Question

A 55-year-old man presents with a 3-month history of early-morning waking, low mood, poor appetite and feelings of worthlessness. He admits to thoughts that life is not worth living but denies a specific plan. What is the most important immediate management step?

Accepted Answer

Explore suicidal ideation further and assess risk, including plan and means

Answer

Start an SSRI and review in 3 months without further discussion

Answer

Arrange routine psychology referral without discussing risk

Answer

Start benzodiazepines to help him sleep

Answer

Discharge with information leaflet only

Practice question

A 55-year-old man presents with a 3-month history of early-morning waking, low mood, poor appetite and feelings of worthlessness. He admits to thoughts that life is not worth living but denies a specific plan. What is the most important immediate management step?