Brief Answer: Immediate medical attention. Detailed Answer: Hello and thanks for your query. I shall make an effort to provide you with good professional recommendations specific to your questions. Suicidal tendency in adolescent and young adults needs immediate medical help, for many reasons. They do not have a normal adult's coping mechanisms to overcome the same, and may not know how to express the same. It is commendable that you have recognized this at this early stage of her distress. Firstly, her immediate family members including yourself need to sit down and discuss things - if not possible or helping - get her an immediate counselling session with a psychologist you trust. The impending cause of her suicide needs to be elucidated first before any other concern for now. Then, depending on the outcome, and her response the need for a psychiatrist will be helpful. Especially, when the urge to die overshoots her entire life. She may have to be prescribed mood altering drugs for a couple of months along with counselling for getting her back to live life normally if the doctor feels necessary after the clinical evaluation. Lots of support to tide over her concerns as you have mentioned as known and others unknown will be required from all your family to help this cause. Watch over her diet too, as she will neglect it during these times and may derange her health overall. And have someone in your family, to be with her always at least for a few months for many good reasons to heal her. Let me know if I have missed out any other concern in your question. Yet again, I duly appreciate your query to me, I do hope that you have found something useful to help you and I shall be glad to answer any further apprehensions. Sincerely, Dr Sujeet N Charugulla, MBBS, MD. Consultant Physician.

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