A 22-year-old university student presents to the emergency department with active suicidal ideation and a specific plan to overdose on medications at ...

Question

A 22-year-old university student presents to the emergency department with active suicidal ideation and a specific plan to overdose on medications at home. She has a history of major depression and is living alone. What is the most appropriate management?

Accepted Answer

Admit her for psychiatric assessment and ensure safety, involving crisis services and family/supports with her consent

Answer

Discharge with a safety contract and follow-up in two weeks

Answer

Arrange urgent outpatient psychiatric follow-up and send her home

Answer

Advise her to call a crisis line if she feels worse

Answer

Prescribe a large supply of sedative-hypnotics to help her sleep

ca-mccqe1 MCQ (SBA): Suicidal ideation and risk management

A 22-year-old university student presents to the emergency department with active suicidal ideation and a specific plan to overdose on medications at home. She has a history of major depression and is living alone. What is the most appropriate management?