At this stage, the person may seem calm, and anything but depressed. Often, when a person has made a definite decision to take the suicide option, there is a period of calmness before the suicidal attempt. One final word of caution. The fact that a person is depressed and exhibits some behavior change does not automatically indicate a suicidal crisis. Loss of sleep and appetite or poor hygiene may stem from physical problems, or from examinations, or from job pressures.
Many people experience depression without considering suicide.
It is necessary to check out the meaning of a behavior before making any assumptions. Nevertheless, if there is a continual pattern of loss of sleep or appetite, a psychotherapist or physician should be consulted. If you know someone who is indicating to you through one of these verbal or behavioral cues that he or she is in a suicidal crisis, you need to take these cues seriously. Don't be afraid to sit down and talk to the person you are concerned about. Ask them about their problems.