Depression Risk Questionnaire 
Are you worried about a friend or loved one?
Print and answer the following questions for the person whom you are concerned about.
| Part I Suicide Risk Questionnaire | |
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Have you heard: O I can't fail this class- my whole life is on the line O I'll never fit in; nobody would want to be my friend anyway O I can't stand the pressure anymore O Take my CD player and CDs- I don't need this stuff anymore O Life isn't worth living O I won't be around to deal with that O If he/she breaks up with me, I can't/won't go on O Nobody understands me; nobody feels the way I do O There's nothing I can do to make it better O Next time I'll take enough pills to do the job right O My family would be better off without me O I feel there is no way out |
Have you observed: O Excessive interest in music, books, or movies about suicide O Giving away prized possessions of personal or monetary value O Total disregard for the self, hygiene, dress, activities, etc. O Signs of planning a suicide such as obtaining a weapon, stockpiling pills, writing farewell letters/emails or suicide note(s) |
| Part II Depression Risk Questionnaire | |
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Have you noticed the following signs of depression: O Depressed mood O Change in sleeping patterns (too much/little, disturbances) O Change in weight or appetite O Speaking and/or moving wilth unusual speed or slowness O Loss of interest or pleasure in usual activities O Withdrawal from family and friends O Fatigue or loss of energy O Diminished ability to think or concentrate, slowed thinking or indecisiveness O Feelings of worthlessness, self-reproach, or guilt O Thoughts of death, suicide, or wishes to be dead |
If depression seems possible, have you also noticed: O Extreme anxiety, agitation, or enraged behavior O Excessive drug and/or alcohol use or abuse O Neglect of physical health O Feelings of hopelessness or desperation |
Click here to learn what your answers may mean for your friend or loved one. Also, learn what to do if you suspect that someone you care about is in trouble. If you are UNH student, take advantage of this opportunity to speak with a mental health professional at the UNH Counseling Center about your concerns for a loved one, or if you recognize these symptoms in yourself.