A woman openly acknowledges producing recurrent burns during periods of overwhelming distress. The wounds need dressing, she denies current suicidal

Question

A woman openly acknowledges producing recurrent burns during periods of overwhelming distress. The wounds need dressing, she denies current suicidal intent and a brief risk score labels her “low risk”. What should the dermatology team arrange?

Accepted Answer

Concurrent wound care and needs-led psychosocial assessment independent of the score

Answer

Inpatient psychiatric admission because every self-inflicted burn implies current suicidal intent

Answer

Discharge with crisis numbers because a low score rules out near-term repetition

Answer

Delay psychosocial assessment until every burn has epithelialised and scar treatment is complete

Answer

Wound care alone because acknowledged injury excludes a mental-health disorder

Self-Harm — SCE Dermatology MCQ

A woman openly acknowledges producing recurrent burns during periods of overwhelming distress. The wounds need dressing, she denies current suicidal intent and a brief risk score labels her “low risk”. What should the dermatology team arrange?