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(E) She is married with children

(D) Patient made a suicidal gesture two weeks ago

(C) Patient tells about her suicidal ideas

(B) Patient's mood improves

(A) Family history of suicide

A 38-year-old, white, married woman comes to her family physician with a history of vague abdominal pains. She is certain she has cancer. Exhaustive medical examinations and general hospitalizations have failed to reveal any abnormality other than 'spasmodic colitis'. Yet, she continues to believe she has cancer, but "the doctors just haven't found it yet". She wakes up early in the morning (about 4 am). She has lost at least 15 pounds in the last six weeks (a fact she attributes to cancer). Her speech is monotonous and slow. Tears come to her eyes as she begins to talk about the fact that her youngest child joined the Navy five months ago. Since then she has felt useless, and has found no pleasure in anything. Although she never feels good, she believes she feels worse in the morning. She previously had been well. She denies any previous history of similar symptoms. She has received no prior psychiatric help. Which of the following would allow the therapist to be less concerned about suicide?

Question 39 of 40

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