The patient is a 14 year old female who presented to the ED with homicidal ideation (HI) to harm her mother. Patient reports suicidal ideation (SI) with no plan on arrival.

During the time of assessment the patient was sitting upright in her bed watching TV. According to nursing staff notes the patient has not been aggressive since arrival to ED. The patient reports a history of emotional abuse from her siblings and peers. The patient states, "Most of my life people have been mean to me." Furthermore, the patient reports that she has seen a lot of verbal and physical aggression over the course of her life from family members with substance abuse issues. Since the summer it has been difficult for her. She reports over the summer her ex-boyfriend's