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A 17 year old girl has a 3 year history of MDD and intermittent suicidal thoughts. She discloses that she has new intermittent thoughts of cutting, and made one very superficial cut with her razor a week ago, following a fight she had with her boyfriend. She denies current acute suicidal ideation. What is the most important next step in your clinical management? Ca. Take her to the emergency room for possible inpatient hospitalization. b. Discuss a plan for safety with her and her parents, including how to ensure her safety. C. Ask her to sign a safety contract for times she has suicidal urges. d. Discuss starting medication to reduce suicide risk.

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