Sam appears down, with little eye contact and low energy. Though the clinician acknowledges prior conversations with Sam about hurting herself, she denies any current inclination to self-harm. Sam knows a girl at school who engaged in self-harming behavior by cutting herself, yet again denies trying it herself. When asked about thoughts of suicide, Sam avoids answering the clinician's question, either lapsing into silence or minimizing the idea as something everyone thinks about
Notes
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