|Talking about suicide
||Any talk about suicide, dying, or self-harm, such as "I wish I hadn't been born," "If I see you again..." and "I'd be better off dead."
|Seeking out lethal means
||Seeking access to guns, pills, knives, or other objects that could be used in a suicide attempt.
|Preoccupation with death
||Unusual focus on death, dying, or violence. Writing poems or stories about death.
|No hope for the future
||Feelings of helplessness, hopelessness, and being trapped ("There's no way out"). Belief that things will never get better or change.
||Feelings of worthlessness, guilt, shame, and self-hatred. Feeling like a burden ("Everyone would be better off without me").
|Getting affairs in order
||Making out a will. Giving away prized possessions. Making arrangements for family members.
||Unusual or unexpected visits or calls to family and friends. Saying goodbye to people as if they won't be seen again.
|Withdrawing from others
||Withdrawing from friends and family. Increasing social isolation. Desire to be left alone.
||Increased alcohol or drug use, reckless driving, unsafe sex. Taking unnecessary risks as if they have a "death wish."
|Sudden sense of calm
||A sudden sense of calm and happiness after being extremely depressed can mean that the person has made a decision to die by suicide.