A 45-year-old woman with schizophrenia on stable antipsychotic therapy reports hearing voices telling her to harm herself. She has a plan to overdose ...

Question

A 45-year-old woman with schizophrenia on stable antipsychotic therapy reports hearing voices telling her to harm herself. She has a plan to overdose but no previous attempts. What is the most appropriate immediate management?

Accepted Answer

Admit to hospital for safety and treatment

Answer

Increase antipsychotic dose and review in 2 weeks

Answer

Arrange urgent outpatient psychiatric follow-up

Answer

Prescribe a sedative and send home with family supervision

Answer

Switch to another antipsychotic as an outpatient

ca-mccqe1 MCQ (SBA): Suicidal ideation in schizophrenia

A 45-year-old woman with schizophrenia on stable antipsychotic therapy reports hearing voices telling her to harm herself. She has a plan to overdose but no previous attempts. What is the most appropriate immediate management?