When assessing a young patient with possible major depression, what is the priority question to ask the patient?

In assessing a young patient for possible major depression, the most critical question to ask is whether the patient feels safe at home. This question directly addresses safety concerns, specifically the risk of harm to the patient, which can be especially significant in cases of depression. Young patients may experience suicidal thoughts or behaviors, and understanding their feelings about safety is paramount in determining the appropriate interventions.

When a patient is suspected of having depression, evaluating their mental health status involves assessing both psychological and environmental factors. Ensuring the patient feels safe from harm—whether from self-harm, suicidal ideation, or potential abuse—is an immediate priority that can impact their overall well-being and treatment options.

While the other questions are relevant in understanding the patient's overall health and mood, they do not carry the same urgency regarding the patient's immediate safety. In clinical practice, addressing potential safety concerns often takes precedence to ensure that the patient is not at risk of harm, which guides further assessment and intervention strategies.