Which signs in a teenager may indicate risk and require assessment?

• A. Withdrawn from activities, increased substance use, suicidal ideation
• B. Increased athletic participation
• C. Improved communication with parents
• D. Sleep-through-the-night pattern

Answer: (A)

In teenagers, red flags for risk come from signs of distress that point to withdrawal, coping struggles, or imminent danger. The combination of pulling away from activities, using more substances, and having suicidal thoughts signals that the teen may be in serious emotional trouble and needs an immediate assessment. Withdrawal from peers and usual interests suggests isolation and loss of support; increased substance use can mask pain while increasing impulsivity and danger; suicidal ideation is a direct indicator of risk to safety and requires urgent evaluation and safety planning.

By contrast, increased athletic participation and improved communication with parents are generally positive signs that the teen is engaging and connected, and a sleep-pattern that rests through the night usually indicates stability rather than risk.