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- Hopelessness, worthlessness, feeling a loss of control, helplessnee
- Threatening to harm oneself or completing suicide
- Having a definite plan for completing suicide
- Acquiring the means to complete suicide (e.g, getting a gun)
- Rehearsing or visiting a place to complete suicide
- Increased use of alcohol and/or drugs
- Changes in eating, sleeping, and personal care
- Apathy, lack of energy, inability to focus
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- Talking or writing about death, drawing images of death
- Withdrawing from social relationships or activities
- Losing interest in hobbies, work, school
- Giving away highly valued personal items or possessions
- Undergoing significant changes in mood and personality
- Engaging in reckless or dangerous behaviors
- Making a will, funeral arrangements, or telling others how affairs should be handled
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