Which of the following is a sign of mental health distress in inmates?

Changes in behavior are a clear indicator of mental health distress in inmates. In a correctional setting, any significant alteration in how an inmate acts—whether it be withdrawal from social activities, increased aggression, or erratic mood swings—can signal underlying mental health issues that may require attention. These behavioral changes can manifest as shifts in sleeping patterns, disruptions in daily routines, or alterations in interpersonal relationships, all of which suggest that the individual may be experiencing distress.

The other options describe signs that could suggest stability or improvement rather than distress. For instance, increased social interactions and improved communication skills typically indicate positive engagement and adaptation, while a consistent appetite suggests a stable mental state. In contrast, behavioral changes are often a direct response to emotional or psychological challenges, making this choice the most indicative of mental health distress in inmates.