Suicidal Ideation

Your practice has a large number of older adolescents and young adults, and your patients frequently say they do not want any information released to their parents.
Yesterday, you saw a 19-year old woman who is suffering from depression, has a history of binge-drinking and has had increasing thoughts of suicide. She reports she would not act on these thoughts because it would hurt her family, but you are worried about her. Her mother frequently brings the patient to her appointments. You thought of speaking to the mother but decided against this when your patient asked you not to.