Question

A 40 year old man takes an overdose of his antidepressant tablets and is seen in the Emergency Department. He is medically fit for discharge. He has bipolar affective disorder. He is tearful and feels hopeless about his future.

Which is the most appropriate next management step?

Arrange liaison psychiatric assessment

Arrange psychiatric outpatient follow-up

Discharge to the care of his general practitioner

Referral to clinical psychologist

Referral to local alcohol treatment team

Answer 1

The most appropriate next management step would be :-

Arrange liaison psychiatric assessment.

Arranging a liaison psychiatric assessment is a necessity which will not only not only assess the current situation but the person's history which will be helpful for further planning and the follow up.

An intensive care is required for the overdose.