
- Withdrawing from family and friends
- Losing interest in social and extracurricular activities
- Lack of energy
- Feeling tired most of the time
- Anxiety
- Irritability
- Anger
- Feelings of sadness for much of the time
- Significant weight fluctuations
- Sleep pattern changes
- Physical pains and aches, or sickness, even though there is nothing physically wrong
- Indifference about the future
- Afraid of being a burden
- Uncharacteristic pessimism
- Divorce of parents
- Violence in the home
- Inability to find success at school
- Feelings of worthlessness
- Rejection by friends or peers
- Substance abuse
- Death of someone close to the teenager
- The suicide of a friend or someone he or she “knows” online
- Disappointment
- Talks about death and/or suicide (maybe even with a joking manner)
- Plans ways to kill him or herself
- Expresses worries that nobody cares about him or her
- Has attempted suicide in the past
- Dramatic changes in personality and behavior
- Withdraws from interacting with friends and family
- Shows signs of depression
- Shows signs of a substance abuse problem
- Begins to act recklessly and engage in risk-taking behaviors
- Begins to give away sentimental possessions
- Spends time online interacting with people who glamorize suicide and maybe even form suicide pacts

