15-year-old Boy in Medicine / Internal Medicine — 15yo Child | Psychiatry | SMLE Q#1407
SMLE Question #1407
Medicine / Internal Medicine
Psychiatry
Last updated: February 2026
A 15-year-old boy is brought by his mother 2 weeks after his close friend died in a motor vehicle accident. He reports recurrent thoughts about death and occasional thoughts of suicide, but he denies intent or a specific plan. He is quiet but cooperative and answers questions appropriately. There is no history of substance use, psychosis, or prior self-harm. What is the most appropriate next step in management?
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