A 32-year-old man attends A&E after accidentally lacerating his arm with a kitchen knife. On examination you note multiple older linear scars on his f...

Question

A 32-year-old man attends A&E after accidentally lacerating his arm with a kitchen knife. On examination you note multiple older linear scars on his forearms consistent with self-harm. He insists you do not tell his GP. He is not currently suicidal and has capacity. What is the most appropriate course of action regarding information sharing?

Accepted Answer

Respect his wishes and do not inform his GP, documenting the discussion

Answer

Inform his GP despite his refusal because any history of self-harm must always be shared

Answer

Inform his employer to ensure his safety at work

Answer

Inform his family without his consent

Answer

Refuse to treat him unless he agrees to GP notification

uk-plab-1 MCQ (SBA): Confidentiality and historic self-harm