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Suicide and suicidal behavior - Symptom

Symptoms:

Early signs:

  • Depression
  • Impulsiveness
  • Nervousness
  • Statements or expressions of guilt feelings
  • Tension or anxiety

Critical signs:

  • Direct attempts to commit suicide
  • Direct or indirect threats to commit suicide
  • Giving away belongings, attempts to "get one's affairs in order"
  • Sudden change in behavior, especially calmness after a period of anxiety

Danger signs in young people:

  • Loss of interest in activities that were previously enjoyable
  • Sudden decrease in school performance
  • Unusual changes in sleep or eating habits
  • Unusual irritability
  • Withdrawal from friends
  • Reviewed last on: 1/15/2009
  • Christos Ballas, MD, Attending Psychiatrist, Hospital of the University of Pennsylvania, Philadelphia, PA. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Zuckerbrot RA, Cheung AH, Jensen PS, Stein RE, Laraque D. GLAD-PC Steering Group. Guidelines for Adolescent Depression in Primary Care (GLAD-PC):I. Identification, assessment, and initial management. Pediatrics. 2007;120:e1299-e1312.

Institute for Clinical Systems Improvement. Health Care Guidelines: Major Depression in Adults in Primary Care. 10th edition. May 2007.

Bridge JA, Iyengar S, Salary CB, et al. Clinical response and risk for reported suicidal ideation and suicide attempts in pediatric antidepressant treatment: a meta-analysis of randomized controlled trials. JAMA. 2007;297:1683-1696.

Cheung AH, Zuckerbrot RA, Jensen PS, Ghalib K, Laraque D, Stein RE. GLAD-PC Steering Group. Guidelines for Adolescent Depression in Primary Care (GLAD-PC):II. Treatment and ongoing management. Pediatrics. 2007;120:e1313-e1326.

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