You are a school nurse in a middle school when Jacob comes to the nurse’s office requesting medication for a headache. You notice that his eyes are red, and it appears as if he has been crying. You ask if he is hurt, but he denies it. The phone rings in the office, and a teacher tells you that a female student has approached her concerned about Jacob. The teacher tells you that Jacob sent her a text message saying that he flunked his biology examination and wished he was dead.