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Adolescents who spend prolonged periods at home place themselves in pathological situations since they give up the broad relational universe of normal adolescents and the cognitive investment related to the outside world. Although urgent, the parental request for help is often late and ambivalent because of the progressive reorganizations linked to this situation. Based on our experience in psychiatric emergency situations, we propose a two-tier response mode: immediate reception of the family without the patient since he/she does not want to attend, and a visit to the home place to meet the adolescent. Two observations related to the suicide risk describe these kinds of situations: the first one aims to end the suicidal crisis without further treatment while the second one stresses a diagnosis of a severe nervous breakdown, entailing a long-term treatment.