Four out of five teens who attempt suicide have given clear warnings. Pay attention to these warning signs:

• Suicide threats, direct and indirect

• Obsession with death

• Poems, essays and drawings that refer to death

• Dramatic change in personality or appearance

• Irrational, bizarre behavior

• Overwhelming sense of guilt, shame or reflection

• Changed eating or sleeping patterns

• Severe drop in school performance

• Giving away cherished belongings

• Drug and alcohol abuse

• Violent reactions, rebellious behavior, running away

• Loss of interest in fun activities

• Intolerance for praise or rewards

• Prior attempt at suicide

• Family history of suicide

• Verbal hints such as "I wont be a problem to you much longer; Nothing matters; it's no use; I won't see you again; I wish I was never born"