A 45-year-old man presents to A&E with severe depression and active suicidal ideation, including a plan to hang himself. He has a history of previous ...

Question

A 45-year-old man presents to A&E with severe depression and active suicidal ideation, including a plan to hang himself. He has a history of previous attempts. What is the most appropriate management?

Accepted Answer

Arrange urgent psychiatric assessment and consider admission for intensive support

Answer

Discharge with GP review in 1 week

Answer

Start an SSRI and send home with safety-netting

Answer

Advise him to contact a helpline and return if worse

Answer

Refer to routine outpatient counselling

uk-plab-1 MCQ (SBA): Suicidal ideation in severe depression

A 45-year-old man presents to A&E with severe depression and active suicidal ideation, including a plan to hang himself. He has a history of previous attempts. What is the most appropriate management?