Latrice reports hearing a voice telling her to drive into traffic, but says she is “not suicidal” and asks the clinician not to overreact. She becomes guarded when questions feel interrogating, while a calm, direct approach helps her share more. The learner must assess immediacy, intent, access, and protective factors, stay connected, and activate the appropriate urgent clinical response.
One of 25 crisis & high-risk scenarios in the library.
AI avatar · Behavioral healthLatrice Holloway
outpatient client
“I’m not suicidal, so please don’t make this into something it isn’t. I heard a voice telling me to drive into traffic, and now everyone’s acting like I’m dangerous.”
Assess command hallucinations and immediate risk
Your brief
You are the behavioral health clinician meeting with Latrice Holloway, an outpatient client who reports hearing a voice telling her to drive into traffic. She says she is “not suicidal” and may become guarded if she feels interrogated or judged. Guide the conversation toward a clear understanding of immediate safety and an appropriate urgent clinical response while keeping Latrice connected and heard.
Why it's hard
The trap here is the phrase “I’m not suicidal.” If you let that end the assessment, you miss that a voice telling someone to drive into traffic can become an immediate danger fast. If you push like an investigator, Latrice is likely to hear judgment, feel cornered, and stop telling you what matters.
Your score in this scenario comes from these behaviors. Practice until they're your default.
Command hallucination risk assessment training is practice for asking direct safety questions when a client reports a voice telling them to harm themselves. On this page, you do the conversation with a realistic AI avatar in the browser, and it is scored against a checklist with notes after.
Tariq Hollowell
Outpatient client
A client says they are going to “make my supervisor pay” after being fired and reveals access to the supervisor’s work location. They may alternate between minimizing the statement and becoming more specific; the learner must assess immediacy, intent, means, and target information, keep the interaction safe, and activate required protective steps.
Skills you'll train
Harold Biko
Resident with possible stroke symptoms
During breakfast, Harold Biko develops facial drooping and unclear speech, then says he is just tired and does not want an ambulance. The situation becomes more urgent as he struggles to answer simple questions. The learner must recognize the emergency, activate the community's response without delay, preserve key onset information, and communicate calmly while waiting for help.
Skills you'll train
Beatrice Ndlovu
Senior living resident
During lunch, resident Beatrice Ndlovu suddenly clutches her throat, cannot speak, and appears unable to breathe. The learner must recognize the emergency, activate the community’s response protocol, provide only trained assistance, and communicate clearly until help arrives.
Skills you'll train
Send this scenario to one role or one site. You set the pass mark and see who's ready before it's real.