Author: Jessie Lynch / Editor: Yasmin Sultan / Codes: MHC5, MHP1, MHP5, SLO1, SLO7Published: 09/11/2022

A 19-year-old male is brought to the emergency department (ED) by his roommate, who has become concerned about his behaviour over the past few weeks.

On assessment he appears dishevelled. He tells the triage nurse that his roommate is a hired assassin, which he is aware of because he has heard voices telling him this. He reports not being able to sleep well for a number of weeks, and feeling as if he is being persistently watched. He is worried his roommate will find out that he knows his secret, as his thoughts are regularly broadcast on the radio. He has a family history of schizophrenia.

He is slightly restless, but cooperative.

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