if there is suicidal ideation/ suicidal intent.

Also, there may be an event in the past that is the trigger of the issue. There often is. One of our kids started having panic attacks, then depression and anxiety. Years later they realized that it started with repeated, mild sexual assault by a fellow student that they hadn't associated as sexual assault. Asked other friends that had associated with the same friend and many of them had depression, anxiety, panic attacks that started at the same time as his. Most? all? hadn't connected the sexual assault experiences with their mental health issues. Can be hard to determine if there is an experience like this that is the trigger.