A “psychological biopsy” is outlined for evaluation of the severity & type of perturbation. This focuses on 9 areas of inquiry: the circumstantial lethality of the event; prior self-destructive behavior; depression; hostility; stress; reaction of the parent surrogate; loss of communication; lack of resources; & extremes of parental expectations & control. Initial definition of the problem by the physician opens the way to a plan for management & support. (JDW)