Personality becomes sad, withdrawn, tired, apathetic, anxious, irritable, or prone to angry outbursts. Declining performance in school, work, or other activities. Declining interest in sex, friends, or activities previously enjoyed. Neglect of personal welfare, deteriorating physical appearance. Alterations in either direction in sleeping or eating habits.
Undocumented status adds to the stress of a crisis.
Suicidal Behavior Previous suicide attempts, mini-attempts . Explicit statements of suicidal ideation or feelings. Development of suicidal plan, acquiring the means, rehearsal behavior, setting a time for the attempt. Self-inflicted injuries, such as cuts, burns, or head banging. Unexplained accidents among children and the elderly.