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O&G CasesAntenatal care — perinatal mental health

O&G Cases · Antenatal care — perinatal mental health

Acute suicidal ideation in pregnancy — emergency communication station

Emergency communication and safety station: acute suicidal ideation with a plan in late pregnancy. Tests structured risk assessment, same-day escalation, the mother-and-baby pathway, child-safety planning, and communication with the woman, her partner, and the team. Includes assessor key and marking domains.

resus3 min readVerification in progress

Target exams

FRANZCOGMRCOGABOG
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Target exams

FRANZCOGMRCOGABOG
Prompt
A 30-year-old G2P1 at 32 weeks presents to the antenatal clinic tearful and agitated after a positive EPDS with item 10 marked 3. She tells the midwife she has a plan and means to end her life. You are the registrar with the consultant in clinic.

Station brief

Format. Emergency communication and safety station, approximately 12 minutes. You are the antenatal registrar in clinic. The midwife has flagged the woman immediately. The assessor will feed you new information and watch your sequence, your safety planning, and your communication. [1]

Candidate instruction. Conduct the immediate assessment and safety plan for a pregnant woman with acute suicidal ideation and a plan. Verbalise your actions, your escalation, your communication with the woman and her partner, and your documentation. [2]

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References3ShowHide
  1. [1]Cox JL, Holden JM, Sagovsky R Detection of postnatal depression. Development of the 10-item Edinburgh Postnatal Depression Scale. Br J Psychiatry, 1987.PMID 3651732
  2. [2]Qiu X, Wu Y, Sun Y, et al. Individual participant data meta-analysis to compare EPDS accuracy to detect major depression with and without the self-harm item Sci Rep, 2023.PMID 36899016
  3. [3]Patorno E, Huybrechts KF, Bateman BT, et al. Lithium Use in Pregnancy and the Risk of Cardiac Malformations N Engl J Med, 2017.PMID 28591541
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