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Suicidal ideation after overdose — ABEM Board MCQ

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ModeratePsychiatric emergenciesSuicidal ideation after overdoseABEM Board

A 16-year-old girl arrives as ESI 2 with intentional overdose and ongoing suicidal intent. Vitals are stable after medical clearance; she states she will kill herself if discharged and has no safe guardian available. Which of the following is the most appropriate disposition?

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

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Correct answer: D — Arrange psychiatric hospitalization or secure crisis placement

Persistent suicidal intent, recent overdose, and lack of a safe discharge environment require secure psychiatric disposition after medical stabilization.

Reference: ACEP Clinical Policy: Psychiatric Patient; Joint Commission suicide risk standards