How do you approach the psychiatric evaluation and disposition of adolescents presenting after an overdose that was not a suicide attempt?

There is much to learn.

1. If previous history of SIB, OD-likely admit.
2. Known psychiatric disorder - perhaps IOP/PHP.
3. What triggered the OD? For instance, breakup, argument - perhaps IOP/PHP.
4. Recent traumatic event - perhaps IOP/PHP
5. Family functioning: Is the family supportive, dismissive, chaotic, or conflictual? The disposition may be based on this aspect of the evaluation.
6. If unintentional, how and why did it occur?

I agree with the answer given by Dr. @Dr. First Last. Per my experience, most teenagers who are severely depressed will deny or minimize their suicide attempt for multiple reasons. This is like how a patient with an eating disorder won't admit to their symptoms. The disposition may not be straightforward. This is how I think and approach.

• Consider all adolescent overdoses as intentional unless there is a clear reason and a history of it being accidental.
• Evaluate the severity of the attempt: e....

Agree with previous statements.

High-risk features that would support admission:

• Previous attempts
• Alcohol or drug use
• Other associated diagnoses, including personality disorders
• Eating disorders
• Psychotic features