Table 3

Behavioral and emotional symptoms of dysthymic and major depressive disorder in children

Noticeable changes in appetite, weight, sleep, use of alcohol / chemical subs., academics, work, sexual patterns, social and/or religious activities

Lack of energy, lethargy, fatigue

Loss of pleasure in usual activities

Decreased concentration and lack of interest

Hyperactivity, restlessness

Somatic complaints

Withdrawal

Frequent, unexplained, irrational changes in behavior

Impulsiveness and recklessness

Aggressiveness

Giving away favorite or prized possessions (a “living will”)

Withdrawal, sulkiness

Feelings of helplessness and hopelessness

Crying spells, tearfulness, sadness

Low self-esteem, unreal expectations of self

Pronounced mood swings

Anxiety

Feelings of loss

Feelings of powerlessness, out-of control, outside control

Feelings of isolation, loneliness

Depression

Sudden happiness following depression

Guilt, remorse, self-reproachment

Nervousness

Despondency

“I won’t be around much longer.”

“______ would be better off without me.”

“I just can’t take it anymore.”

“Nobody would miss me if ______.”

“I’m going to end it all.”

“Who’d care?”

“I want to die.”

“They’ll be sorry when I’m gone.”

“I just want to lay down and sleep forever.”

“It won’t be long before this pain is gone.”

“Did you ever wonder what it would feel like to be dead?”

“I’m going to commit suicide.”

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