Mr Blevins Case Summary

Robin Henderson is a 30-year-old married Caucasian woman with no children who lives in a middle-class urban area with her husband. Robin was referred to a clinical psychologist by her psychiatrist. The psychiatrist has been treating Robin for more than 18 months with primarily anti-depressant medication. During this time, Robin has been hospitalized at least 10 times (one hospitalization lasted 6 months) for treatment of suicidal ideation (and one near lethal attempt) and numerous instances of suicidal gestures, including at least 10 instances of drinking Clorox bleach and self-inflicting multiple cuts and burns. Robin was accompanied by her husband to the first meeting with the clinical psychologist. Her husband stated that

Goal : To assess for suicidal, homicidal intent, to gather psychological history, family, educational and developmental history, to assess client and family needs and strengths, to formulate a clinical diagnosis and complete all necessary assessments tools in order to assist the family in developing and reaching the goals that have been identified.

After working in the mental health field for several years, part of my job as an intensive case manager is facilitating crisis assessments on individuals who present in the emergency room (ER) and endorse suicidal ideation. Virtually all people who I have assessed and are genuinely suicidal with high risk mainly report major depressive disorder as their primary mental health disorder. Many of these individuals also have a previous history oftrauma as well, whether physical, sexual, or emotional abuse.

The client has high motivation for treatment within MRFH. The client was diagnosed with Alcohol Use Disorder: Severe and Cocaine Use Disorder (crack): Moderate. The client sought treatment at MRFH when he realized he had lost control of using alcohol and crack cocaine. The client stated he attended the MRFH program in the 1980 's but does not remember the exact date of attendance. The client stated he was diagnosed with Mild Depression by a primary care physician when he was 56-years-old. The client reports he has no history of suicidal or homicidal attempts, and currently denies having any suicidal ideations or homicidal ideations. The client stated one to two times per week he experiences muscle tension and worrying about things that he often realizes have no significance. The client stated prior to the age of 18-years-old, "I would knock over my neighbors mailboxes and destroy their gardens, because they would make my parents aware of my wrong doings and that was way of getting them back." The client stated, there was one time that I started a fire and blamed it on my brother. I would break things as well and blame someone else. The client stated if there was an event taking place that he wanted to participate in, he would rush and complete what he was doing so he could become involved in other events taking place around him. The client stated, "I started using drugs and alcohol without thinking about what the consequences. The client appeared to be oriented to the

Mr. Wooten is a 33 year old male who presented to the ED following a visit to his primary care provider. Prior to Mr. Wooten coming to the ED his provider contacted TACT with concerns of Mr. Wooten mentioning suicidal ideation with a plan to use a gun to shoot himself and experiencing depression. At the time of the assessment Mr. Wooten denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He states having no suicidal ideation today, however mentioned to his provider a previous thought of harming himself. It should be noted Mr. Wooten was seen on 4/22/17 here at Randolph Hospital for reporting similar statement, however retracted his statement after reports a hidden agenda of only seeking anti-depressant medication to alleviate

The writer met with 5 y/o AAM brought to Sinai Grace by EMS due to suicide attempt drinking and took overdose of pills. The consumer also admits to prior suicide attempt three weeks ago. The consumer live with family and has income. The consumer present with flat affect, depressed, agaited and has limited insight into the need for treatment. The writer ask the consumer about what was going on in his life to make him attempt suicide. The consumer states it was life stressor and report that he was in a car accident a few weeks ago. The consumer admits depression, anxiety, limited insight into the need for treatment and impaired judgment and he has some desire to improve on his current situation. The consumer admits to drinking alcohol daily

J.F. is a 42-year-old, Hispanic male who was transferred to the behavioral center for suicidal ideation, in which he planned to hang himself with cable wires. He has a history of mental illness in the family. The patient’s mother has a history of bipolar disorder, and passed away when the patient was 37 years old. The patient was emotionally and abused by a family member when he was around 8-10 years old. He had attempted suicide as a teenager by trying to overdose on pills. His medical history includes diabetes, pancreatitis, and methamphetamine use.

E.S. had a complex case because he was not only grieving the loss of his son but he soon thereafter was grieving the loss of his grandson. The grieving process appeared to be quite tough for E.S. since his family unit had been torn apart (some lived in Los Angeles, while others lived in Chicago). Since his children come from different wives it was hard for E.S. to navigate the family unit upon the loss of one of his sons. He mentioned that it was difficult to talk with the boy’s mother in this time of grief “ because she would start crying and I just couldn’t handle that.” It appears that he felt inadequate for not being the support that his ex-wife needed. This veteran did present signs of depression and grief. E.S. attended a Bereavement Group in Building 500 at the West Los Angeles VA. Before I was forced to terminate with E.S., I found out that he was on three different types of medications. He was prescribed an antidepressant (Zoloft), medication for his blood pressure, and medication for his cholesterol. While he was on this combination of medications, this veteran reported thoughts of suicide. Veteran confirmed that the suicidal thoughts stemmed from his anti-depressant (Zoloft), and once he stopped taking the Zoloft and

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

The patient is a 29 year old male who presented to the ED with suicidal thoughts of jumping off a bridge. The patient denies homicidal ideation and symptoms of psychosis. The patient reports that he has been taking Suboxone to prevent from relapsing on pain pills.

Suicidal behaviours can impact workplaces, whereby the employee may become unproductive, hence employer must find and train a replacement (Machado, Rasella & Darci Neves dos, 2015). Machado et al., (2015) emphasised suicidal victim’s family suffers as the individual cannot contribute to home and family is burdened with expenses such as in Lorrain’s case, her family paid her $8000 debt. If the victim dies, the family must finance the funeral cost

MMM was released after 72 hours into an outpatient program where she was assigned to a group therapy circle for those suffering from Borderline Personality Disorder. She also signed up for individual therapy with a therapist on-campus specializing in the treatment of Personality Disorders. It is up to MMM to follow-up with her treatment plan. Because her suicide attempt occurred on campus, the Dean of Students

He is a 25 years old, Caucasian, heterosexual, male, who is studying Computer Science at College. He reported that he is engaged to be married to his live in girlfriend. He presented with anxiety, depressed mood, academic concern, and low self-esteem. He expressed a wish to reduce anxiety, improve academic function, and increase self-esteem. He came to his appointment on time. He was dressed appropriate to the weather. He was Ox4. He was engaging throughout the session. His affect was congruent. He indicated that he had thoughts of suicide when he was depressed in the past. He credibly denied having current SI, intention, or plan. He attributed HI score on CCAPS to anger but denied having any wish, intention, or plan of harming others.

There is an ethical duty to report a client of any age when there are reports of suicidal attempts or ideation. Confidentiality is a consideration, but the safety of Angela is the first priority. There is a legal and ethical duty to report if there is a foreseeable harm (Remley, T. P., & Herlihy, B., 2010). A counselor must be knowledgeable of the proper assessments and tools, and should consult other