I can't see how "strict medical supervision" could ever be strict enough unless someone is in a hospital.
Parents are not always skilled at knowing what to look for, particularly if any signs of problems were subtle. People are often able to keep suicidal thoughts to themselves, and if they're serious they're going to keep it to themselves. The doctor isn't following the kid around 24 hours a day, watching what's going on and able to interrupt any attempt at suicide. Some kids aren't even living with two parents or one parent. They may be in a college dorm, foster home, or other non-parent living situation.
So, what, exactly, is "strict medical supervision"? Who will be watching that kid at 3:00 a.m. when, all of a sudden, he gets in a state where he can't bear existing and does something to hurt/kill himself? Obviously, the doctor won't be there. Neither will a nurse. Neither will parents because parents don't sleep in the room with teenagers.
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