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We present the case of a 14\u2010year\u2010old male with relapsed, high\u2010risk, B\u2010cell acute lymphoblastic leukemia who received a haploidentical stem cell transplant and was suicidal at various points in his treatment. We discuss how to manage acute suicidality in this patient population, the importance of giving a voice to the adolescent patient, the impact of discordant goals of care, and potential preventive strategies for similar cases.<\/jats:p>","DOI":"10.1002\/pbc.30893","type":"journal-article","created":{"date-parts":[[2024,1,24]],"date-time":"2024-01-24T09:21:32Z","timestamp":1706088092000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cJust let me go\u201d; When suicidal ideation and goals of care collide in adolescent cancer at the end of life"],"prefix":"10.1002","volume":"71","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3338-0244","authenticated-orcid":false,"given":"Bryony","family":"Lucas","sequence":"first","affiliation":[{"name":"Baylor College of Medicine  Houston Texas USA"},{"name":"Division of Pediatric Hematology and Oncology Department of Pediatrics Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8652-4400","authenticated-orcid":false,"given":"Brian","family":"Friend","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine  Houston Texas USA"},{"name":"Division of Pediatric Hematology and Oncology Department of Pediatrics Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3301-1905","authenticated-orcid":false,"given":"Jill Ann","family":"Jarrell","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine  Houston Texas USA"},{"name":"Division of Palliative Care Department of Pediatrics Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5287-6253","authenticated-orcid":false,"given":"Rachel","family":"Kentor","sequence":"additional","affiliation":[{"name":"Baylor College of Medicine  Houston Texas USA"},{"name":"Division of Palliative Care Department of Pediatrics Texas Children's Hospital  Houston Texas USA"},{"name":"Division of Psychology Department of Pediatrics Texas Children's Hospital  Houston Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,1,24]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12935\u2010021\u201002225\u2010y"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/cncr.28740"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.6014"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2017.187"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018\u20102800"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.5424"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/bmt.2017.41"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1478951521001462"},{"key":"e_1_2_7_10_1","unstructured":"Voicing my choices\u2014five wishes. 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