Because there's no point to living life without curiosity, House asks Addie why. "I don't know," she says, showing some real emotion for the first time. "I've just...never been happy." She begs House not to tell her parents, because they'll blame themselves and they shouldn't. Oh, well, I'm sure they'll be much less upset to have their daughter die when she tries to kill herself again down the road than to have their daughter live but need some psychiatric care. How can she even think that after seeing how upset they were when they thought she was going to die? Maybe you're not happy, Addie, but isn't it worth living to keep at least two people you love happy? So many people on this show don't have anyone to care about them, and they all want to live. Why can't you, Addie? House says if she promises she'll never kill herself again, then he's legally bound to keep her secret. "I promise," she says, totally unconvincingly. Well, great.
While Addie has her surgery, House has a chat with her parents. They're super-happy to see him now that he saved their daughter's life and stuff. They start trying to express this gratitude, but House interrupts by announcing that their daughter is suicidal. He's breaking the law, like Judas Priest says, by telling them this. "How could she hide this?" Mommy asks. Well, it's because she's both selfish and not selfish. On one hand, she'd rather end her own suffering by killing herself and thereby causing her parents' misery. Selfish. On the other, she didn't want them to know about this because then they'd blame themselves and be upset. Not selfish. But mostly, selfish. Mommy and Dad vow to take care of their daughter now that they actually have the chance to do it. They'll get her into therapy. House recommends anti-depressants, too. I think that's as much of an admission that the medication worked for him as we're going to get. He moves to leave, and Mommy runs up and asks if they can call him with any questions. "No!" he says.