Suicidal Ideation

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1. Recurrent thoughts of or a preoccupation with death.

2. Recurrent or ongoing suicidal ideation without any plans. 

3. Ongoing suicidal ideation with a specific plan. 

4. Recent suicide attempt.

5. History of suicide attempts that required professional or family/friend intervention on some level (e.g., impatient, safe house, outpatient, supervision).

6. Positive family history of depression and/or suicide. 

7. Expression of a bleak, hopeless attitude regarding life.

8. Recent painful life events (e.g., parental divorce, death of a friend or family member, broken close relationship).

9. Social withdrawal, lethargy, and apathy.

10. Rebellious and self-destructive behavior patterns (e.g., dangerous drug or alcohol abuse, reckless driving, assaultive anger) that indicate a disregard for personal safety and a desperate attempt to escape from emotional distress.