skip to main content

High-risk suicidal ideation — ACEM Fellowship MCQ

Instant feedback + full explanation. One question, done properly.

HardPsychiatric emergenciesHigh-risk suicidal ideationACEM Fellowship

A 45-year-old man presents to a regional ED, triage category 2, after texting a farewell message and being found near railway tracks. He remains intent on dying, has alcohol dependence, no supports and refuses voluntary admission. He is medically stable. What is the most appropriate disposition?

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

Reveal the answer and explanation

Correct answer: C — Detain for urgent mental health assessment under relevant legislation

Persistent suicidal intent, planning, substance misuse and refusal of care justify involuntary assessment under local legislation.

Reference: ACEM mental health curriculum; state mental health legislation principles