Always consider immediate safety plan first
Safety planning- place of care- e.g. to admit or not, under mental health act or not?
Supervision- constant or are visits once a day enough? Or once a week/month etc- this will depend on the level of care they need and which team to refer to
Involvement of family & others
Reduced access to means
Clear and well communicated plans
In terms of longer-term risk management plan, this might be a little different. One thing psychiatrists do need to consider might be ‘therapeutic risk taking’. Admitting someone to hospital for a long period not actually be therapeutic in the long run or helpful for the patient. The decision would need to be made carefully and on an individual basis, considering the case holistically (biopsychosocial). Click here to read more about this: https://www.cambridge.org/core/journals/bjpsych-advances/article/therapeutic-risktaking-a-justifiable-choice/134DFBB0FD51DBB504C5AD81981358B0
In terms of other management strategies- you should structure your plan using the BIO PSYCHO SOCIAL model. See table below to help you do this.
BIOLOGICAL: exclude underlying physical cause by undertaking blood tests, urine dip, drugs screen, CT head etc. Manage any physical health cause accordingly. Start psychotropic medication (SEE TREATMENT PAGE for more details)
PSYCHOLOGICAL: psychoeducation to explore underlying condition, aim to work collaboratively with patient (SEE TREATMENT PAGE for more details)
SOCIAL: look into housing issues, other forms of social support etc
Always remember to involve family/friend supports if patient consents- for collateral history and support with management