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SSRI suicidal ideation — GPhC CRA MCQ

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ModerateCNS TherapeuticsSSRI suicidal ideationGPhC CRA

A 21-year-old patient collecting fluoxetine says their mood has worsened and they have started thinking about harming themselves. The prescription was started 10 days ago. They are alone in the consultation room. What is the most appropriate action?

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Correct answer: B — Arrange urgent same-day mental health assessment

Emerging suicidal ideation after starting antidepressant treatment requires urgent assessment and safety planning. Young adults need close monitoring early in treatment. Simple reassurance or unsupervised discontinuation would be unsafe.

Reference: NICE CKS; BNF