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Suicidal ideation in OH consultation — DOccMed MCQ

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HardMental Health and WorkSuicidal ideation in OH consultationDOccMed

A call-centre worker referred for repeated short absences discloses active suicidal thoughts and a plan during an OH consultation. He asks you not to tell anyone because he fears losing his job; he is due to work alone from home this evening. What is the most appropriate management?

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

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Correct answer: A — Arrange urgent risk support and disclose proportionate information if needed for safety

Confidentiality is important but can be overridden where there is a serious and imminent risk of harm. The immediate priority is urgent clinical support, safety planning and proportionate disclosure if needed. Disclosure should be limited to information necessary to protect safety, not the full history. Ignoring the risk because the consultation is occupational would be unsafe.

Reference: GMC Confidentiality guidance; FOM Ethics Guidance