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SSRI early suicidal ideation — GPhC CRA MCQ

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ModerateCNS TherapeuticsSSRI early suicidal ideationGPhC CRA

A 22-year-old starting fluoxetine two weeks ago reports worsening agitation and thoughts of self-harm. What is the most appropriate action?

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

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Correct answer: E — Arrange urgent same-day clinical assessment

Early treatment with antidepressants can be associated with agitation and suicidality, especially in younger adults. In this vignette, "Arrange urgent same-day clinical assessment" is the safest single best answer. The other options are less appropriate because they miss the key clinical risk, conflict with UK medicines guidance, or delay needed review.

Reference: BNF; NICE CKS