CME Certified Federal Medical Examiner

Category - Risk Assessment

A driver presents with a history of depression and appears evasive and suspicious during the medical exam. Which of the following questions should the medical examiner ask the driver?
  1. Have your relationships suffered due to mental illness?
  2. Do you have a family history of mental illness?
  3. Have you ever thought of hurting yourself?
  4. All of the above
Explanation
Answer: C - Have you ever thought of hurting yourself?

You may ask about psychological symptoms and screening tests when indicated by the driver's affect, behavior, or your interactions with the driver. It is the degree of inappropriateness and the cumulative effect of driver presentation and interaction that provide a cue that a driver may require more in-depth mental health evaluation. A driver who has a history of depression and who indicates, through affect or behavior, that he/she might be suicidal, should be questioned to determine the risk of suicide.
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