Why Make a Referral?

Signs of Possible Drug Use

Physical Symptoms

  • Acting intoxicated
  • Bloodshot eyes or droopy eyelids
  • Imprecise eye movements
  • Wearing sunglasses at inappropriate times
  • Abnormally pale complexion
  • Change in speech
  • Frequent persistent illness
  • Change in sleep patterns
  • Repressed physical development
  • Sudden appetite
  • Unexplained weight loss
  • Neglect of personal appearance

Behavior Changes

  • Unexplained periods of moodiness or depression
  • Over-reaction to mild criticism
  • Preoccupation with self; loss of concern of others
  • Loss of interest in hobbies
  • Lethargy; lack of energy
  • Need for instant gratification
  • Changes in values and beliefs
  • Change in friends
  • Disappearance of money

School Changes

  • Decline in acadmics
  • Reduced short-term memory
  • Reduced concentration
  • Sleeping in class
  • Slow response
  • Increased behavior problems
  • Change in peer group
  • Frequent tardiness/absenteeism

Warning Signs of Teenage Depression

  • Noticeable change in eating and sleeping habits
  • Withdrawal from friends and family
  • Persistent boredom
  • Decline in quality of school work
  • Running away
  • Alcohol and drug abuse
  • Unusual neglect of personal appearance
  • Difficulty concentrating
  • Psychosomatic complaints
  • Depressed mood
  • Refusal to attend school
  • Feelings of hopelessness or worthlessness
  • Excessive fear

From Teenline, Holy Spirit Hospital

Warning Signs of Suicidal Thoughts and/or Actions

  • Direct verbal statements or threats of suicide.
  • Indirect verbal clues e.g. "Everyone would be better off with out me."
  • Previous suicide attempt, including minor gestures such as scratching wrists or taking mild overdoses.
  • Preoccupation with death
  • Specific purchase or questions about lethal methods which would indicate having a suicide plan in mind.
  • Discontinuation or withdrawal from activities which had been important
  • Giving away important possessions
  • Risk-taking behavior
  • Sudden behavior changes
  • Expression of feelings of hopelessness or helplessness
  • Symptoms of depression.

from Teenline, Holy Spirit Hospital