The presence of suicidal ideation in a minor mandates urgent assessment to ensure safety and access mental health care. Disclosure of sexual orientation should be handled delicately and is not urgent compared to suicidal risk.

Toronto Notes 2023 – Psychiatry, “Child and Adolescent Psychiatry” Section:

“Any adolescent disclosing suicidal ideation should be referred for urgent mental health evaluation. Concurrent issues such as sexual orientation may contribute to distress and should be addressed with appropriate support over time.”

MCCQE1 Objectives (Psychiatry > 79-2: Suicide Risk Assessment):

“Candidates must immediately refer for psychiatric assessment when a minor reports suicidal ideation, regardless of other social or developmental concerns.”

Antidepressants (A) may be appropriate but must follow specialist evaluation. Encouraging disclosure (B) or peer groups (C) is premature without ensuring safety.