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Non-fatal self-harm assessment — RCPSC EM MCQ

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HardPsychiatric emergenciesNon-fatal self-harm assessmentRCPSC EM

After treatment of superficial self-inflicted lacerations, a patient is sober, has intact capacity and denies intent to die. They describe a recurrent urge during conflict but can identify triggers, agree to means restriction, accept a next-day crisis appointment and permit collateral contact from a reliable partner. Which statement best describes the ED decision?

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

Reveal the answer and explanation

Correct answer: D — A documented safety plan and rapid follow-up may support discharge after reassessment

Explanation lettering: C = shown as A · D = shown as C · E = shown as D · A = shown as E

E is correct: disposition follows a documented, dynamic risk assessment, not a rule based on injury severity or a contract. A could be reasonable when uncertainty persists but is not required by the stated reassessment. B is insufficient alone. C ignores intent and context. D overlooks confidentiality and autonomy.

Reference: Emergency Care BC, Suicide Risk Assessment: https://emergencycarebc.ca/clinical_resource/clinical-summary/suicide-risk-assessment/