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Is my cousin suicidal?

No.1455632 View ViewReplyOriginalReport
Not sure if this is the right board for this, but my cousin posted this painting that I am assuming is hers and due to the graphic nature of it, I am concerned that she may be considering suicide. She already has serious mental issues and I’ve assumed that she’s been struggling with suicidal thoughts recently but I don't know for sure. Should I reach out to her?