A 40 years old female presented with agitated depression, attempted to suicide, feeling of guilt The First line of treatment includes
(A) Pentotal interview to resolve guilt # Important Steps for Preventing Suicide include:1. Take all the suicidal threats, gestures and/or attempts seriously and notify a psychiatrist or a mental health professional.2. Psychiatrist (or a mental health professional) should quantify the seriousness of the situation (a proper risk assessment).and take remedial precautionary measures, i. Inspect physical surroundings and remove all means of committing suicide, like sharp objects, ropes, drugs, firearms etc. Also, search the patient thoroughly, ii. Surveillance, depending on the severity of risk.3. Acute psychiatric emergency interview.4. Counseling and guidance i. to deal with the desire to attempt suicide, ii. to deal with ongoing life stressors, and teaching coping skills and interpersonal skills.5. Treatment of the psychiatric disorder(s) with medication, psychotherapy and/or ECT. ECT is the treatment of choice for patients with major depression with suicidal risk. It should also be used for the treatment of suicidal risk associated with psychotic disorders.6. Follow-up care is very important to prevent future suicidal attempts or suicide.
Pentotal interview to resolve guilt
ECT
Psychotherapy
Antidipressent medication
Miscellaneous