A 9-year-old child has persistent sadness, reduced play, poor concentration, and a decline in school performance for several weeks. Which assessment is most important?
Correct answer: B. The child's thoughts about self-harm or death
- A. The child's preferred television programmes
- B. The child's thoughts about self-harm or death
- C. The child's usual number of daily snacks
- D. The child's favourite school subject
Explanation
Persistent depressive symptoms and functional decline require direct assessment of suicidal thoughts, plans, and access to means. Asking about suicide does not cause suicidal behaviour and helps identify immediate safety needs.
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About Mental Health of Children and Older Adults
Mental health care for children and older adults requires age-appropriate assessment, communication, family involvement, and recognition of developmental changes. Coverage includes ADHD, autism spectrum disorder, childhood anxiety and depression, dementia, delirium, late-life depression, suicide risk, and the distinction between normal aging and cognitive disorder.
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