American Board of Psychiatry and Neurology (ABPN) Practice Exam 2025 - Free ABPN Practice Questions and Study Guide

Question: 1 / 1275

When a multi-disciplinary team discharges a patient who subsequently commits suicide, who is primarily responsible for the decision?

The social worker

The psychologist

The nurse

The psychiatrist

In the context of a multi-disciplinary team involved in a patient's care, the psychiatrist holds a significant degree of responsibility for the treatment plan and decisions surrounding discharge. This stems from the psychiatrist's role as a medical doctor who is primarily tasked with diagnosing and managing psychiatric disorders. Their expertise allows them to assess the patient's mental state, risks, and needs effectively.

During the discharge process, the psychiatrist is expected to evaluate the patient's readiness to leave the care setting, taking into account various factors such as their mental health stability, support systems, and risk factors for self-harm, including suicide. Therefore, while other professionals, such as social workers, psychologists, and nurses, contribute valuable insights and observations, the ultimate responsibility for discharging a patient often lies with the psychiatrist, who weighs all available information and makes the final clinical decision.

This structure emphasizes the psychiatrist's leadership role in coordinating care and making critical judgments regarding patient safety as part of a collaborative approach to treatment.

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