A 23-year-old man is brought to A&E agitated, pacing and shouting that voices are telling him to harm others. He has no physical instability. What is ...

Question

A 23-year-old man is brought to A&E agitated, pacing and shouting that voices are telling him to harm others. He has no physical instability. What is the most appropriate initial management strategy?

Accepted Answer

Use de-escalation techniques in a safe environment and assess mental state

Answer

Immediately administer high-dose IM antipsychotic without attempting verbal engagement

Answer

Discharge him because he has no physical illness

Answer

Call the police to remove him from the hospital

Answer

Physically restrain him without explanation and no monitoring

uk-plab-1 MCQ (SBA): Acute agitation and psychosis

A 23-year-old man is brought to A&E agitated, pacing and shouting that voices are telling him to harm others. He has no physical instability. What is the most appropriate initial management strategy?