Ms. Sanders is a 13 year old female who presented to the ED With her mother for recent suicidal ideation without a plan and depression. Dr. Keith requested an assessment. At the time of the assessment Ms. Sanders denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reports feelings overwhelmed and depressed to the the many extracurricular activities she is engaged in at school and in the community. Ms. Sander also reports recently coping with becoming aware of her boyfriend of 3 months going into a detox facility this morning. She expressed having to deal with the stress of attempting to help him as been challenging. Ms. Sanders reports these stressors have contributed to her distress and has cause her to feel depressed
Susanna Kaysen, an 18-year old high school senior, was sent to a psychiatric hospital because she allegedly tried to commit suicide off of overdosing on aspirin pills and chasing it with a bottle of vodka. She claimed to be trying to get rid of an aching headache. They initially diagnosed her with suffering from depression. Equally important, after residing in the psychiatric hospital for several months she receives her first citation for trying to make a friend feel less distressed through playing music and is sent to the head psychiatrist of hospital. During her session with the psychiatrist, Susanna is ambiguously diagnosed with Borderline Personality Disorder. The psychiatrist diagnostic stemmed from Susanna being sexually promiscuous, emotional dysregulation, and inability to form suitable relationships. I conceive that her symptoms are reasonable to a normally behaving teenager that was wrongfully institutionalized and is now surrounded by women who are mentally ill. Susanna was wrongfully institutionalized and diagnosed because those behaviors are deviant and abnormal for her race, gender, and
Inpatient adolescents were recruited from a psychiatric hospital located in the suburban region of a large metropolitan area. Respondents ranged in age from 13 to 18 years (Danielson, 2003). Of the 98 adolescents, 53 were girls and 85 were white. Most patients were of middle class socioeconomic status and possessed insurance that covered inpatient psychiatric treatment. Sixty-seven of the youths were hospitalized for attempting suicide. The remaining 31
R/s yesterday Jakeem was very upset and aggressive about returning home to his father. R/s Jakeem stated that he wants to live with his sister. R/s on February 18th, Jakeem was admitted for suicidal ideation. R/s Jakeem reported to his school’s counselor that he wanted to kill himself. R/s Jakeem had a plan to overdose. R/s according to Jakeem, the abuse has been occurring for two years. R/s Jakeem’s therapist is Kesha T. at Pee Dee Mental Health. R/s Jakeem is quiet and withdrawn, so his behavior yesterday was very shocking.
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.
Pt is a 15 y/o biracial female that presented at NNBHC by her father with a dx of persistent depressive disorder with intermittent major depsressive episode, with current episode, severe; rule out PTSD, chronice; marijuana use disorder, mild; and parent child relational problems. Pt presents appropriately dress, pt eye contact was poor. Throughout the assessment the pt demonstrated intermittent of tearfulness. Pt expressed that she have been feeling worthless, helplessness, and hoplessness. Pt describe that since her mother died she has not seen any motivation for living. Pt states that she has been feeling suicidal for weeks, however lately it has became more intrusive. Pt states that she has a plan to either overdose
There were seven specifications that eliminated some children and adolescents from participating in this study. The exclusion criteria involved were: (1) the present use of any illegal or authorized psychiatric medications, (2) prior medical care with SSRIs, (3) present diagnosis of any of the following: conduct disorder, panic disorder, post-traumatic stress disorder, obsessive compulsive disorder, major depressive disorder, or Tourette’s syndrome, (4) diagnosis of attention-deficit/hyperactivity disorder that required pharmaceutical therapy, (5) mental retardation, (6) any prior or present background of pervasive developmental disorder, mania, or psychosis, and (7) suicidal ideation.
Ms. Hill is a 13 year old female who presented to the ED following a suicide attempt. Ms. Hill attempted to overdose on 12 12.5mg of Phenergan and 2 500mg Amoxicillin with the intent of ending her life. Dr. Snyder requested an assessment. At the time of the assessment Ms. Hill was resting, however was awaken by her mother and father who were both in the room at the time. Ms. Hill denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. She informs this clinician she has been dealing with depression for a few years due to bullying. She expressed recent feelings of sadness, tearfulness, isolation, anhedonia, hopelessness, worthlessness, insomnia, and fatigue. Ms. Hill reports last year almost being rape during the summer,
The counselor is American, white, and middle-class. Religion has been purposefully omitted for the time being because it is not known for the other individuals in this case. I am confident that I can remove my spiritual and religious bias from this particular situation. Other relevant worldview information for this case includes the fact that the counselor was also the oldest of three siblings, with a large age gap between herself and her sisters. The counselor can sympathize with the experience of growing up in a turbulent home and having the experience of inflicting self-harm. As a college student and mother, the counselor can also sympathize with the overwhelming feeling of balancing school and home life as an adult. As a parent, the counselor can also sympathize with the concern Jaecy’s mother feels, and her potential desire to want to be informed about self-harming behavior.
Mr. White is a 38-year-old male who presented to the ED with suicidal ideation and a plan to stab himself. Mr. White stated: "I found out that I can't stay with my brother or mother." LEO brought Mr. White into the ED under IVC from DayMark. At the time of assessment, Mr. White endorses feeling suicidal with a plan. Mr. White reports family conflict as the primary stressors contributing to his current distress. Mr. White since being told by his brother this past Friday he has been hearing voicing and having suicidal thoughts. Mr. White reports having a history of multiple suicide attempts, the last one being a few years ago when he attempted to stab and hang himself. Mr. White has a history of child abuse by his grandfather. Mr. White currently
Mr. Smith is a 34 year old male who presented to the ED with feelings of dehydration, weakness, nausea, and suicidal ideation with a plan to stab himself with a knife. He denies prior attempts of harming himself. He reports currently not on any medications. Dr. Osborne requested a mental health assessment. Prior to mental health assessment this clinician spoke to Diann, the clinician who assessed Mr. Smith on 6/2/17. She reports he reported to her this morning, he was recently released from Rowan 2 days ago and since then has been homeless. He presented guarded and making conflicting statements about mental health history and substance abuse history. At the time of the assessment Mr. Smith appears guarded with a flat affect. He reports 2 days
Mr. Staley is a 27 year old male who presented to the ED following an intention suicide attempt. Mr. Staley used a knife to make several lacerations to his left forearm, which many needed stitches. Mr. Staley reports relational conflict and legal issues as contributing factors to his distress. Mr. Staley reports depressive symptoms as: feelings of hopelessness, worthlessness, irritability, tearfulness, anhedonia, and insomnia for the past week. Mr. Staley denies homicidal ideation and symptoms of psychosis. He does not appear to be exhibiting of agitation or aggression.
Scenario: Angela is a 16-year-old sophomore referred by a teacher who states that she is not functioning well in class and appears to be depressed. During the initial session with Angela, there was an assessment of Angela’s suicidal thoughts. Angela admits that she has had suicidal feelings off and on for the last few months since she broke up with her boyfriend. She said that they had sex and that she is now feeling remorse and guilt, because it is against her family values. She also believes it is her fault that they broke up.
Teenagers do not have the right resources available to cope with a mental illness. There are not enough opportunities to have a conversation on mental health whether it be with a parent or counselor. Mental health awareness is misconstrued as real progress in addressing the problem. The Diagnostic and Statistical Manual of Mental Disorders changes very often, so there is no real authority on the diagnosis of a mental
Sadly, this is a common case echoed across many instances of teens suffering from child abuse or suicidal ideation. Child abuse and suicidal ideation are dire issues afflicting millions of youth in America, but many cases remain unreported, leaving these teens vulnerable and without support in their predicaments. Although there are public campaigns urging those suffering from abuse or mental illnesses — or people who are aware of someone suffering — to seek help, there is a severe lack in education regarding the process and its risks; this results in a precarious lack of awareness of the risks in many, and more alarmingly, in the individuals seeking help. Unfortunately, for more apparent problems, seeking professional help often causes the situation to spiral out of their hands, imposing unwanted consequences disproportionate to the severity of the problem itself. Like in []’s case, family, friends, neighbors, and even strangers may foist professional help upon victims without their consent, not knowing it could send them into ruin. As an American adolescent suffering from child abuse or suicidal ideation, seeking help often begets detrimental ramifications such as involuntary subjection to the inefficiencies [and perils] of the child welfare system and psychiatric institutionalization.
Adolescence is a challenging period of life, when individuals undergo major physical and psychological changes between the ages of 10 and 19. This period is accompanied by many needs, all of which contribute to increased risk-taking in youth, such as suicidal behaviors. Suicide is the third leading cause of death for youth between the ages of 10 and 24 in the United States (Centers for Disease Control and Prevention [CDC], 2014). Among this same age group, suicide accounts for 20% of all deaths annually. In a 2011 nationally representative sample of high school students, 15.8% of students reported that they had seriously considered attempting suicide during the last year, 12.8% reported that they made a plan about how they would attempt suicide, 7.8% reported that they had attempted suicide at least once, and 2.4% of students reported that they made a suicide attempt that required medical attention (CDC, 2012a). For every completed suicide among youth between the ages of 15 and 24, there are about 100-200 suicide attempts (Goldsmith et al., 2002).