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Sara (not her real name) had been withdrawing from friends and school activities, and her parents encouraged her to see a psychologist. She was a straight A student and popular. There was no history of trauma, and family dynamics were well within the norm of a loving, supportive household. She had high expectations of herself, but blamed no one for imposing undue pressure on her. She couldn't explain her ambivalence with friends and school. From her perspective, there was nothing wrong except, perhaps, boredom.
Dohrenwend A. Too Beautiful for Suicide. Arch Pediatr Adolesc Med. 2009;163(11):976-977. doi:10.1001/archpediatrics.2009.177