| Decline in academic performance |
Sleeping in class |
| Excessive absenteeism or tardiness |
Noticeable change in weight |
| Failure to complete assignments |
References to sadness/hopelessness |
| Unkempt appearance |
Expressions of guilt |
| Tearfulness or crying |
Irritability or angry outbursts |
| Appearing tired |
References to being overwhelmed |
| Pessimistic outlook |
Unusual emotional reactions |
| Rambling or incoherent speech |
Strange or bizarre behavior |
| Restlessness |
References to death or suicide |