TABLE 1.

Final List of Action/Warning Signs

Initial Construct	Final Action Signs After Focus-Group Input
Severe depression with impairment	Feeling very sad or withdrawn for ≥2 wk
Suicidal thoughts with plan or any attempt	Seriously trying to harm or kill yourself, or making plans to do so
Panic attack	Sudden overwhelming fear for no reason, sometimes with a racing heart or fast breathing
Severe aggression with impairment	Involved in multiple fights, using a weapon, or wanting badly to hurt others
Poorly controlled impulses	Severe out-of-control behavior that can hurt yourself or others
Eating disorder with impairment	Not eating, throwing up, or using laxatives to make yourself lose weight
Severe anxiety with impairment	Intense worries or fears that get in the way of your daily activities
Severe inattention/hyperactivity	Extreme difficulty in concentrating or staying still that puts you in physical danger or causes school failure
Substance use	Repeated use of drugs or alcohol
Mood swings	Severe mood swings that cause problems in relationships
Personality changes	Drastic changes in your behavior or personality