Question

A 44‑year‑old man with a long history of schizophrenia on depot antipsychotic treatment presents with increasing command hallucinations telling him to harm himself. He admits to specific suicidal plans but no current attempt. What is the most appropriate immediate management?

Accepted Answer

Arrange urgent psychiatric assessment and consider involuntary admission if he refuses admission

Answer

Increase his antipsychotic dose and review next week

Answer

Start an SSRI in primary care and review in 2 weeks

Answer

Provide a safety plan and ask his family to monitor him at home

Answer

Cease his antipsychotic due to side effects

Practice question

A 44‑year‑old man with a long history of schizophrenia on depot antipsychotic treatment presents with increasing command hallucinations telling him to harm himself. He admits to specific suicidal plans but no current attempt. What is the most appropriate immediate management?