Psych CASC / OSCE · Emergency psychiatry
Suicidal crisis safety planning and least-restrictive care — CASC communication station
MRCPsych/FRANZCP-style station: assess residual suicide risk, co-create a safety plan, discuss voluntary versus involuntary care principles without inventing statute numbers, and arrange disposition.
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Station brief
Format. Communication and clinical reasoning station, approximately 7–10 minutes after reading time. You are the psychiatry registrar in ED. [1]
Candidate instructions. Assess residual suicide risk after medical clearance from a near-lethal overdose, explore means and supports, co-create a safety plan, and discuss options for voluntary admission versus least-restrictive alternatives. If she refuses, outline how you would approach capacity and involuntary care principles without inventing section numbers. The examiner plays the patient. [2][3]
References3ShowHide
- [1]Large M, Myles N, Myles H, et al. Suicide risk assessment among psychiatric inpatients: a systematic review and meta-analysis of high-risk categories Psychol Med, 2018.PMID 28874218
- [2]Large MM, Ryan CJ Suicide risk categorisation of psychiatric inpatients: what it might mean and why it is of no use Australas Psychiatry, 2014.PMID 24871970
- [3]Spencer BWJ, Gergel T, Hotopf M, et al. Unwell in hospital but not incapable: cross-sectional study on the dissociation of decision-making capacity for treatment and research in in-patients with schizophrenia and related psychoses Br J Psychiatry, 2018.PMID 29909778