A school nurse is assisting in the planning a presentation on identifying potential warning signs of suicide for high school students. Which of the following examples of behaviors should the nurse include in the presentation?

A. Seeking a tutor for help with a challenging class. Seeking academic support is a positive coping strategy and does not indicate a risk for suicide. Students struggling with schoolwork may experience stress, but tutoring reflects problem-solving behavior and a willingness to improve academically. B. Volunteering to serve food at a homeless shelter over the holidays. Engaging in community service is generally a sign of social involvement and purpose. While sudden changes in behavior could be concerning, volunteering itself is not a warning sign of suicide and may indicate a sense of fulfillment. C. Displaying extreme mood swings. Extreme mood swings can indicate emotional instability, a key warning sign of suicide. Drastic changes in mood, especially from deep sadness to sudden calmness, may suggest suicidal intent and should be taken seriously by caregivers and peers. D. Making plans to go to the prom. Making future plans typically reflects hope and engagement in life. However, if a student suddenly makes farewell plans, withdraws from social activities, or gives away belongings, it may be a concerning sign that requires further assessment.