History A 24-year-old woman was presented after she took an impulsive overdose of 30 paracetamol tablets. Earlier in the evening she had been drinking and ended up in an argument with her boyfriend. Once back at home, she felt very angry and unhappy and impulsively took the overdose. She is sure she did not take anything else. There is no suicide note and about half an hour after taking the overdose she called a friend who called an ambulance. She regrets the overdose and up until the argument with her boyfriend had not had any problems or issues that worried her. As a teenager, she had a spell when she used to cut herself but this has not happened for at least eight years now.

She has not taken any previous overdoses. She is rather embarrassed and upset. Mental state examination Her eye contact is normal. She looks well. Her speech is normal. She has no thought disorder. Her mood is…