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Pediatrics · Adolescent medicine: suicide safety
Sample itemAn adolescent reports current intent to die, a specific plan, access to medication, and cannot identify a safe adult. What is the immediate priority?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Ensure urgent in-person safety assessment and restrict access to lethal means
Current intent, specific plan, means access, and lack of support indicate acute suicide risk. Immediate safety measures, urgent assessment, and involvement of appropriate emergency and safeguarding supports are required.
Option by option
A. Ensure urgent in-person safety assessment and restrict access to lethal means (correct)
Correct. Acute risk requires prompt protection and in-person assessment.
B. Promise secrecy and schedule a routine visit
Confidentiality has safety limits when there is imminent risk.
C. Assume the disclosure is attention seeking
Dismissal is unsafe and may prevent life-saving intervention.
D. Provide a self-help leaflet only
A leaflet alone is inadequate for imminent risk.
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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