A 17-year-old male is brought to the emergency room by his family. Earlier, he got into an argument with his girlfriend and began to ingest several ibuprofen tablets in front of her. He says he didn't really premeditate the act, and he denies having written a note. He has been feeling very depressed and upset for the past several months. Family members also note that he has been moody and explosive. In fact, one week ago, he was referred to the school authorities for violent remarks.

He has been doing worse in school for the past semester and is at risk of failing. Reportedly, his teachers have complained that he is disruptive with his non-stop talking and "giggliness". Past Medical History: His past history is otherwise negative. Family history is significant for alcohol abuse in the biological father, who tended to use corporal punishment on the children. Physical Exam:  His…