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Suicide safety — USMLE Step 3 MCQ

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ModeratePsychiatry (Outpatient Management)Suicide safetyUSMLE Step 3

A 40-year-old man with depression says he plans to shoot himself tonight and has a loaded firearm at home. He refuses to involve family and wants to leave. He is not intoxicated and is medically stable. Which of the following is the most appropriate at this time?

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

Reveal the answer and explanation

Correct answer: BArrange emergency psychiatric evaluation and maintain safety

Imminent suicidal intent with plan and means requires emergency safety intervention.

Reference: APA clinical practice guideline for depression, https://www.apa.org/depression-guideline