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High-risk suicidal ideation — RCPSC EM MCQ

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HardPsychiatric emergenciesHigh-risk suicidal ideationRCPSC EM

A 16-year-old girl presents with suicidal ideation and a plan to overdose. She has written a note, has access to medications at home and cannot identify a safe adult who can supervise her tonight. She denies current substance use and vital signs are normal. What is the most appropriate disposition?

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Correct answer: B — Admit or hold in a safe monitored setting for urgent mental health assessment and safety planning

Specific suicidal plan, preparatory behaviour, access to means and lack of safe supervision indicate high acute risk. ED disposition should prioritise safety and urgent psychiatric assessment.

Reference: Canadian emergency psychiatry practice; CanMEDS Professional role