Verbal

Behavioral

Environmental

Talks about attempting/committing suicide

Has attempted suicide before

Previous suicide attempts by family member or friend

Threats to hurt or kill oneself

Looking for ways to kill oneself

Problems at school/work

Talking or writing about death, dying or suicide

Feeling hopeless or trapped

Family Violence

Makes direct statements like:

Experiences drastic changes in behavior or dramatic mood changes

Sexual Abuse

"I don't want to live anymore"

Withdraws from friends, family and/or society

Major family change

"I want to die"

Withdraws from social activities

Major life change

"Life sucks and I want to get out"

Feeling anxious, agitated, or unable to sleep, or sleeping all the time

Makes indirect statements like:

Loses interest in hobbies, work, school, etc.

"I want to go to sleep and never wake up"

A decrease in school or job performance

"They'll be sorry when I'm gone"

Prepares for death by making out will and final arrangements

"Soon the pain will be over"

Gives away prized possessions

"I hate myself"

Feeling rage or uncontrolled anger or seeking revenge

"Does it hurt to die?"

Has had recent severe losses

"I won't be a problem to you much longer"

Is preoccupied with death and dying

"It's no use"

Loses interest in their personal appearance

"I wish I was never born"

Increase in drug and/or alcohol use

" I won't see you again"

Suffers from depression

"Nothing matters"

Lack of energy

Difficulty concentrating or making decisions

Anger and destructive behavior

Confusion

Self mutilation - cutting, burning, etc.

Acts bored or disinterested

Seeing no reason for living, or having no sense of purpose in life

Acting reckless or engaging in risky activities - seemingly without thinking