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Assisted Suicide Case Summary

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The patient is a 10 year old male who presented to the ED with multiple lacerations on his left hand. The patient denies suicidal ideations, homicidal ideations, and symptoms of psychosis. The patient states, " I don't know why I cut myself." Later on, the patient denies threats towards other students and admits he cut himself because it felt good.

During the time of assessment the patient was watching television with his mother on his bedside. The patient report that another student gave him a razor off the floor and he wanted to make marks on him that looked like a cut that the patient reports appeared in his sleep. The patient appears guarded with a flat affect. The patient starts to talk in a low tone and only respond by head movements. …show more content…

Furthermore, stays at a friends house while his mother works from 1:00am to 5:00am. Per documentation the patient presents with mannerism of throwing his head back, laughing at inappropriate times, and throws his hands over eyes to talk. The patient presented with these behaviors during the time of assessment. According to collateral the patient reports to "Ms. Mitchell, principal at Tabernacle Elementary School, that he was going to kill himself and others." Collateral reports that patient cut himself with a broken razor from a pencil sharpener. Further, the patient reports that he is useless and that no one likes him nor does he have anyone to play video games with. The patient expresses these thoughts during the assessment. According to collateral the patient has multiple incidents with his behavior since 2013. As noted, "Some of these behaviors including pulling string out around neck from sweatshirt, smashing milk in cafeteria, kicking others students, swinging a waffle bat at another student, inappropriate language and hitting a student on the bus." The mother expresses that the patient does not see a need to go to school and wishes to stay home.

Due to an increase in depressive symptoms, suicidal ideation, homicidal ideation, poor insight, poor judgement, poor impulse control, harm to self, patient does meet criteria for IVC and inpatient hospitalization. TACT consulted with Dr. Osborne

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