Question

A 16-year-old high school student presents with low mood, anhedonia and declining grades over 3 months. He has occasional thoughts that "life is not worth living" but denies active intent or plan. According to Canadian adolescent depression guidance, what is the most appropriate first-line management?

Accepted Answer

Begin evidence-based psychotherapy such as CBT or interpersonal therapy, involve family as appropriate and consider SSRI if moderate-severe or not improving.

Answer

Immediate hospital admission for involuntary psychiatric treatment.

Answer

Prescribe benzodiazepines as first-line treatment.

Answer

Ignore suicidal thoughts because they are passive and common in teenagers.

Answer

Start tricyclic antidepressants as first-line agents.

Practice question