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Psychiatry · Suicide assessment
Sample itemWhich finding most increases concern for imminent suicide risk?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. A specific plan with access to lethal means
Risk assessment considers current intent, a specific feasible plan, access to means, prior attempts, mental illness, intoxication and protective factors. A detailed plan with means demands urgent safety action.
Option by option
A. Transient frustration without intent
Frustration alone without intent is not the strongest imminent-risk marker.
B. A specific plan with access to lethal means (correct)
Correct. Specificity, intent and access indicate high acute risk.
C. Passive grief with strong support
Support and absence of intent are protective rather than high-risk features.
D. No prior self-harm and future plans
Future orientation and no self-harm history lower acute concern, though assessment remains individualized.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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