Here are 12 signs from Active Minds, Inc. you might notice in yourself or a friend that are good reasons to reach out and talk with someone.

These signs are not always universal. Some people may show behavioral changes, while others show physical symptoms. Men and women can also exhibit signs of mental illness differently. However, if you recognize any of these signs for more than several days in yourself, a friend, or family member, seeking help should always be your first step so you can get them the care they need.

1. Feelings of hopelessness or worthlessness, depressed mood, poor self-esteem or guilt.
2. Withdrawal from friends, family and activities you use to enjoy.
3. Changes in eating and sleeping patterns.  
4. Anger, rage or craving revenge.  Are you overacting to criticism?
5. Feeling tired or exhausted all the time.
6. Trouble concentrating, thinking, remembering, or making decisions.  
7. Restless, irritable, agitated or anxious movement or behaviors.
8. Frequent crying.
9. Neglect of personal care.
10. Reckless or impulsive behavior.
11. Persistent physical symptoms such as headaches, digestive problems, chronic pain that does not respond to routine treatment.
12. Thoughts about death or suicide.

Signs of Suicide

Suicide is preventable (courtesy of Active Minds, Inc.).

Most people who are suicidal show warning signs. Often those close to them are unaware of the significance of these signals or are unsure of what to do about them. There is no foolproof way to know for sure that a friend or family member is thinking about hurting themselves, but by recognizing warning signs and taking action, you can help.

While the topic of suicide may be uncomfortable for some, research shows that asking if someone is suicidal does not incite or increase thoughts of suicide. Having the conversation can be uncomfortable, but it could also save a life.

These warning signs of suicide demand IMMEDIATE attention:

• Threats to hurt oneself, or the talk of hurting oneself
• Talking or writing about suicide or death
• Obtaining or looking for ways to hurt oneself or by seeking access to means of suicide
• Giving away prized possessions or other personal things

IF YOU NOTICE THESE SIGNS IN YOURSELF OR A FRIEND - CALL, TEXT OR CHAT THE NATIONAL SUICIDE & CRISIS LIFELINE AT 988.