Reflective Journal Assignment : An Evaluation For A 16 Year Old Caucasian Female

Working at the Elmcrest Children’s Center this semester has opened my eyes to so many different issues that children face in our own community. The children that are sent to Elmcrest go through psycho-social evaluations before they are fully admitted to see exactly how the child reacts to certain situations and stimuli. During my time at Elmcrest, there have been kids that have been discharged to other programs due to the fact that they had dealt with suicidal thoughts and needed more intensive care than Elmcrest was able to provide. When I saw the article, “Physical and Psycho-Social Predictors of Adolescents’ Suicide Behavior” I knew that it would be extremely beneficial for me to learn more about what triggers these behaviors and how they

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

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

At the time of the assessment Mrs. Hyatt denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reports a history of depression and anxiety. Mrs. Hyatt reports a history of cutting behaviors for stress relief and to harm herself. She reports 2x suicidal attempts in the 2004 when she tried to overdose on pills and cut her wrist. Mrs. Hyatt reports recent stressors as relational issues and possibly

Clinical concerns: Despite no current suicidal intent the client is a high potential risk for suicidal behaviors.

R.A. is a 12-year-old female who was admitted to Presbyterian Kaseman Mental Health facility on February 26, 2016. She was initially brought into the emergency department by her mother for cutting (self-mutilation). Patient had sent long text messages to mother with thoughts of wanting to die, the world would be better without her, feeling lost, and has memories that she had declined to talk about. She described feeling overwhelmed, not able to focus, depressed, anxious and that her thoughts were continuously racing prior to be admitted. Patient lives with her mother and pregnant sister and has a history of self-mutilation and marijuana use. The patient’s Axis I diagnosis on admission was major depressive disorder (MDD),

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

Mr. Hurtado is a 19 year old male who presented to the ED with an suicide attempt. He cut himself multiple times with a razor on his legs and then proceeded to cut the right side of his neck with a box cutter. At the time of the assessment Mr. Hurtado states tonight his boyfriend and he were riding home when another guy sent him a message on Instagram. After looking at the message he showed his boyfriend, which started a confrontation. Mr. Hurtado reports a history of cutting behaviors for a stress relief, however tonight he endorse harming himself with intent to end his life. He reports relational issues with his family accepting his sexual preference and the inability to control himself when face with confrontation as stressor contributing

Also, exploring current policies and procedures within the school system. In addition to research, interviewing an experienced educator, with connections to suicide personally and professionally will remain high priority. As humans, one of the greatest skills we acquire, is the ability to assess. It is absolutely essential to listen to what a person is saying, but most importantly to hear what they are not . If one’s assessment skills are in tune when communicating, symptoms could be evaluated more thoroughly, and possibly save someone’s life. Together, we can end the

Supplemental. Mrs. Hungness indicated that she had accomplished a couple of the action steps we had identified for accomplishing her set goals. She reported that starting her new medication and taking it regularly for the last week has really made her feel better. She reported she feels her anxiety and depression have been more controllable this week. She stated she has been utilizing her planner more efficiently and did not take on any new tasks she cannot complete. She sent a second email to disability services as she feels this goal is important for her future academic success. Before our meeting this morning, Mrs. Hungness went out to breakfast with her fiancé and her roommate.

Assessing my work is rather easy for me. I am extremely self-critical, to the point, it difficult to be positive. I always hoped and had been told I write well, especially on the job. In this short amount of time during class, I have learned how “low-level” my writing truly is. I write on more of an eighth-grade level instead of at the high school or college level I want to. I have probably forgotten more grammar/punctuation than most people I deal with even know. My grammar/punctuation is laughable; I only remember the easy stuff. Even though I use the thesaurus regularly to improve my vocabulary, my memory seems not to retain it.

Most of my life has been centered around IU – football games, basketball games, yearly trips, meeting Tom Crean (twice, while he was still coaching), and more recently, visiting my two older sisters currently attending IU Bloomington. So as you can tell, I’ve had a lot of influence towards Indiana University, however, I’m proud to say it was my own decision to apply because I know this University is so special.

Ever since I began reading as a small child, I have loved literature and the written word. However, even though this has always been the case, I originally was not a literature major when I entered Arizona State University. Instead, I began my college career as a Physics major. What I came to realize after completing some of the required courses for the major was not that I was not good at physics since I had done exceptionally in all my classes, but that I was more interested in reading the articles and writing the assignments for my classes than I was in actually doing research in the physics department. Therefore, even as I was pursuing an entirely different degree, my love of literature and writing was still fundamental to my learning, and it was this that eventually lead to me changing my major to English Literature. Coming to this decision to switch majors was difficult, however the experience was beneficial in the long run. Not only am I now enjoying the work I am doing as a student more, I also understand that writing, editing, and reading critically is important to all disciplines. Had I not first begun my

The core belief that defines me is hard work. That wasn’t always the case. I spent the majority of middle school dawdling around ignoring due dates and refusing to study for tests, which culminated in almost straight C’s my 8th grade year. The reality of my attitude was that I simply wanted to put in minimal effort every day and go home and sit around in front of a television. That would only come to a change my sophomore year, thanks to a teacher.