Who is this young woman that seems to have chosen
to die by default? She is in effect parentless at a labile
and vulnerable age. An attempt at a different social environment
has failed. She is depressed. Unknowns are her issues,
feelings, and concerns and whether antidepressants have
been tried, and if so, what their effect has been. Additional
data not given is whether dialysis has been tried, and
if not, why not? The known track record of adolescents
doing poorly on dialysis would be a concern, but then so
is the loss of a scarce resource.