Question

A 45-year-old man with schizophrenia and command auditory hallucinations telling him to harm others presents to clinic. He reports thoughts of attacking a colleague but has made no plans. What is the most appropriate immediate action?

Accepted Answer

Urgent psychiatric assessment with formal risk assessment

Answer

Arrange routine outpatient follow-up in 4 weeks

Answer

Increase antipsychotic dose and send him home

Answer

Prescribe a benzodiazepine only

Answer

Tell him to ignore the voices

Practice question

A 45-year-old man with schizophrenia and command auditory hallucinations telling him to harm others presents to clinic. He reports thoughts of attacking a colleague but has made no plans. What is the most appropriate immediate action?