A 19-year-old man presents as triage level 2 after telling his roommate he plans to shoot himself. He has access to a firearm, wrote a note, and

Question

A 19-year-old man presents as triage level 2 after telling his roommate he plans to shoot himself. He has access to a firearm, wrote a note, and refuses family contact but is calm and medically stable. Which of the following is the most appropriate disposition?

Accepted Answer

Involuntary psychiatric hold with lethal-means safety precautions

Answer

Allow him to leave if he refuses urine drug testing

Answer

Discharge with a crisis hotline because he is calm

Answer

Outpatient follow-up in 6 weeks

Answer

No precautions unless he attempts self-harm in the ED

High-risk suicidal ideation — ABEM Board MCQ

A 19-year-old man presents as triage level 2 after telling his roommate he plans to shoot himself. He has access to a firearm, wrote a note, and refuses family contact but is calm and medically stable. Which of the following is the most appropriate disposition?