Which behavior might indicate that a child is suffering from severe depression or PTSD?

Self-destructiveness is a significant indicator that a child may be suffering from severe depression or post-traumatic stress disorder (PTSD). This behavior can manifest in various forms, such as self-harm, substance abuse, or reckless actions that pose a danger to themselves. These behaviors often arise from feelings of hopelessness, low self-worth, or overwhelming emotional pain, which are characteristic of severe depression and the aftermath of traumatic experiences associated with PTSD.

In contrast, healthy relationships, regular attendance at school, and increased academic performance are generally signs of well-being and stability. Children who are thriving emotionally tend to maintain strong social connections, engage positively in their school environment, and perform well academically. Therefore, these behaviors would not typically align with the signs of severe depression or PTSD, making self-destructiveness the most poignant and concerning indicator of distress in a child.