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Suicide risk — ABFM Board MCQ

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ModerateMental healthSuicide riskABFM Board

A 28-year-old man with depression says he plans to shoot himself tonight and has access to a firearm. He refuses voluntary hospitalization. He appears intoxicated. 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: E — Arrange emergency psychiatric evaluation and maintain safety

Active suicidal intent with a specific plan, means, and intoxication is an emergency requiring immediate safety measures and psychiatric evaluation.

Reference: American Family Physician clinical reviews and AAFP guidance: https://www.aafp.org/pubs/afp.html