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Depressio Depression And Suicide Case Study

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Suicide is more prevalent among older adults compared to younger adults, and disproportionately affects men more than women. Statistically, “…in 2010, the overall suicide rate for adults age 65 years and older was 14.9 suicides per 100,000” (Bamonti, Price, & Fiske, 2014, p.188). A case of an independent, 80-year-old man (R.L.) with multiple chronic comorbidities was presented. R.L had been recently diagnosed and started treatment for depression after exhibiting suicidal thoughts. It was not until R.L. developed renal failure and refused permanent dialysis therapy, that his clinician presented concerns about the patient’s possible impaired capacity for autonomous decision-making due to his diagnosed mood disorder. The main issues for evaluation in this case included the diagnostic process of depression, the patient’s capacity to make medical decisions, and the clinician’s ethical treatment approach. …show more content…

According to, The current American Psychiatric Association Diagnostic and Statistical Manual (DSM-IV), criteria for the diagnosis of depression include: (1) changes in appetite and weight; (2) disturbed sleep; (3) motor agitation or retardation; (4) fatigue and loss of energy; (5) depressed or irritable mood; (6) loss of interest or pleasure in usual activities; (7) feelings of worthlessness, self-reproach, excessive guilt; (8) suicidal thinking or attempts; and (9) difficulty with thinking or concentration. (Espinoza & Kaufman, 2014, p.2). R.L. had been diagnosed with depression after presenting multiple symptoms including suicidal ideation, anhedonia, and appetite changes. Furthermore, R.L. had agreed to start medication. Nonetheless, it was important to evaluate the patient’s mental capacity to make further treatment

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