Psych CASC / OSCE · Emergency psychiatry — suicide risk
Assess and safety-plan after suicidal ideation — CASC communication station
MRCPsych/FRANZCP-style CASC: direct suicide enquiry, empathic formulation, means restriction, Stanley-Brown safety plan, involve supports, and clear safety-net without graphic method coaching or no-suicide contracts.
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Target exams
Station brief
Format. Communication station, approximately 7–10 minutes active time after reading. You are the psychiatry registrar in the community clinic. [1]
Candidate instructions. Assess the person’s suicidal thoughts, intent, plan, and means. Explore recent stressors and supports. Collaboratively create a safety plan including means restriction. Agree follow-up and crisis contacts. Do not use a no-suicide contract. Avoid graphic method coaching. Check understanding. The examiner plays the patient. [1][2]
References3ShowHide
- [1]Stanley B, Brown GK, Brenner LA, et al. Comparison of the Safety Planning Intervention With Follow-up vs Usual Care of Suicidal Patients Treated in the Emergency Department JAMA Psychiatry, 2018.PMID 29998307
- [2]Posner K, Brown GK, Stanley B, et al. The Columbia-Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults Am J Psychiatry, 2011.PMID 22193671
- [3]Turecki G, Brent DA Suicide and suicidal behaviour Lancet, 2016.PMID 26385066