This individual had accomplishments that barely saved his self-esteem and had love and acceptance from his friends and family, which kept him alive. However, there are many far less fortunate. That same individual could have been discarded by his own family, harassed by his peers, dropped out of school because he could no longer afford college, or attempted suicide. Please keep this in mind when the next adolescent patient walks into your office and appears to be without pain.
Kitts RL. Unnoticed Pain. Arch Pediatr Adolesc Med. 2004;158(12):1190. doi:10.1001/archpedi.158.12.1190