The woman who wrote the letter acknowledged in an interview with the News that it was based on secondhand information, making information technology "hearsay," and directed the News to a counselor and instructor from Shaw-Rosenbaum's high school as potential sources of the data, both of whom told the News that they had not spoken to Shaw-Rosenbaum in a long time and had no prior noesis of her mental health struggles at Yale.

In a statement issued past the Academy on March 27, the Academy declared the allegations in the alphabetic character to be "unequivocally false." Yale subsequently updated that statement to include a message of grief and mental health resources, neither of which were originally included. Instead of "unequivocally imitation," the statement now says that the allegations are "simply not true."

"Rachael did not ask her dean, or whatever other administrator in the College or Yale Wellness, if she could spend time away from Yale," the edited statement reads. "Yale College would never deny anyone permission to take fourth dimension off to address a health business organization; anyone who asks for that permission receives it. Every semester, students take leaves and withdrawals, then return later to resume their studies."

Dugue, who is a first yr at the California Found of Applied science, told the News that he and Shaw-Rosenbaum spoke every day, and she had never mentioned petitioning for nor requesting a mental health withdrawal.

Still, Dugue said that he is grateful that out of the tragedy of Shaw-Rosenbaum'southward decease, communities reignited conversations almost Yale's withdrawal and reinstatement policies.

"Rachael wouldn't want us to be talking about her; she would want us to be talking almost the next kid," Dugue told the News. "Considering there's going to exist a side by side kid, and she would want us to be focused on saving them."

Yale College's withdrawal policies

According to the Yale College Programs of Study, there are ii ways students can take time off from Yale: through a leave of absence or a withdrawal.

A student "in academic good standing" may petition the Committee on Honors and Academic Standing past the 15th day of the term to take up to two terms of absence. Having academic adept standing means a student has earned a sufficient number of course credits corresponding to their course year and has no more than than iii grades of F in a term of over 2 or 3 successive terms. To return to campus from go out, students simply demand to notify their residential higher dean by the beginning of the term specified in the student'southward petition to the Committee. If a student is granted a leave of absence, they are given a rebate for whatever tuition paid and a prorated refund for room and lath.

However, a pupil who leaves Yale after the 15th day of a term must withdraw from Yale College with tuition rebate amounts depending on the date of withdrawal. There are 5 types of withdrawals — bookish, medical, personal, disciplinary and financial. Students who have withdrawn are non permitted to stay in campus residences, utilise Academy resources or facilities, attend classes or participate in extracurriculars. They may only come up to campus with permission from their residential college dean or the Dean of Student Diplomacy.

Unlike taking a leave of absence, withdrawing does not imply a correct to automatically return. Students who take withdrawn must go through a reinstatement process in order to return to Yale.

"Withdrawn students do not lose their 'spot' at Yale, and despite a mutual misperception, they do not have to re-utilise for admission," Dean of Student Affairs Melanie Boyd wrote to the News. "Nearly all student requests for reinstatement are granted for the post-obit semester; in many cycles, all applications are approved."

Withdrawal for medical reasons must be approved past the managing director of Yale Wellness or the chief of Yale's Mental Health and Counseling department.

According to the Yale Higher's get out of absence, withdrawal and reinstatement procedures, while a pupil may voluntarily withdraw, Yale College likewise "reserves the right to crave students to withdraw in certain cases."

Cases for forced medical withdrawal are evaluated based on whether "the student is a danger to self or others, the student has seriously disrupted others in the student'southward residential or bookish communities, or the educatee has refused to cooperate with efforts deemed necessary by Yale Health and the dean to make such determinations," co-ordinate to the Yale Higher Programs of written report.

According to Paul Hoffman, main of Yale Mental Health and Counseling, mandatory medical withdrawals are "very rarely used."

To return to Yale Higher post-obit a medical withdrawal, students must meet requirements set by the Committee on Reinstatement, which aims to make up one's mind whether students have the ability to return to Yale and finish their degree in academic good standing.

According to the Reinstatement FAQs, to be reinstated, students must submit an awarding class and a personal statement. Additionally, withdrawn students must get letters of support for their reinstatement, and students on medical withdrawal must likewise get letters from clinicians. All students must also undergo interviews with the Committee on Reinstatement, and students on medical withdrawal must also interview with Yale Health administrators.

Finally, according to the Yale College Programs of Study, students who have withdrawn must complete two higher-level courses at another college of their choosing or through Yale Summer Session. They must earn A or B grades in society to return. Students who withdraw during a term must commonly remain away for at least one full term, not including the term of withdrawal.

Co-ordinate to the Yale College Programs of Report, while the majority of students are granted reinstatement, it is not guaranteed. If a educatee's reinstatement is denied, they accept the chance to apply for reinstatement again in a future term.

Student discontent

Yale's medical exit policies were thrown into the national spotlight following the death of Luchang Wang '17, who died by suicide in 2022 while enrolled at Yale College. In a Facebook post just hours before her death, Wang called attending to Yale's policies surrounding medical go out.

"Love Yale: I loved being hither. I only wish I could've had some fourth dimension," the 2022 Facebook mail read. "I needed time to work things out and to wait for new medication to kick in, just I couldn't do it in schoolhouse, and I couldn't bear the thought of having to leave for a full yr, or of leaving and never existence readmitted."

Public outcry post-obit Wang's decease was enough to bring virtually some changes. Previously, reinstatement afterwards a mental health withdrawal required an in-person interview in forepart of the reinstatement committee, which, in improver to the requirement to consummate two college level courses, could be price-prohibitive. After Wang's decease, Yale updated its policies to allow students petitioning for reinstatement to comport interviews online, and to make it clear that students on financial assistance can receive demand-based scholarships for Yale Summer Session to complete their two courses. If students elected to accept their two courses at some other higher or university close to home, Yale would eliminate their Student Income Contribution the following semester to brand upwards for costs of non-Yale classes.

Iii years afterward, a 2022 Ruderman Foundation report gave Yale an "F" class for its medical withdrawal policies. Yale's grade, forth with Dartmouth's rating, was the worst in the Ivy League. The highest was a "D+" for the University of Pennsylvania.

Based on that report and interviews with eight students familiar with the medical withdrawal process, Yale's changes since 2022 have not gone nearly far enough.

Fear of involuntary withdrawal

While some students hope to be granted a medical withdrawal, others fearfulness it. And for those students, the anxiety about a mandatory medical withdrawal — a procedure Boyd described as "exceedingly rare" — can preclude them from seeking the care they may demand.

A member of the grade of 2022 — who asked to remain anonymous out of fear for revealing private medical information — said they struggled with their mental wellness throughout their time at Yale. The individual stated that there were times that they knew they should have been hospitalized, but they were "absolutely terrified of and resistant to this selection" since the private believed that a stay in the hospital could pb to a forced medical withdrawal.

When the individual did speak to the on-call therapist during mental wellness crises — a service provided to all Yale students through Yale Mental Health and Counseling — they explained that they intentionally presented the advent of existence in better mental health than they were. In those meetings, they emphasized that they did not intend to damage themselves, despite having thoughts to the opposite, to "avert losing bureau" over their own handling and enrollment status.

"Looking dorsum, I am so, so lamentable for the version of me who didn't get help because they were afraid that it wouldn't actually exist assist," the private wrote in an email to the News.

Jen Frantz, originally a fellow member of the class of 2019, merely who did not end her bachelor's caste, took her get-go medical withdrawal due to her declining mental health in March 2017. After applying for reinstatement in fall 2018, Frantz was rejected. Later applying for reinstatement a 2d time, she was permitted to render to campus in bound 2022 simply shortly after the commencement of the term she decided to take another medical withdrawal. She does not plan on returning to campus to consummate her degree.

Frantz told the News that she frequently feared being forcibly withdrawn from Yale. She described being hospitalized afterward returning to campus in bound of 2022 and begging the hospital to interact with her exterior therapist rather than Yale Mental Health and Counseling. Even though Frantz eventually decided to take a 2nd voluntary medical withdrawal, she feared being stripped of the agency to make her own option about what would be best for her wellness.

Nancy Xu, originally a member of the class of 2022, decided to voluntarily take a medical withdrawal later fearing she would exist forced into the withdrawal procedure. Xu, who withdrew from Yale in February 2020, told the News that she was "not thrilled" with the idea of withdrawal, but decided to take one after her therapist and dean increasingly brought up the idea.

"If you lot don't get out, then you volition continue to have to meet with your [dean and therapist] who are kind of looking over your shoulder all the time," Xu said. "It just got to the bespeak where I felt like I was under such a caste of surveillance and pressure that I didn't experience condom staying at Yale, and the fear of involuntary withdrawal was definitely a piece of that."

Xu is currently undergoing the reinstatement process, and hopes to render in the fall as a fellow member of the class of 2024.

According to Boyd, while she understands that students are concerned about involuntary medical withdrawals, they are "exceedingly rare."

"It is a mutual misconception that any serious mental health concern volition automatically prompt a withdrawal," Boyd wrote to the News. "In fact, students most often remain on campus while receiving treatment, and normally render to campus even after hospitalizations. Another common misconception is that students who take medical withdrawals volition lose their place and risk not being able to return to Yale. That is but not true. Once they have met the reinstatement requirements, all withdrawn students tin return to Yale. I hope students will talk openly with the people who are caring for them, to help guide that care."

A fear of asking for help

In improver to a fear of forced withdrawal, some students expressed that feet about the reinstatement process tin keep them from seeking a medical withdrawal in the first place.

Griffin Wilson '24, who was originally a member of the class of 2023, told the News that he inquired almost a medical withdrawal in February 2020, after his outset year at Yale was marked by astringent depression, anxiety and a suicide attempt. After learning well-nigh Yale'southward reinstatement policies, and that he would have to withdraw for an entire year rather than merely the remainder of the semester, Wilson decided to try to "tough out" the rest of the semester — a determination that, without the COVID-19 pandemic, he said may have been dire.

"Honestly, if it wasn't for COVID-nineteen sending me home in March, I one-hundred percentage tin confidently say that I would not have made it; I would accept taken my own life," Wilson said. "And I would have been the kid expressionless in their dorm room. That was the fashion it was going."

Upon returning domicile due to COVID-19, Wilson finished the spring 2022 semester remotely and then enrolled in a residential treatment program. He is taking a leave of absence for the 2020-2021 school year and plans to return to Yale in fall 2021.

According to Boyd, the reinstatement procedure is designed to assist students for a successful transition dorsum to Yale.

Stephanie Addenbrooke '17 DIV '20, a former Editor in Primary for the News, shared that she never formally asked for or took a medical withdrawal during her time every bit an undergraduate out of fear of the many uncertainties. As a low-income international student, Addenbrooke did not see withdrawal every bit a feasible option due to the complicated logistics of visas and the requirements of reinstatement. She was afraid of the repercussions of withdrawing, and she also feared that if she disclosed likewise much about how she was actually feeling to the Yale mental health advisor she was seeing, she may exist asked to withdraw.

"The biggest thing for me was when I was at my worst mentally was too when I was supposedly at my best," Addenbrooke told the News. "I was the editor of the Yale Daily News, I was in K Strategy, I had an amazing internship lined upwards. Merely the thought of losing all of those things — not just Yale, but also everything that went with information technology such equally my friend group, graduating with friends and my extracurriculars — and coming home and feeling like I had failed, prevented me from really seeking the kind of help I probably needed."

Financial barriers to withdrawal and the 2-class requirement

James Brandfonbrener '22 was originally a member of the class of 2021. Simply in November 2022 — more than halfway through the semester amid poor mental wellness and struggles to go on up with his class work — Brandfonbrener was granted a medical withdrawal.

Brandfonbrener explained to the News that the first bulwark he faced to getting the medical withdrawal was a fiscal one. Considering he withdrew after the midterm, he said he felt like in that location was a "significant financial disincentive to simply stick through [his] mental illness and finish the term." According to the Yale College Undergraduate Regulations, students who withdraw after midterm are not entitled to "rebate of whatever portion of the tuition, room, and board fees due or paid for that term."

"One of the things that helped me make the decision to [medically] withdraw was that I had considered making that conclusion earlier so my parents were ready for it," he told the News. "We bought tuition insurance because nosotros thought I might not make it through, only had I not had that advantage from my parents, it felt like I was existence encouraged to 'tough information technology out' at the expense of my ain health to avoid the tuition and course credit issue — after all, there is a $30,000 incentive to just keep going."

Lucy Wilkins '22, onetime YTV editor and electric current Yale Daily News digital and outreach desk-bound editor, took a medical withdrawal in the autumn of 2022 due to physical wellness reasons and returned in the leap of 2019. While she said she returned "happier and healthier" from her time abroad, she besides institute it difficult to run into the two-grade requirement as a first-generation, low-income international student.

The cost of attaining those credits was a major concern to her, and finding an institution in which to enroll was challenging. Since Wilkins is from the United kingdom of great britain and northern ireland, she could not attend Yale Summer Session because her visa was deactivated until she was reinstated, and Yale did non accept online credits for reinstatement prior to the COVID-19 pandemic. Wilkins stated that the policies surrounding form credits have the potential to disadvantage students — particularly the students who rely financially on Yale, as well as international students.

Alicia Abramson '24, originally a member of the class of 2022, took a medical withdrawal in the autumn of 2019. Abramson described the two-grade requirement every bit a barrier that made her fourth dimension away from campus on medical withdrawal — a time she hoped would be spent focusing on her mental health — feel stressful and arduous.

"I left Yale so that I could focus on my mental health without academics, so it is kind of insane that I even so had to deal with being a student in order to come back," Abramson said. "There is so much deterrence from going on exit — from having to apply for reinstatement, to having to pay to accept classes to not having Yale back up while you do all of it. Sometimes the stress of it all feels like it defeats the purpose of the medical leave."

Boyd said the 2 courses are meant to set up students to return to "the rigors of Yale academics." She explained that students who face fiscal hardship in paying for the courses tin work with the chair of the Committee on Reinstatement to "explore other options."

A lack of support during withdrawal

Brandfonbrener described the days after he was granted his medical get out as ones riddled with self-blame and guilt based on some of Yale'due south policies. After a educatee is notified that they are granted withdrawal, they have 72 hours to exit campus and are not permitted to visit campus again without permission from the Dean of Student Affairs or their residential college dean.

Brandfonbrener described his move out menstruum as "pretty brutal" and said that existence told to pack up so rapidly and non return made him feel like he had something to feel ashamed of for not being able to push through his mental disease and finish the term.

Similar Brandfonbrener, Abramson stressed how the medical withdrawal process felt isolating. Since those who withdraw are no longer on a Yale Health insurance program, lose access to their Yale emails and non generally permitted to be on campus, she described feeling "left on [her] own without Yale's back up."

Abramson applied for reinstatement in spring 2022 and was granted her request. Withal, she decided to have a leave of absence for this year due to COVID-19 and intends to return in the fall of 2021.

In an op-ed Frantz wrote for the News presently before her 2nd medical withdrawal, and once once again in a recent interview with the News, Frantz described the lack of support she felt from Yale throughout the medical withdrawal process — especially when she was rejected from her beginning reinstatement attempt.

"My dream of Yale was that I was going to get to this amazing identify and excel, be the best in my particular field and that I was going to love every second of my fourth dimension here," Frantz told the News. "But the truth is, I saw all the people effectually me doing the things I wish I could accept washed at my dream schoolhouse but could non considering I was ill. I was non well, and I could not become the support I needed through Yale. At the end of the solar day, I had the realization that I had given that place my all. During the first medical withdrawal, I was focusing on getting better for Yale. But after the second, I wanted to get better for myself. Now, I have thoroughly broken up with Yale on my own terms, and I've made my peace with it."

Students can discover more than information virtually Yale'south withdrawal policies in the Yale College Programs of Study.

Julia Bialek | julia.bialek@yale.edu

Amelia Davidson | amelia.davidson@yale.edu

JULIA BIALEK

Julia Bialek currently serves as a public editor for the Yale Daily News. Previously, she covered the student policy & diplomacy crush every bit a reporter on the academy desk-bound. Originally from Chappaqua, New York, Julia is a inferior in Saybrook College studying political science and history.

AMELIA DAVIDSON

Amelia Davidson currently serves as University Editor for the Yale Daily News. She previously covered admissions, financial help and alumni as a staff reporter. Originally from the Washington D.C. area, she is a sophomore in Pauli Murray College majoring in American studies.

  • An up close of the sign of the Yale Health Center.