A 21-year-old university student presents with a 3-month history of low mood, anhedonia, poor concentration and loss of appetite with 5 kg weight loss...

Question

A 21-year-old university student presents with a 3-month history of low mood, anhedonia, poor concentration and loss of appetite with 5 kg weight loss. He has thoughts that life is not worth living but no plans or intent. What is the most appropriate immediate management in primary care?

Accepted Answer

Offer evidence-based psychological therapy and consider starting an SSRI, with close follow-up and safety planning

Answer

Start an SSRI and arrange routine follow-up in 3 months

Answer

Arrange urgent hospital admission under the Mental Health Act

Answer

Complete a suicide risk scale and discharge if low risk

Answer

Advise self-help only and no formal follow-up

uk-plab-1 MCQ (SBA): Depression with passive suicidal ideation

A 21-year-old university student presents with a 3-month history of low mood, anhedonia, poor concentration and loss of appetite with 5 kg weight loss. He has thoughts that life is not worth living but no plans or intent. What is the most appropriate immediate management in primary care?