Kaitlin Bradley's Suicidal Ideation

Mr. Davis is a 33 year old male who presented to the ED with homicidal ideation with a plan. Mr. Davis states he has a plan to go out in his yard with a machete and kill someone. Per documentation he states, "I'm going out into the yard with my machete and I am afraid I am going to kill someone. I feel really crazy." He states he has these thoughts towards anyone that does him wrong. At the time of the assessment Mr. Davis is asleep, however becomes awaken and 4x oriented by hearing his name called. He has a history of Bipolar. He denies current suicidal ideation, homicidal ideation, and visual hallucinations. He does endorse auditory hallucination. Mr. Davis reports hearing several people telling him things. He reports his outpatient provider is DayMark and he usually go there twice a month for his Depakote injections, however has not been there since

The patient was admitted to the hospital by her daughter after discovering that she had abandoned her medication and was significantly experiencing adverse effects from the withdrawal. The patients’ medical history included renal dysfunction, anemia, malnourishment, back pain, and a family history of mental health. The patient has a psychiatric history of being previously placed in the same clinical structure eight months ago due to related issues including the failure to take her medication and increased levels of mental health conditions that led

Mr. Saunders is a 60 year old male who presented to the ED via LEO under petition by his niece, Rachelle, for allegedly putting a gun into his mouth, him putting a gun in another individuals mouth called "legs", and increasing alcohol consumption. At the time of the assessment Mr. Saunders is calm and cooperative. He denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Mr. Saunders reports he has been depressed for several months and has been binge drinking alcohol. He reports relational issues with his wife has been the primary stressor contributing to his distress. He express feelings of hopelessness, worthlessness, irritability, and isolation. He does admit to informing a friend, William, he see no reason to leave if he can not be with his wife. Patient does not appear to be exhibiting signs of agitation,

Ms. Webster is a 28 year old female who presented to the ED via LEO under IVC by her mother for suicidal ideation and alcohol dependence. Ms. Webster denies allegations to nursing staff. Per documentation she appears intoxicated. Per documentation Ms. Webster states, "Going through withdrawals". Before assessment this clinician spoke with nursing staff about Ms. Webster, they reports she has been asking for Ativan since she has been placed in her room. They reports she informed them that she had not consumed any alcohol today. At the time of the assessment Ms. Webster is found sitting upright in her room. Ms. Webster reports she had a plan to hang herself. She states, " you know I have to say that to get into detox." Ms. Webster reports alcohol abuse as primary stressor contributing to her distress. She denies depressive symptoms. Ms. Webster states,

L is a 16 year old, Caucasian female student admitted to the adolescent mental health unit of a major Brisbane hospital due to active suicidal ideations manifested by taking a recent overdose. This was also accompanied by thoughts of harming herself and ending her life. L has a history of suicidal ideation, an eating disorder and self-harming. L was picked up from school by her stepfather and later disclosed that she didn’t want to be here anymore and wanted to die.

Mr. Blevins is a 22 year old male who presented to the ED with suicidal ideation with a plan to shoot himself. At the time of the assessment Mr. Blevins was calm and cooperative. He reports substance abuse and symptoms of depression as stressor contributing to his distress. Mr. Blevins expressed depressive symptoms as feelings of hopelessness, worthlessness, tearfulness, isolation, and insomnia, and guilt. Mr. Blevins stated, "I was at the coastal and was going to off myself with my friends 38." Mr. Blevins reports stealing his friends gun to end his life. He expressed drug use has become overwhelming for him and his thoughts were to end his life. Per documentation Mr. Blevins reports a history of suicidal ideation, however never before yesterday

Mr. Overman is a 30 year old male who presented to the ED with a possible overdose. Per documentation he was found in a Walmart walking around taking multiple pills while walking around. Mr. Overman has a prior history of substance abuse which includes abusing pain pills. Mr. Overman wife was contacted and spoke to before the assessment. She reports in October 2016, Mr. Overman was in a hit and run accident while riding his bike with their son. Mrs. Overman reports yesterday he found out he would not be able to continue the type of work he has been doing for the past 6-8 year. Mrs. Overman reports he has been depressed due to becoming aware of this information. Also, She reports since he had been prescribed a large amount of pain medication from his providers, a solution for one provider to aid in medication management was organized because with the 30 day prescriptions were out his detox from the medication was overwhelming to him.

Sara is in need of residential treatment due to her history of self-injurious behaviors, and multiple attempts of suicidal gestures. Sara requires a higher level of care which outpatient care is currently failing to provide her at this time. Sara continues to have depressive symptoms and anxious feelings for the last few months. The patient has had two acute inpatient admissions within the last 3 months and requires long term stabilization. At this time Sara requires 24 hour supervision and ongoing intervention and treatment.

Ms. W has already had an abortion at the age of 15 and also has a baby that is 10 months of age. Ms. W is started on a standard intravenous medication that stops pre term labor (magnesium sulfate). Two days later Ms. W tell her Doctor named Dr. C that she was “tired of being in the hospital and the medications and the fetus were too painful and uncomfortable.” Dr. C explains to the patient the risk of premature delivery such as respiratory immaturity neurological handicaps etc. Dr. C also explained that if she stayed on the medications for another two to three weeks the chances of survival of the baby would be much higher, reducing the risk of chronic lung disease from fifty percent to ninety percent and from fifty percent to twenty percent respectfully. Ms. W still refused treatment and Dr. C ordered a psychiatry consult for Ms. W and she was found to be “extremely immature, emotionally labile and unrealistic.” She has also presented with suicidal thoughts and was known to be an illegal drug abuser in the past but not recently. She continued to refuse the medication to stop labor and threatened to leave the hospital. This is where Dr. C has to make a choice of what he should do. He comes up with three possible solutions, the first is to let the patient do as she pleases and stop giving the treatment, second if he does not want to force her to take the medication and does not want to force her to take them he can send her to another physician he knows will force her

Mr. Scott is a 34 year old male who presented to the ED via LEO. Mr. Scott reported to nursing staff he has not been taking medication for schizophrenia for the past 8 days because he believes the medication has not helping him with his hallucinations. Mr. Scott reports cocaine use yesterday to nurse staff. At the time of the assessment Mr. Scott is found pacing the floor of his room, However he is calm and cooperative. Mr. Scott reports he was released from a mental health facility in Chatham county. Mr. Scott mention previous hospitalization at Coastal Plains and Holly Hill. He reports a history of Bipolar, PTSD, and manic depression. Mr. Scott reports currently having suicidal thoughts of overdosing on unknown medication he has at his place of residence. Mr. Scott appears guarded and very anxious when talking to this clinician. He reports poor sleep (2-3 hours daily), experiencing flash backs of past traumas from growing up in his previous community, and visual hallucinations. Mr. Scott reports recently he would see dead bodies in the room and doors opening when he knows they are closed. Mr. Scott reports a history of suicidal ideation and attempts, the last being a month ago

Mrs. Passmore is a 31 year old female who presented to the ED via LEO attempting to harm herself. Per documentation Mrs. Passmore reports someone taking her Klonopin several days ago and has not been able to take it. Today she allegedly tried to cut her wrist. She denies suicidal ideation, homicidal ideation, and symptoms of psychosis to nursing staff. At the time of the assessment Mrs. Passmore reports a mental health history of bipolar, anxiety, and depression. Mrs. Passmore noted she has only been hospitalized when she was 15 year old for behavior issues. She denies having a history of self harm or suicidal attempts. Mrs. Passmore reports recently she has been going through a lot. She reports her father died 3 weeks ago, financial issues,

At the time of the assessment the patient reports she denies homicidal ideations and symptoms of psychosis.Patient has a history of command auditory hallucinations but denies any current and states, "Everyone in my family

Mr. Saunders is a 32 year old male who presented to the ED and referred for an mental health evaluation by Dr. Kieth due to SI with plan to take pain and sleep meditation to end his life. with a gun. Mr. Saunders stated "I feel really sick and I'm very paranoid". He reports SI from stressors in his life and the feeling of hopelessness. Mr. Saunders reported that he has not had a job in a year and a half due to his medical condition and issues with his family. He expressed that he self mutilate to control his thoughts and behaviors. He reports he has been burning himself with cigarettes and a lighter over the past few days, with multiple visible burn marks on his arms. He denies current HI, however admits to having thoughts in the past. He endorses

Mr. Enochs is a 50 year old male that presented to the ED by IVC paper work from Daymark Recovery Services. Patient reported depressive symptoms and SI with a plan. Mr. Enochs stated : "I'm worried about my family and not being able to support them." He reports he has been unemployed and unable to find a Job. Mr. Enochs reports in the past 3 days consistent worrying about his sick wife, kid, and having continuous panic attacks. Mr. Enochs reports racing thoughts. He stated: "my mind never shuts down."Mr. Enochs reports he has been thinking about walking into traffic or falling into a hole at a construction site to take his life. Mr. Enochs stated: "I think if I was dead I could help my family financially." He reported only having 3 hours of

The patient expressed she has no current suicidal ideation or homicidal ideation. However, she admitted to suicidal ideation in the past, right after her breakup, approximately two months ago. She expressed that she wanted to hurt herself and had a plan on how to do so, but did not think she could go through with it. Her plan was to overdose by taking her mother’s