Trigger warning: This story explores suicide, including the details of how the author’s mother took her own life. If you are at risk, please stop here and contact the National Suicide Prevention Lifeline for support. 800-273-8255

Many people may not show any signs of intent to harm themselves before doing so, but some actions can be a sign that a person needs help. People in crisis may show behaviors that indicate a risk of self-harm. The following can all be warning signs:

Appearing sad or depressed most of the time
Hopelessness; feeling like there’s no way out
Anxiety, agitation, sleeplessness, or mood swings
Feeling as if there is no reason to live
Feeling excessive guilt, shame, or sense of failure
Rage or anger
Engaging in risky activities without thinking
Losing interest in hobbies, work, or school
Increasing alcohol or drug misuse
Neglecting personal welfare; a deteriorating physical appearance
Withdrawing from family and friends
Showing violent behavior, like punching a hole in the wall or getting into fights
Giving away prized possessions
Getting affairs in order, tying up loose ends, or writing a will

The following signs require immediate attention:

Thinking about hurting or killing yourself
Looking for ways to kill yourself
Talking about death, dying, or suicide
Self-destructive behavior such as drug abuse, weapons, etc.