I

IDEATION

Thoughts of suicide expressed, threatened, written

S

SUBSTANCE USE

Increased or excessive alcohol or drug use.

P

PURPOSELESSNESS

Seeing no reason for living or having no sense of meaning or purpose of life.

A

ANXIETY

Feeling anxious, agitated, frequent nightmares, or unable to sleep (or sleeping all the time).

T

TRAPPED

Feeling trapped, like there is no way out.

H

HOPELESSNESS

Feeling hopeless about self, others, the future.

W

WITHDRAWAL

Withdrawing from family, friends, usual activities, society.

A

ANGER

Feeling rage or uncontrolled anger, seeking revenge for perceived wrongs.

R

RECKLESSNESS

Acting without regard for consequences, excessively risky behavior.

M

MOOD CHANGES

Experiencing dramatic changes in mood.  Unstable mood.