Prompt

You are the on-call psychiatry registrar providing telepsychiatry support to a rural ED 450 km from the regional base. A 48-year-old grain farmer was brought by his partner after disclosing a plan to shoot himself in the machinery shed. He has been drinking daily for three months during drought, has not seen a GP for a year, and is ambivalent about transfer. The rural GP and ED nurse are in the room; the patient is on video from a private cubicle. You have 10 minutes to assess risk structure, advise on immediate management and legal options, and agree a collaborative plan with the local team.

Station brief

Format. Combined clinical advice and team communication station, approximately 8–10 minutes. Work with the GP/nurse as colleagues; do not monologue guidelines. [1][3]

Candidate instructions. Establish tele-safety (location, contacts, privacy); structure suicide risk including means; advise on immediate ED management and whether transfer is needed; propose short-term collaborative follow-up if remaining local is safe; use non-stigmatising language that fits a farming community. [1][4][5]

Psychiatry Fellowship Pro

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 atlas.

References8Show ledger

[1]Shore JH, Yellowlees P, Caudill R, et al. Best Practices in Videoconferencing-Based Telemental Health April 2018 Telemed J E Health, 2018.PMID 30358514
[2]Hilty DM, Ferrer DC, Parish MB, et al. The effectiveness of telemental health: a 2013 review Telemed J E Health, 2013.PMID 23697504
[3]Fortney JC, Pyne JM, Turner EE, et al. Telepsychiatry integration of mental health services into rural primary care settings Int Rev Psychiatry, 2015.PMID 26634618
[4]Fitzpatrick SJ, Handley T, Powell N, et al. Suicide in rural Australia: A retrospective study of mental health problems, health-seeking and service utilisation PLoS One, 2021.PMID 34288909
[5]Purc-Stephenson R, Doctor J, Keehn JE Understanding the factors contributing to farmer suicide: a meta-synthesis of qualitative research Rural Remote Health, 2023.PMID 37633833
[6]Thornicroft G, Mehta N, Clement S, et al. Evidence for effective interventions to reduce mental-health-related stigma and discrimination Lancet, 2016.PMID 26410341
[7]Gardner B, Alfrey KL, Vandelanotte C, et al. Mental health and well-being concerns of fly-in fly-out workers and their partners in Australia: a qualitative study BMJ Open, 2018.PMID 29519796
[8]Kohn R, Saxena S, Levav I, et al. The treatment gap in mental health care Bull World Health Organ, 2004.PMID 15640922

Station brief

Format. Combined clinical advice and team communication station, approximately 8–10 minutes. Work with the GP/nurse as colleagues; do not monologue guidelines. [1][3]

Psychiatry Fellowship Pro

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 atlas.

References8Show ledger

[1]Shore JH, Yellowlees P, Caudill R, et al. Best Practices in Videoconferencing-Based Telemental Health April 2018 Telemed J E Health, 2018.PMID 30358514
[2]Hilty DM, Ferrer DC, Parish MB, et al. The effectiveness of telemental health: a 2013 review Telemed J E Health, 2013.PMID 23697504
[3]Fortney JC, Pyne JM, Turner EE, et al. Telepsychiatry integration of mental health services into rural primary care settings Int Rev Psychiatry, 2015.PMID 26634618
[4]Fitzpatrick SJ, Handley T, Powell N, et al. Suicide in rural Australia: A retrospective study of mental health problems, health-seeking and service utilisation PLoS One, 2021.PMID 34288909
[5]Purc-Stephenson R, Doctor J, Keehn JE Understanding the factors contributing to farmer suicide: a meta-synthesis of qualitative research Rural Remote Health, 2023.PMID 37633833
[6]Thornicroft G, Mehta N, Clement S, et al. Evidence for effective interventions to reduce mental-health-related stigma and discrimination Lancet, 2016.PMID 26410341
[7]Gardner B, Alfrey KL, Vandelanotte C, et al. Mental health and well-being concerns of fly-in fly-out workers and their partners in Australia: a qualitative study BMJ Open, 2018.PMID 29519796
[8]Kohn R, Saxena S, Levav I, et al. The treatment gap in mental health care Bull World Health Organ, 2004.PMID 15640922

Rural tele-risk assessment and GP liaison — CASC/communication station

Station brief

Rural tele-risk assessment and GP liaison — CASC/communication station

Station brief