Paediatricsmiddle twist
A 15-year-old girl is seen alone at a general practice. During the psychosocial interview she says she has been cutting her left forearm most weeks for three months, that she spent last week looking up ways of killing herself, and that she has written a note to her sister. She lives with both parents, is articulate, and repeats back accurately what you have explained about confidentiality. She asks you to promise that her parents will not be told. Which one of the following is the most appropriate action?