Suicidality practice

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Tune this setPre-internship · Common · 10 questionschange
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Psychiatrycommon
A 74-year-old woman is referred with six months of worry, restlessness and broken sleep. She has never been anxious before and can point to no trigger. She has lost 5 kg, wakes at four each morning unable to get back to sleep, has stopped visiting her friends, and tells you her family would manage better without her. Her Mini-Mental State Examination score is 27/30. Physical examination, thyroid function and full blood count are normal. Which one of the following should you do first?