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Adolescent self-harm — RACP Paediatrics MCQ

Instant feedback + full explanation. One question, done properly.

ModerateSafeguarding, development, mental healthAdolescent self-harmRACP Paediatrics

A 14-year-old presents after taking an overdose of paracetamol during an argument. The level is below the treatment line and she now denies suicidal intent; her parents want to take her home immediately. What is the most appropriate management?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Complete psychosocial risk assessment and safety planning before discharge

Medical clearance after overdose does not replace psychosocial assessment of intent, supports, ongoing risk and safety planning. A low paracetamol level reduces hepatic risk but does not assess suicide or self-harm risk. The pearl is that every deliberate self-poisoning should be treated as both a toxicology and mental health presentation.

Reference: RCH Clinical Practice Guidelines: Self-harm; Therapeutic Guidelines (eTG): Toxicology