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1. |
Have there been changes in your teen's eating or sleeping habits? |
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2. |
Has there been a definite, noticeable change in your teen's personality? |
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3. |
Has your teen suddenly begun to neglect their appearance? |
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4. |
Does your teen complain frequently of headaches, stomachaches, fatigue, or other physical ailments with no medical reason? |
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5. |
Is your teen often bored, having difficulty concentrating, or recently begun neglecting schoolwork? |
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6. |
Does your teen have trouble accepting praise or rewards? |
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7. |
Has your teen withdrawn from family and friends? |
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8. |
Has your teen lost interest in activities and hobbies they used to enjoy? |
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9. |
Has your teen begun using drugs or alcohol? |
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10. |
Has your teen become violent, rebellious, or run away? |
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11. |
Does your teen express feelings of worthlessness? |
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12. |
Has your teen suddenly snapped out of a period of depression? |
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13. |
Does your teen have signs of psychosis (hallucinations or bizarre thinking)? |
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14. |
Has your teen cleaned their room and given away or thrown away favorite or important possessions? |
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15. |
Has your teen given verbal hints that they are thinking of taking their own life ("I won't be a problem for you much longer.", "It doesn't matter.", "Nothing matters.", "You won't have to worry about it.", etc)? |
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Total 'Yes' |
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(out of 15 possible) |
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Interpretation |
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