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High suicide risk — MCCQE Part 1 MCQ

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EasySuicidal IdeationHigh suicide riskMCCQE Part 1

A 38-year-old woman presents saying she plans to overdose tonight and has collected her medications. She has hopelessness, alcohol use and no safe supports at home. Which of the following is the most appropriate next step?

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

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Correct answer: D — Do not leave her alone; arrange urgent mental health assessment and safe containment/hospitalization if needed

Specific plan, means, imminent intent and lack of supports indicate high acute suicide risk requiring immediate safety measures and urgent assessment. Asking directly about suicide does not increase risk and is necessary. Large sedative supplies and routine delayed follow-up are unsafe.

Reference: Canadian Association for Suicide Prevention; provincial mental health crisis standards