A 19-year-old woman presents to A&E after cutting her forearms superficially. She states she wanted relief from distress but did not intend to die. Sh...

Question

A 19-year-old woman presents to A&E after cutting her forearms superficially. She states she wanted relief from distress but did not intend to die. She has a history of emotionally unstable personality disorder and previous overdoses. She is medically stable. What is the most appropriate next step in management?

Accepted Answer

Arrange a comprehensive psychosocial assessment of needs and risk before discharge

Answer

Discharge without psychosocial assessment because injuries are superficial

Answer

Admit her to a medical ward for 72 hours observation only

Answer

Refer immediately for long-term psychoanalysis from A&E

Answer

Inform her family without her consent regardless of risk

uk-plab-1 MCQ (SBA): Self-harm in personality disorder