What’s Your Diagnosis? Suicidal Ideation and Self-Harm in Children

Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got the previous case on Febrile Infants Aged ≤60 Days: Evaluation and Management in the Emergency Department right.

Case Presentation: Evaluation and Management of Suicidal Ideation and Self-Harm in Children in the Emergency Department 

A 13-year-old girl presents with her father with the request for a medical evaluation after she ran away from home for 24 hours…  

  • The girl tells you she wanted to hang out with friends after recently getting into an argument with her father about her grades at school. She has a history of depression noted in the electronic medical record and no prior ED visits. 
  • During triage assessment, the patient avoids eye contact with the triage nurse and answers questions with few words. 
  • You wonder whether there is more to this patient’s story and what questions you should ask when interviewing the patient in a room. 

Make your best guess, and check back next month for the case conclusion!

Click to review Pediatric Emergency Medicine Practice, Safe Use of Opioids

USACS subscribers can log in or renew here.

Leave a Reply

Your email address will not be published. Required fields are marked *