On admission for suspected schizophrenia, which safety assessments should be performed?

• A. Sleep quality and dietary preferences
• B. Suicide and homicide risk, risk for self-harm or injury, capacity for self-care, safety needs, substance use, support system, and ability to adhere to treatment.
• C. Travel history and housing
• D. Exercise routine and social activities

Answer: (B)

Safety and risk assessment on admission for suspected schizophrenia focuses on protecting the patient and others by identifying immediate hazards and assessing how well the patient can engage with treatment. The best answer covers multiple critical domains: suicide risk and risk of harming others, risk for self-harm or injury, capacity for self-care, safety needs within the care setting, substance use, the strength of the patient’s support system, and the likelihood of adhering to treatment. These elements together shape urgent safety planning, supervision level, and the care plan for stabilization and ongoing management.

While factors like sleep, dietary preferences, housing, exercise, and social activities can influence overall well-being and recovery, they do not directly address immediate safety risks or treatment engagement that must be evaluated at admission.