Which of the following is a risk factor related to sudden custody death syndrome?

• A. Delirium and psychosis
• B. Hallucinations
• C. Super human strength
• D. Jumping into water

Answer: (A)

Delirium and psychosis point to a severe, acute change in mental status that can trigger excited delirium in custody, a state of extreme agitation, confusion, and distress. This combination drives intense physiological stress—rapid heart rate, high blood pressure, overheating, and potential collapse—that increases the risk of sudden death in the custody setting. Hallucinations can occur with delirium or psychosis, but they’re symptoms, not independent risk factors. The other options describe behavior or myths rather than underlying vulnerability, so they don’t capture the real risk. Recognizing delirium and psychosis as indicators helps explain why this state is a key risk factor for sudden custody death syndrome. If you see signs like extreme agitation, confusion, or hyperthermia, seek medical help promptly and ensure safe, nonrestrictive monitoring.