<prompt> A patient presents to the emergency depament with self harm and indicates suicidal intent. Which of the following conditions does not warrant an immediate specialist assessmentFormal thought disorderAcute Alcohol intoxicationChronic Severe physical illnessSocial isolation  <response>: B i.e. Acute Alcohol Intoxication depament Handbook - Children and Adolescents with Mental Health Problems by Kaplan200948,49; American Psychiatric Association Practice Guidelines for the treatment of Psychiatric Disorders 2006 An accurate specialist assessment cannot however be performed on an intoxicated individual and hence immediate referral to mental health specialist is not warranted for such patients until the patient is sober. 