Mr. Gray's Suicide Case Study

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.

This past fall my grandpa was with my grandma at the Super 8 motel. He was sitting outside on a bench and all of a sudden he passed out. No one was out there when he got dizzy and passed out. They do not know how long he was out there. My grandma walked out there and saw he was passed out on the ground so then she called an ambulance.

Has a suicidal ideation, and thoughts of death, including suicide attempts and specific plans for committing the suicide.

The year was 1776, the United States was on the brink of war with England and in an unwavering effort to be free from the tyranny of King George III, America’s fore-fathers drafted forth a Declaration of Independence. Included in this declaration was a line that still resonates in the hearts and minds of free thinking men and women: “We hold these truths to be self-evident, that all men are created equal[->0], that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness (US, 1776)”. Even during this simpler time, America’s

Mrs. Nance is a 64 year old female who presented to the ED via LEO due to suicidal ideation with a plan to use scissors to end her life. At the time of the assessment Mrs. Nance denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. Mrs. Nance reported she pick up some scissors in her home after an argument with her grandson and was planning on using the scissors to end her life. She states, "I don't want to live anymore." Per documentation from MCM Mrs. Nance reports in 2014 attempted suicide. She reports experiencing child abuse at a young age by her mother, verbal and physical abuse throughout her life by her husbands and mother, and family conflict as stressors contributing to her distress. Mrs. Nance was seen

Ben struggled with place attachment; cultivating back into his social group with peers after his accident. He experienced grief and comments on finding out who his real friends were during the process. Going from a healthy young man to person dependent on others for personal care was an extreme shift.

On March 22nd, I completed an evaluation for a 16-year-old Caucasian female, who was referred to the Crisis unit by Hampton Academy School. Today was the patients second day attending this academy, and she reported suicidal ideations—without any plan— to the school social worker. The patient reported that she has been "feeling suicidal, not okay, and at her breaking point "(Anonymous, personal communication, March 22, 2016). The Patient stated that her Grandfather passed away—in the home—in February, and she constantly relives the experience of seeing him lifeless in their home, as well as her past bullying experiences. The patient reported that she can still visualize her grandfather, as well as hear the perpetrator calling her a "fat bitch"(Anonymous, personal communication, March 22, 2016). The patient stated that she "doesn 't really have a plan to commit suicide, but there is one in the back of [her] head: pills, bleed out, or cut really deep"(Anonymous, personal communication, March 22, 2016). Patient reported that she does cut, burn, or scratch herself sometimes to relieve the psychological pain, but confirmed that those are only her coping mechanisms. Patient reported that she doesn 't always feel suicidal, but she feels this way on and off. The patient denies any past suicide attempts, homicidal ideations, and hallucinations. The Patient reported current thoughts of suicide, but would not reference wanting to die

The activity we received was a case study, I was expecting it to not be that descriptive. However, it helped me to understand how to apply the information from chapter nine to a client's suicide story. I'm looking forward to more case studies, this one was a little time consuming, because I was not exactly confident with how to ask the questions. The chapter nine lecture made me feel more confident when it came to knowing what to ask a client who is suicidal. I feel that this improved my weakness when dealing with clients who have these thoughts. It is a sensitive topic for many people to discuss that is why I have never received sufficient information. I did not know that the percentage of people who have thoughts of hurting themselves was that high. The lecture made me exposed to a topic I did not know about it made me feel aware that these feelings are not uncommon. If I ever have a friend who has these ideas it will help me be supportive or point them in the right direction if they need help.

1. The exposition of this poem is when he goes to the river and tries to kill himself. It’s clear that the man is full of spirit and is currently facing some sort of personal problem that makes him want to commit suicide. When he tries to jump, he doesn’t “sink like a stone” he keeps rising to the surface and the cold water clears his mind and will not allow him to die.

Mr. Wright is a 61 year old male who presented to the ED with vague suicidal ideation without a plan. Per documentation Mr. Wright has been struggling with cancer for several years and recently relapsed on alcohol after being sober for the past 7 years. At the time of the assessment Mr. Wright denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He reports feelings of depression increase around this time of year. He states the cancer is not his primary concern, however the loneliness from the lack of support. Mr. Wright reports feelings of depression as: feelings of hopelessness, worthlessness, and insomnia. However, he later states the insomnia could have something to due with his acid Reflux. Mr. Wright appears calm and

EM has accepted her diagnosis of depression. EM reported that, “I have lived with depression for more than 20 years, I know when depression hits me.” However, EM has been struggling with her treatment plan. EM was diagnosed with depression 20 years ago when her parents died. EM stated that “my parent’s death was a big shock for me, they died in a car crash.” After their death, EM started to struggle with depression but she reported that the medications were stabilizing her.

Pt is a 15 y/o African American female presented at NNBHC with his mother due to suicidal ideation with depressed mood. Pt states she is currently in an instable relationship where she breakup weekly with her girlfriend. Pt states that her girlfriend makes her angry that she constantly get into physically altercations where she is the agitator. Pt states the girlfriend is emotionally abusive, “she calls me a failure”, “constantly throwing suicidal in my face”. Pt states she discontinue the relationship this Monday, and her girlfriend has just moved to Conneticuit. Pt states that this month is the anniversary of her father’s passing who was murdered, she also stated the counsin past the end of August. Pt states that

Ms. Taylor is a 14 year old female who presented to the ED experiencing auditory hallucination. At the time of the assessment Ms. Taylor denies suicidal ideation, homicidal ideation, however endorses symptoms of psychosis. She states "Nicholas" ,the voice she hear when she experiences increased stress, started giving her commands yesterday. Ms. Taylor reports "Nicholas" has been telling to hurt herself with a knife. Ms. Taylor states she does not want to hurt herself, it's just "Nicholas telling her these things. She reports he tells her if her parent try to stop her than she should hurt them. Ms. Taylor is calm and cooperative during assessment. She reports being compliant with medications and undergoing therapy at DayMark Recovery Services.

Moderate Suicidal Risk: Tristan is a 19-year-old freshmen in college who has a history of smoking pot. Two weeks ago, his mother kicked him out of the house due to taking her money and buying pot. Tristan wonders why she kicked him out because he has seen her smoke pot when he was 13 years old. He reported in the past how him and his mother constantly argued when he was in high school. There was one argument where his mother addressed how she wished she never had Tristan. Tristan disclosed after this remark, he had thoughts of suicide, but did not know how he was going to do it. After his mom kicked him out, Tristan moved in with his drug dealer and signed himself into therapy because he thought it was a healthy way to release his thoughts

After Samantha reported her feelings to the school psychologist, her parents were contacted about her statements. They were made aware that Samantha may be having suicidal ideation. Permission was received to perform a suicide assessment. This was done immediately after the statements were made. Samantha risk