Skip to main content
MedVellum
QuestionsVideosPricing

MedVellum

Fellowship exam preparation across every specialty: source-verified topics, questions in every format, and videos.

Product

  • Specialties
  • Questions
  • Videos
  • Exam tools
  • Pricing

Verification & policy

  • Verified register
  • Editorial policy
  • Privacy
  • Terms

Account

  • Sign in
  • Create account
  • Dashboard
  • Account & billing

© 2026 MedVellum. For education only — not a substitute for clinical judgement.

llms.txtPsychiatry LLM catalogSitemap

Psych CASC / OSCEForensic psychiatry — homicide and mental disorder

Psych CASC / OSCE · Forensic psychiatry — homicide and mental disorder

Explain FEP homicide risk and responsibility to a worried family — CASC communication station

MRCPsych/FRANZCP-style CASC: communicate homicide risk humility, FEP urgency, substances, and responsibility vs treatment frames to a family.

communication2 min readVerification in progress

Target exams

FRANZCPMRCPsychABPNMD-DNB
On this page
Study tools

Target exams

FRANZCPMRCPsychABPNMD-DNB
Prompt
Parents of a 19-year-old with emerging untreated psychosis ask whether he will 'definitely kill someone', whether schizophrenia means he is legally insane if he ever did, and what should happen now. You must communicate absolute vs relative risk, warning signs, urgent help pathways, and legal-clinical distinctions without sensationalism and without inventing statute section numbers.

Station brief

Format. Communication station, approximately 7–10 minutes active time. You are the psychiatry registrar speaking with parents after an early-psychosis assessment clinic visit. [1]

Candidate instructions. Acknowledge fear without amplifying stigma. Explain that absolute risk of homicide is low even though relative risk of violence can be raised. Explain why untreated first-episode psychosis is the period of greatest concern in homicide research among psychotic cases. Cover warning signs (threat content, substances, family fear, weapons access). Outline urgent assessment/treatment pathways. Clarify that a schizophrenia diagnosis is not the same as a legal insanity finding. Do not invent statute numbers. Check understanding and safety plan. [1][2][3][5]

Psychiatry Fellowship Pro

Continue reading

You have read the opening of this CASC / OSCE. The complete unit — every section and its primary-source references — is part of the Psychiatry Fellowship fellowship library.

Sign in to continueSee pricing
References5ShowHide
  1. [1]Nielssen O, Large M Rates of homicide during the first episode of psychosis and after treatment: a systematic review and meta-analysis Schizophr Bull, 2010.PMID 18990713
  2. [2]Taylor PJ, Gunn J Homicides by people with mental illness: myth and reality Br J Psychiatry, 1999.PMID 10211145
  3. [3]Fazel S, Gulati G, Linsell L, et al. Schizophrenia and violence: systematic review and meta-analysis PLoS Med, 2009.PMID 19668362
  4. [4]Witt K, van Dorn R, Fazel S Risk factors for violence in psychosis: systematic review and meta-regression analysis of 110 studies PLoS One, 2013.PMID 23418482
  5. [5]American Academy of Psychiatry and the Law AAPL Practice Guideline for forensic psychiatric evaluation of defendants raising the insanity defense J Am Acad Psychiatry Law, 2014.PMID 25492121
Psychiatry Fellowship Pro

$29/ monthor $279 / year

The complete Psychiatry Fellowship library, every exam format, one subscription.

  • Complete library for one chosen specialty
  • Timed MCQ mock exams and spaced review
  • Clinical cases & cross-table vivas
See pricingSign in
PreviousExplain FBT and medical risk to parents of a teen with AN — CASC communication stationChild and adolescent psychiatry — eating disordersNextExplain FII concern and safeguarding plan to a paediatric consultant colleague — CASC communication stationForensic psychiatry — FII / medical child abuse