A 15-year-old girl is brought to the outpatient psychiatric clinic by her mother after the school counselor discovered superficial cuts on her forearms during a routine check-in. The patient admits to cutting herself with a razor blade approximately twice per week for the past three months. She describes the cutting as providing relief from intense emotional pain, particularly after conflicts with peers. She denies any intent to die and states she does not want to kill herself. She reports feeling overwhelmed by social pressures and describes difficulty managing her emotions. She has no psychiatric history and takes no medications. On examination, the cuts are superficial, linear, and in various stages of healing. Her mother is tearful and asks whether her daughter needs to be hospitalized immediately. The PMHNP must determine the appropriate level of risk assessment and intervention.