It is 23:15 in your Emergency Department.

 A 17-year-old boy is brought in by friends after being found intoxicated and confused outside a nightclub.

 He has minor abrasions on both hands but no significant injuries.

 He denies drug use and says he “just had a few drinks.”

 Your FY2 colleague, new to the department, asks which presentations require mandatory safeguarding escalation under the RCEM Best Practice Guideline (2023) for adolescents and young adults.

According to RCEM Best Practice (2023), all of the following presentations are mandatory safeguarding triggers, except: