A junior resident avoids asking a depressed inpatient about suicidal thoughts, fearing that raising the topic may put the idea into the patient's mind. What is the correct teaching point regarding direct enquiry about suicidality?

• A Direct enquiry should be avoided until a psychiatrist is available
• B Enquiry is permissible only after a suicide attempt has occurred
• C Only close family members should be asked about the patient's suicidal ideation
• D Asking directly about suicidal thoughts does not increase risk and is essential for assessment ✓

Explanation

Evidence shows that asking a patient directly about suicidal thoughts, plans, and intent does not induce suicidal ideation and often reduces distress while opening the door to disclosure. A structured enquiry is the cornerstone of risk assessment and must be done by the treating clinician, not deferred or delegated solely to relatives. Waiting until after an attempt forfeits the chance to intervene.

Reference: Kaplan and Sadock's Synopsis of Psychiatry, 12th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.