12-year-old Boy in Medicine / Internal Medicine — 12yo Child | Psychiatry | SMLE Q#1478
SMLE Question #1478
Medicine / Internal Medicine
Psychiatry
Last updated: February 2026
A 12-year-old boy tells his pediatrician, “I want to take pills to die,” after months of bullying about his weight. He denies a specific plan, intent, or preparatory behaviors. There is no history of self-harm, psychotic symptoms, or substance use. He reports mild sleep and appetite reduction but continues attending school and still enjoys some activities. He is distressed but cooperative, and a parent is present and able to supervise him at home. What is the most appropriate next step in management?
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