A 45-year-old man with recurrent severe depression is admitted after a serious suicide attempt. He is now drowsy but rousable and refuses all further ...

Question

A 45-year-old man with recurrent severe depression is admitted after a serious suicide attempt. He is now drowsy but rousable and refuses all further treatment, saying he "wants to die". He is oriented only to person and cannot recall events leading to admission. What is the most appropriate immediate approach to decision-making about treatment?

Accepted Answer

Assess his capacity; if he lacks capacity, treat in his best interests and consider use of mental health legislation if required.

Answer

Assume he has capacity because he can state his wishes and refuse treatment.

Answer

Respect his refusal and discharge him as soon as physically stable.

Answer

Seek consent from his next of kin to override his decision.

Answer

Apply for a deprivation of liberty safeguard authorisation and wait for the outcome before treating.

uk-plab-1 MCQ (SBA): Assessment of capacity in suicidal patient