Question

A 35-year-old man presents to the emergency department after telling his partner he intends to kill himself with his hunting rifle. He admits to ongoing thoughts of suicide with a specific plan and access to firearms. He is cooperative but tearful. What is the most appropriate immediate management?

Accepted Answer

Ensure constant observation, remove access to lethal means and arrange urgent psychiatric assessment, considering involuntary admission if necessary.

Answer

Discharge with crisis line information and follow-up in 1 week.

Answer

Arrange urgent outpatient psychiatry review but allow him to go home with his partner.

Answer

Start an SSRI and discharge with safety plan.

Answer

Advise his partner to monitor him closely at home and return if he deteriorates.

Practice question

A 35-year-old man presents to the emergency department after telling his partner he intends to kill himself with his hunting rifle. He admits to ongoing thoughts of suicide with a specific plan and access to firearms. He is cooperative but tearful. What is the most appropriate immediate management?