So this is about my mental health, i keep cutting my legs and wrists and i know i should stop but i just can't. My mom says im fine when i was put on antidepressants by the doctor and she just wont listen to me when i tell her about the drama at my school right now and i keep getting raped and i cant tell anyone anything because they just dont listen and if they do they say im a liar. i keep skiping part of school to cry. When anyone see's my cuts they dont even care like "good for her she cut herself" and i have an abusive home life, and i just wanna die right now... i really wish i had someone to listen to me here's my cuts

A35-year-old woman comes to the ed complaining of chest pressure. she has had such episodes intermittently over the last 5 years, usually when sleeping, but over the last year she has had more frequent severe symptoms that are occasionally associated with severe migraine headaches. the pain is midsternal and is described as pressure that extends as a band around her chest. the ed physician is initially dubious that the pain is cardiac in origin, because the woman has no coronary disease risk factors. an ecg, however, shows 2mm st-segment elevation and inverted t waves in leads v1 through v5 and 1mm st-segment depression in leads ii, iii, and avf. before the cardiologist arrives in the ed, the patient's ecg has returned to normal. this repeat normal ecg is obtained after the administration of aspirin, nitroglycerin, morphine, and oxygen. which of the following is most likely for these findings? - diffuse intimal thickening with focal areas of atherosclerotic narrowing - intermittent thrombus formation and lysis in the left anterior descending artery - intermittent thrombus formation and lysis in the right coronary artery - plaque rupture and thrombus formation in the left anterior descending artery - transiently increased coronary vascular tone in the right coronary artery