A 21-year-old man is brought to the emergency department 2 hours after cutting his forearms superficially following an argument with his partner. The ...

Question

A 21-year-old man is brought to the emergency department 2 hours after cutting his forearms superficially following an argument with his partner. The wounds have been cleaned and dressed. He denies current suicidal intent but says he often feels hopeless. What is the most appropriate next step before discharge?

Accepted Answer

Carry out a comprehensive psychosocial assessment by mental health services

Answer

Discharge immediately with advice to see his GP

Answer

Admit under the Mental Health Act against his will

Answer

Start antidepressants in the emergency department

Answer

Arrange only a routine surgical follow-up for wound review

uk-plab-1 MCQ (SBA): Self-harm – psychosocial assessment