Quizzes & OSCEs > Example OSCE 4

Example OSCE 4 - Suicide Risk

Candidate Instructions

You are an F1 doctor in A&E asked to assess Jo Warren, a 23 year old patient who was brought to A&E by her partner after having swallowed 15 paracetamol tablets.

 

Please assess this patient's suicide risk.

 

This is a 5-minute station.

 

 

Simulated Patient Script

You are Jo Warren, a 23 year old patient brought to A/E by your partner Alex. Earlier that evening you took 15 paracetamol tablets (all you had) with the intention of killing yourself. You had drunk half a bottle of vodka prior to that. This was on the spur of the moment and you had not planned it. You have never tried to harm yourself before.

 

You had an argument with your boyfriend early this morning. He packed his bags and left. You did not go to work (retail assistant).

 

You have been feeling under pressure at work and with the relationship for the last few weeks and have been consuming more alcohol than usual. You have had some difficulty getting to sleep at night. Your appetite and concentration have not changed and you can still enjoy things. You feel like you are not coping.

 

You have no previous history of mental illness in self or family. You have lived with your partner for 6 months and have few friends.

 

 

Examiner Instructions

This station tests the candidate's ability to assess suicide risk.

 

The candidate has been given the following instructions:

 

You are an F1 doctor in A/E asked to assess Jo Warren, a 23 year old patient who was brought to A/E by her partner after having swallowed 15 paracetamol tablets.

 

Please assess this patient's suicide risk. This is a 5-minute station.

 

Assessment

  1. Introduction

    • Introduces self to patient giving name and role

    • Explains reason for interview

  2. Asks About the Dish Attempt

    • Circumstances

    • Use of alcohol/substances

    • Triggers/precipitants

    • Planning involved

  3. Current Suicidality

    • Presence of ideation

    • Frequency and persistency of ideation

    • Do they have a plan

    • Making preparation to carry out plan

    • Mood assessment

    • Past history

    • Social circumstances and level of support

    • Communication skills