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SSRI suicidal thoughts — GPhC CRA MCQ

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ModerateCNS TherapeuticsSSRI suicidal thoughtsGPhC CRA

A 20-year-old newly started on fluoxetine tells the pharmacist that his anxiety and thoughts of self-harm have worsened during the first week. He is collecting a repeat prescription. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: A — Arrange urgent same-day mental health or prescriber assessment

Young adults starting antidepressants may experience early worsening of anxiety, agitation, or suicidal thoughts. This requires urgent assessment and safety planning, not routine reassurance. The pharmacist should not change antidepressant treatment independently.

Reference: BNF; NICE CKS