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She could be doing worse. You could give her advice as a friend, not as a "parent", but keep in mind that there are a lot of kids out there in worse shape (since all you've described is an ugly tattoo).
Is the other girl diagnosed mentally ill, or just strange? Tough spot. People have the right to screw up their own lives, but it's tough to stand by and watch.
Maybe another tack might be to invite her to gay-friendly social functions that attract a more say, goal-oriented or intellectual crowd. Sometimes a change of scene and exposure to more interesting people can inspire a desire for self-improvement. It happened to me, anyway...
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