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SSRI suicidal ideation — GPhC CRA MCQ

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EasyCNS TherapeuticsSSRI suicidal ideationGPhC CRA

A 22-year-old started fluoxetine two weeks ago and tells the pharmacist they now has intrusive thoughts of self-harm. They ask for another month supply. What is the most appropriate action?

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

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Correct answer: E — Refer urgently for same-day mental health assessment

New or worsening suicidal thoughts after starting antidepressants require urgent assessment. Supplying without escalation would not address immediate safety risk. In this scenario, the correct option is refer urgently for same-day mental health assessment. The other options are plausible but do not address the key clinical, legal or safety issue as directly. This aligns with UK pharmacy practice guidance cited in the reference field.

Reference: BNF; NICE CKS