• Death or illness of a loved one.
• Divorce, separation, broken relationship.
• Loss of a job, home, status, personal security.
• Alcohol or drug abuse.
• Depression.

Emotional or behavioral changes associated with suicide.

• Overwhelming pain that threatens to exceed the person's coping skills.
• Hopelessness
• Powerlessness
• Sad, withdrawn, tired, apathetic, anxious, irritable or angry.
• Declining performance in school or work.
• Declining interest in sex, friends or fun.
• Change in sleeping and eating patterns.
• Neglect of personal welfare and deteriorating physical appearance.
• Social isolation or association with a group with different moral standards.
• Worthlessness, shame, guilt, self-hatred, fear of losing control or of harming oneself or others.
• Difficult times:  holidays, anniversaries, diagnosis of a major illness, during disciplinary proceedings.

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