Hopelessness:feeling like things are bad and won’t get any better. Fear of losing control, going crazy, harming himself/herself or others.
Worthlessness: feeling like an awful person and people would be better off if he/she were dead. Hating himself/herself, feeling guilty or ashamed. Being extremely sad and lonely, feeling anxious, worried or angry all the time.
Actions
Drug or alcohol abuse
Talking or writing about death or destruction
Aggression: getting into fights or having arguments with people
Recklessness: doing risky or dangerous things
Changes
Personality: behaving like a different person, becoming withdrawn, tired all the time, not caring about anything, or becoming more talkative, outgoing
Behavior: can’t concentrate on school or regular tasks
Sleeping and eating patterns: sleeping all the time or not being able to sleep at all, or waking up in the middle of the night or early in the morning and not being able to get back to sleep, losing appetite and/or overeating and gaining weight
Losing interest in friends, hobbies, and appearance, or in activities or sports previously enjoyed
Threats
Statements like “How long does it take to bleed to death?”
Threats like “I won’t be around much longer” or “Don’t tell anyone else..you won’t be my friend if you tell!”
Plans like giving away favorite things, studying about ways to die, obtaining a weapon or a stash of pills: the risk is very high if a person has a plan and the way to do it
Situations
Getting into trouble at school, home or with the law
Recent loss through death, divorce, or separation; the break-up of a relationship; losing an opportunity or a dream; losing self-esteem
Changes in life that feel overwhelming
Being exposed to suicide or the death of a peer under any circumstances