Telepsychiatry crisis review and local team liaison — CASC/communication station

You are the on-call psychiatry registrar providing telepsychiatry support to a rural ED 400 km from the regional base. A 34-year-old teacher was brought after texting a friend about overdosing on remaining antidepressants. She is on video from a private cubicle; the ED doctor and nurse are present. She lives alone in a rental; Wi-Fi is unstable. She has not yet given a full address on the electronic record. You have 10 minutes to establish tele-safety process, structure suicide risk, advise immediate management, and agree a collaborative plan with the local team.