Specific Plan in Medicine / Internal Medicine — 17yo Child | Psychiatry | SMLE Q#999
SMLE Question #999
Medicine / Internal Medicine
Psychiatry
Last updated: February 2026
A 17-year-old girl has 3 months of low mood, social withdrawal, poor sleep, and loss of interest. She reports multiple previous suicide attempts, including an overdose 2 weeks ago that she did not disclose. She currently has suicidal ideation with a specific plan and declines a safety plan. Mental status examination shows psychomotor retardation and poor judgment. She insists on leaving despite the psychiatrist recommending admission for safety. Which ethical principle primarily supports recommending hospital admission?
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