What do thoughts of suicide, scratching over old self harm cuts, unreasonable sadness and thinking of school as a stress and anxiety place lead to?

Needs evaluation: Thoughts of suicide and self harm need immediate evaluation. If suicidal thoughts are present, immediate help is needed and the patient needs to report it to a parent and seek help immediately. Also unreasonable sadness and stress could be signs of depression and anxiety needs evaluation by a psychiatrist or psychologist as soon as possible.