Page 1 Page 2 Page 3 Page 4 Page 5 Page 6 Page 7 Page 8 Page 9 Page 10 Page 11 Page 12 Page 13 Page 14 Page 15 Page 16 Page 17 Page 18 Page 19 Page 20 Page 21 Page 22 Page 23 Page 24 Page 25 Page 26 Page 27 Page 28 Page 29 Page 30 Page 31 Page 32 Page 33 Page 34 Page 35 Page 36 Page 37 Page 38 Page 39 Page 40 Page 41 Page 42 Page 43 Page 44 Page 45 Page 46 Page 47 Page 4839 Any talk about suicide should be taken seriously and pursued further, including through an evaluation by a mental health professional, if needed. Other changes in the teen’s behavior that last beyond a month, seem to come out of nowhere, and are drastic, severe, and/or harmful (e.g., substance use) should be of major concern and cause for conversation and mental health intervention. Here are some possible ways to start the conversation. I know it’s been really tough lately. I’ve seen you withdraw from your friends, and I am wondering if you are finding the support you need. I want to ask a question because I care about you and I noticed that you seem to be really missing your mom lately. You also seem to be really down, and I am wondering if you’re having thoughts of hurting yourself or ending your life. I have noticed you seem to be taking some risks with your safety: not wearing your seatbelt, driving a bit recklessly, ... I’m wondering if you feel depressed and might be thinking about suicide, too. If any suicidal thinking is evident, ask open-ended follow-up questions to find out the extent and context of your teen’s suicidal thoughts or plans. Can you tell me more about these thoughts you’re experiencing? Help me understand where your mind goes from there. Call the National Suicide Prevention Lifeline (1-800-273-8255), text HELLO to the Crisis Text Line at 741-741, or take your teen to the hospital emergency room if there is a crisis situation.