Which of the following is a common early warning sign of mental distress?

Feelings of worthlessness are considered a common early warning sign of mental distress because they often signal a decline in self-esteem and can indicate underlying issues such as depression or anxiety. Individuals experiencing these feelings may struggle with negative thoughts about themselves, which can lead to further emotional turmoil and impact their daily functioning. Recognizing this symptom is crucial for early intervention and support, as it helps peers and mental health professionals identify those who may need additional help or resources.

In contrast, extreme happiness does not typically indicate mental distress, as it suggests a positive emotional state. Increased social engagement and heightened motivation are generally seen as healthy behaviors and may indicate well-being rather than distress. These options do not align with the common indicators that suggest a person might be struggling with their mental health.