Change in behavior/interests/friend group
Withdrawing from family, friends, and/or school
Drop in grades
Excessive absences and/or tardiness
Defiance of rules/authority at home and/or school
Change in family dynamics
Recent loss
Unexplained physical injuries and/or body marks
Deteriorating personal appearance
Mood swings
Expression of anger/hostility
Expression of sadness/hopelessness
Talking about suicide
Talking about and/or is experimenting with cigarettes, vaping, drugs or alcohol