Any one of the following symptoms does not absolutely indicate serious distress. However, several signs and changes, which may be extreme or sudden, may point to potential mental health concerns.
Check in with your friend if you notice changes in any of the following:
Interactions with others
Isolation from friends/family
Level of personal hygiene
Level of substance use
You are not obligated to keep secrets if it compromises safety. Trust your instincts if you sense your friend might be a harm to themselves or others and make sure you connect with someone who can help.