Inclusion Criteria:  emergency department (ED) patient 14-19 years of age.  Exclusion Criteria:  Developmental delay, severe illness, or cognitive impairment precluding informed consent/assent or completion of study activities, as determined by ED team or study team. Current ED evaluation for acute sexual assault/abuse. Current mental or behavioral health symptoms precluding completion of study activities, as determined by ED team or study team. Caregiver declines to step out to allow assent/consent in private or adolescent declines for caregiver to step out to allow assent/consent or participation in private. Adolescent is non-English speaking. Parent is non-English or non-Spanish speaking.