Jane

A 23-year-old university student is brought in by her flatmate after being found self-harming. Take a focused mental health history, perform a sensitive risk assessment, complete a mental state examination, and formulate an appropriate safety and management plan.

1. 1Take a sensitive history of the self-harm and mood
2. 2Conduct a thorough suicide risk assessment
3. 3Explore relevant past psychiatric, family, and social history
4. 4Perform a full mental state examination
5. 5Provide a working diagnosis with relevant differentials
6. 6Order minimal investigations to rule out organic causes
7. 7Create a safety plan including means restriction
8. 8Refer to mental health services and arrange follow-up