Observable signs of serious depression:

  • Unrelenting low mood
  • Pessimism
  • Hopelessness
  • Desperation
  • Anxiety, psychic pain, inner tension
  • Withdrawal
  • Sleep problems

Increased alcohol and/or other drug use

Recent impulsiveness and taking unnecessary risks

Threatening suicide or expressing strong wish to die

Making a plan:

  • Giving away prized possessions
  • Purchasing a firearm
  • Obtaining other means of killing oneself
Unexpected rage or anger