Psychiatrymiddle twist
A 19-year-old university student is seen the morning after taking twelve paracetamol tablets and scratching her forearm, three weeks after her parents separated and she moved out of home. She has never harmed herself before and has had no previous contact with mental health services. Until this month she was passing all her subjects and playing netball weekly. She is tearful but sleeps and eats normally and can describe things she is looking forward to. Her paracetamol concentration is below the treatment line. Which one of the following diagnoses is best supported at this stage?