A 28-year-old man tells his family physician that he has been feeling hopeless for months and has decided to end his life. He states that he plans to ...

Question

A 28-year-old man tells his family physician that he has been feeling hopeless for months and has decided to end his life. He states that he plans to jump off a local bridge that evening when his partner is at work and asks the physician not to tell anyone. He refuses voluntary admission. What is the most appropriate next step?

Accepted Answer

Explain that because of imminent risk you must breach confidentiality to ensure his safety and arrange urgent psychiatric assessment, including possible involuntary admission

Answer

Respect his request for confidentiality and arrange follow-up in one week

Answer

Encourage him to call a crisis line if he feels worse and send him home

Answer

Prescribe a sedating benzodiazepine to reduce his distress and review him in a few days

Answer

Ask his partner to monitor him at home without involving mental health services

ca-mccqe1 MCQ (SBA): Suicidal ideation with plan