A 48-year-old man with schizophrenia on antipsychotic medication presents to his GP reporting that he is hearing voices telling him to harm himself. H...

Question

A 48-year-old man with schizophrenia on antipsychotic medication presents to his GP reporting that he is hearing voices telling him to harm himself. He has a vague plan to overdose on his tablets but has not yet attempted. What is the most appropriate immediate action?

Accepted Answer

Urgent same-day assessment by the crisis team or psychiatry services

Answer

Arrange routine outpatient psychiatry review in 3 months

Answer

Increase his antipsychotic dose and send him home

Answer

Advise him to ignore the voices and return if worse

Answer

Stop all antipsychotics to see if symptoms resolve

uk-plab-1 MCQ (SBA): Psychosis with suicide risk

A 48-year-old man with schizophrenia on antipsychotic medication presents to his GP reporting that he is hearing voices telling him to harm himself. He has a vague plan to overdose on his tablets but has not yet attempted. What is the most appropriate immediate action?