Tripled since 1950's

second leading cause of adolescent death

contagious, often the result of romantic problems,

associated with depression and hopelessness,

Giving away material objects,

talking about suicide,

withdrawal from others.

Disinterest in favorite activities, job loss,

substance abuse, behavioral problems, sleep changes,

eating changes, hygiene neglect,

emotional distress leading to physical complaints,

concentration/attentional problems,

risk taking, decline grades/not getting work done,

lack of response to praise