At 11 pm a 27-year-old woman with borderline personality disorder comes to the emergency department after her…

Question

At 11 pm a 27-year-old woman with borderline personality disorder comes to the emergency department after her flatmate ended their friendship. She has three superficial forearm scratches that do not need suturing. She is tearful and says she needs "something to knock me out". She has no plan or intent to end her life, is not psychotic, has taken no alcohol or drugs, and sees a case manager weekly. Which one of the following should you do first?

Accepted Answer

Offer time to discuss the precipitant

Answer

Admit her to the psychiatric unit

Answer

Give a single dose of olanzapine

Answer

Prescribe diazepam for a week

Answer

Telephone her sister to attend

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