Question:medium

A divorced, alcoholic man with major depression presents stating, "What is the point in living?" What is the most appropriate next step in management?

Show Hint

Active suicidal ideation + multiple risk factors = ensure safety first.
Updated On: Jun 25, 2026
  • Hospitalize
  • Cognitive behavioural therapy (CBT)
  • Antidepressant
  • Reassure that it is a normal part of life
Show Solution

The Correct Option is A

Solution and Explanation

This is a psychiatric emergency. The man satisfies several validated suicide risk markers - he is male, divorced (no spouse, poor social support), an alcohol user, and clinically depressed, and he is now expressing passive suicidal ideation.

When a depressed patient with stacked risk factors openly questions the point of living, the clinician must treat this as imminent self-harm risk. The single most important first action is to remove the patient from a setting where they could harm themselves and place them under observation, i.e. admit them.

Pharmacotherapy with antidepressants and structured psychotherapy such as CBT form the backbone of long-term recovery, but both have a delayed onset and cannot protect the patient over the next hours. Telling him this is a "normal part of life" ignores a treatable, potentially fatal illness. Therefore, after ensuring immediate safety through admission, definitive treatment is layered on.

\[\boxed{\textbf{Hospitalize the patient}}\]
Was this answer helpful?
0