Your buddy Mark has stopped hanging out with you and your friends.You have heard that he has been acting very sad and quiet,which is not like him at all.What other risk factors would increase your concern that Mark could be depressed and possibly thinking about suicide?

3 answers

It's important to approach this situation with sensitivity and care. Several risk factors could indicate that Mark is experiencing depression and possibly considering suicide. Here are some factors to consider:

  1. Changes in Behavior: Noticeable withdrawal from social activities, declining interest in hobbies, or avoidance of friends could be concerning.

  2. Mood Changes: Signs of persistent sadness, irritability, or mood swings that differ significantly from his usual behavior.

  3. Changes in Sleep Patterns: Sleeping too much or insomnia can be indicators of depression.

  4. Changes in Appetite: Significant weight loss or gain, or changes in eating habits may suggest emotional distress.

  5. Loss of Energy: Mark may seem fatigued, lacking motivation, or exhibiting a general sense of lethargy.

  6. Difficulty Concentrating: Trouble focusing, making decisions, or a general sense of confusion might be present.

  7. Speaking about Hopelessness or Helplessness: If he expresses feelings of being overwhelmed, hopeless about the future, or a lack of purpose.

  8. Substance Abuse: Increased use of alcohol or drugs can be a coping mechanism for underlying issues.

  9. Recent Life Changes or Stressors: Experiencing significant life events such as a breakup, loss of a loved one, academic pressure, or job loss can heighten the risk.

  10. Past History of Mental Health Issues: If Mark has previously struggled with depression or mental health problems, this may increase concern.

  11. Direct or Indirect Talk About Suicide: Any mention of feeling like life isn’t worth living, or "wanting to end it all," should be taken seriously.

  12. Presence of a Plan: If he demonstrates a specific plan or means to carry out suicide, this is a critical risk factor.

  13. Social Isolation: If he has recently lost friends or family support, or if he is being bullied or has difficulty in relationships.

If you notice several of these risk factors in Mark's behavior, it's vital to reach out to him with compassion and understanding. Encourage him to talk about what he's feeling, and suggest that he seek help from a trusted adult or mental health professional. Your support could make a significant difference. Remember that while it's important to be there for him, professional help is essential in situations involving depression and suicidal thoughts.

Your choices are:
Mark has failed his first test in social studies.
Mark has been bullied at school for years.
Mark goes to church with his family once a month.
Mark volunteers to help feed the homeless.

Among the options presented, "Mark has been bullied at school for years" is the most concerning risk factor that could increase your worry that Mark might be depressed and possibly thinking about suicide.

Long-term bullying can have significant negative impacts on mental health, leading to feelings of hopelessness, low self-esteem, and even thoughts of self-harm or suicide. If Mark has been enduring this for a sustained period, combined with other factors such as changes in behavior or mood, it would be important to take his situation seriously and offer support or encourage him to seek help.

The other options, while they may provide some context to his life, do not present as immediate risk factors related to depression or suicidal thoughts in the same way.