Mr. Morris is a 36 year old male who presented to the ED with Suicidal ideation without a plan. Before the assessment QP received a call from the patient's mother who informed QP her primary concern with her son is his substance abuse and recent thought of self harm. She reports he has expressed suicidal ideation the past few weeks since he has returned to her home. At the time of the assessment Mr. Morris denies suicidal ideation, history of attempts, homicidal ideation, and symptoms of psychosis. He does reports a history of PTSD from seeing his uncle get killed in 1999, however no mental health hospitalizations. Mr. Morris states, "No, Not really thinking about harming myself, just situational stuff." He continues to state, "I just don't see the point of living sometimes, with all the stuff been going with me these past few months, but I have 2 daughter to live for and the people who do care about me." He reports consuming alcohol most of the day and feelings of depression for the past 3 weeks. His
Dylan is a 24-year-old married, white male who was brought to CRU from Abrazo West Campus. He lives with wife, and unborn baby. He is employed as mortgage broker. Patient has a hx of ETOH abuse. He stated, "when I drink, it gets out of hand." Prior to ED admission, patient aborted suicidal attempt with a gun by reaching out to family. He reported that he was suicidal because he had been drinking. He denies SI during this assessment. Patient will benefit from meeting the provider to discuss medication
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,
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
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,
Mr. Moore is a 24 year old male who presented to the ED with reports of experiencing depressive symptoms, vague suicidal ideation without a plan, and recent episodes of anxiety. At the time of the assessment Mr. Moore denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. He reported to suicidal ideation would come and go, however never had a plan . Mr. Moore appears calm, cooperative and in good spirits during assessment. He reports a history of anxiety, depression, and emotional trauma by father at the age of 8 years old. Mr. Moore expressed he started noticing increase anxiety when he had to speak in large groups, present in school, driving, and engaging in social actives. He states, "Over the past 16 years my father has been out my live, when I was younger he would hit me if he felt I said anything out of line." Mr. Moore reports recent relationship issues and separation with his fiance. He reports due to him not engaging in many social actives his fiance has left him. He reports for many year going to Randolph Counseling Center for his anxiety. He reports positive results from services. Mr. Moore mention coming to the hospital last Thursday for his anxiety and bring prescribed a 30day supply of Ativan, which he reports has helped him become more stable when engaging in actives,like driving his mother's car. He reports depressive comes and goes depending on the mood he is in. He describes symptoms on occasion as feelings of
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
Dr. Gentry requested an assessment for Kaitlin Bradley, an 19 year old female who presented to Randolph Hospital ER reporting suicidal ideation, with a plan, and symptoms of psychosis, and homicidal ideation. She stated " I plan to do some stupid shit". Ms. Bradley reports she has had suicidal ideation daily since the age of 10, She reports that in the past two weeks her suicidal ideation has gotten worse. She reports yesterday she was suicidal and reports if she was going to kill herself she would overdose no whatever pills she can get her hands on. Ms. Bradley reported cocaine and marijuana use, which was confirmed in her drug screening. She reports she came to the hospital so she would not harm herself. Ms. Bradley has a history of suicide
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.
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
Patient is a 75 year old female who presented to the ED with depressive symptoms and suicidal ideation. Patient reports for the past 3 months she has been treating a UTI. She expressed that she has been complaint with medications, however has been to the hospital 4 to 5 times within the last 2 months for the same. Patient reports since been diagnosed with the shingles last year everything has been going downhill. The patient has been treated for the shingles since. The patient reports multiple stressor including: medical conditions, inability to care for herself, financial concerns, and poor familial support.
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
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
There are strong correlations between various factors affecting the youth of today and the suicide ideation and attempt rates among ethnic minority youth. The article “Latina Adolescent Suicide Ideations and Attempt: Association with Connectedness to Parents, Peers, and Teacher” uses various sources to collected data by organizations like the Center for Disease Control and Prevention which provide ample information about suicide ideation and attempt in Latinas compared to other non-Hispanic groups. Statistical data yields information about adolescents at a rate of 21% for suicide ideation and 14% for suicide attempts. These numbers reflect data for adolescent Latinas between 10 to 24 years of age in the United States. Among these statistics,
31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.