Question

A 19-year-old First Nations man presents to a rural emergency department after an overdose of Gravol and alcohol. He reports hopelessness and recent bereavement and discloses ongoing experiences of racism at school. He now denies ongoing suicidal intent but remains ambivalent about living. Which of the following best reflects a culturally safe, guideline-aligned approach to his care?

Accepted Answer

Undertake a collaborative suicide risk assessment, involve Indigenous liaison or community supports with his consent and arrange active follow-up

Answer

Discharge him with a leaflet and advise him to return if he feels suicidal again

Answer

Admit involuntarily and minimise discussion of his cultural background

Answer

Focus solely on medication for mood and avoid discussing racism to prevent distress

Answer

Tell him that many people feel this way and he should focus on positive thinking

Practice question