EM Cases · Deliberate self-harm and risk assessment
After the overdose — risk assessment and safety planning
ACEM Fellowship OSCE communication station on post-DSH psychosocial assessment, risk formulation, means restriction and safety planning.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
A medically stabilised adult after a paracetamol overdose needs a structured risk assessment discussion and collaborative safety plan before disposition.
Stem
All persons, presentations and observations in this station are fictional and invented for teaching assessment; they do not describe a real person. Medical care in the scenario is complete (antidote running, levels treated, patient sober and stable).
References2ShowHide
- [1]Rainbow E, et al. Safety planning interventions to address suicidality in adults: a systematic review of the methodological characteristics of safety planning effectiveness research. British Journal of Clinical Psychology, 2026.PMID 41424118
- [2]Pemau A, Marin-Martin C, Diaz-Marsa M, et al. Risk factors for suicide reattempt: a systematic review and meta-analysis. Psychological Medicine, 2024.PMID 38623694