Self-Harming Case Studies

Alex said she was pushed off the counter in which she was climbing onto. When the teacher asked who had pushed Alex she hesitantly said, “Daddy.” When Alex was asked why she was climbing onto the counter she responded with “I looking for food.” Alex later disclosed that she had not eaten breakfast or dinner at home in two days. After investigation of the 51A, it was later found supported. The third 51A was filed by a Brockton police officer who responded to a domestic dispute call from a neighboring apartment. When the police officer had arrived to the apartment there were drugs, needles, and alcohol all in reach of Alex. Tiffani and Dakota had also appeared to be under the influence of alcohol and methamphetamine’s. An emergency removal from deemed appropriate. After Alex’s removal both her biological mother and father wished to terminate their parental rights (Alex, age 4). Thus making the goal of reunification to adoption. Alex’s foster parents Savhanna and Matt would like to adopt Alex into their family.

There’s concern that Hermionne Romeo, is not properly caring for her daughter, Ashante Saint Val (17). The mother kicked the child out of the home, and will not allow the child to return. The child was having chest pain and is self-mutilating. The mother refuses to take the child to the doctor and to provide legal documentation to Ms. Aarons (caretaker). The child has not been in school due to being expelled for missing too many days of school.

Per report from mother pt have demonstrated erratic behaviors and unstable emotions since the change in living arrangments. Per report from mother the Pt have been demonstrated violent behaviors (e.g. kicking, hitting, spitting, throwing items) towards mother and (13) sister. Per report from mother pt have been demonstrating self injurious behaviors (hitting self in the head, pulling hair out). Per report from ther pt have been demonstrated property destruction in the home where she has thrown items and taken them apart. Per report from mother pt does not have any triggers for maldaptive behaviors or mood swings. Pt reports her anger

Antazia is working to complete grade level work. Antazia has reported behavioral issues. Antazia’s number of referrals decrease during this period. The school has reported Antazia’s behaviors include verbal and physical aggression towards peers and adults, defiance and refusal

Annalisa is diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and is prescribed Adderall (30mg once per day) and Intuniv (2mg in the morning, and 1mg at night). Annalisa is currently inpatient at South Oaks Hospital since July 2nd, 2015; Annalisa ran out of her replacement foster home, ran around the block, re-entered the residence, and attempted to exit a second time through the window. 911 was contacted to assist with the matter and Annalisa was initially transported to Long Island Jewish Hospital. During the discharged process, Annalisa began displaying erratic animalistic behaviors resulting in her inpatient at South Oaks. The agency reported

I used to be a cutter… but shh, don’t tell. Society didn't allow me to express my pain that way…Today’s society refuses to acknowledge many problems that teens deal with. People would rather believe in ‘happily ever after’ than face the truth, children are suffering. While it may seem to others that the problems are made up, its very real to the one dealing with them everyday. This suffering can leave permanent scars, and damage (if not ruin) their future. By remaining ignorant, self harm becomes more and more common, but at what cost? If educators and medical personnel were to be more educated on self harm and how to deal with it, teens and young adults would be more comfortable asking for help. Getttig rid of the stereotypes that

Please state if the minor showed signs of (PTSD, personality, or mood disorders)? Attach Psych Eval, Diagnosis in AXIS, and medication list. (If

When asked to describe her childhood, Ms. A reported she has "blocked out most of her childhood" due to extensive sexual and physical abuse. She disclosed being sexually molested from 5 to 12 years old. She also disclosed being raped several times by her father’s friends while under the influence of alcohol or drugs. Ms. A statedaid she left home at age 16 and began supporting herself. She indicated that her parents remarried other partners, and she gained 5 stepsiblings with whom she currently maintains a "good" relationships. The patient reported having a close bond with her biological mother during childhood. She described

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

The guideline chosen for this discussion is the: Self-harm in over 8s: long-term management. This guideline discusses the long-term psychological treatment and management of single and recurrent episodes of self-harm. This guideline is a follow-up to a clinical guideline entitled Self-harm: the short-term physical and psychological management and secondary prevention of self-harm in primary and secondary care. This guideline was concerned with the treatment of self-harm within the first 48 hours of the incident. Both guidelines were developed with the help of multidisciplinary health professionals, individuals who self-harm and their families to help clinicians provide and plan the highest quality of care to people over the age of 8 years old whom self-harm (National Institute for Health and Care

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

The patient returned to the clinic after his admission to Johnson Memorial Hospital twice. The first admission was from 10/31-11/3/2017 to address his major depressive disorder and substance abuse. It was recommended for the patient to seek a high level of care-outpatient psychiatric services, PHP/IOP. Then the patient was readmitted on 11/4/2017-11/06/2017 due to a bicycle accident and alcohol consumption on 15 shots. Its also documented that part of his admission was for suicidal ideation of which the patient denied having suicidal ideation during the second admission, but admits to having sucidial ideation during the 1st admission. The patient is scheduled to attend an appoinment through CHR tomorrow at 8:30am to complete an assessment

Self-harm patients are at a risk for suicide whether this is an intended outcome or a result of self-harm gone wrong. 25% of people who commit suicide will have been seen in a hospital setting for a self harm injury in the past 12 months (Emerson, 2010). As well, 72% of suicide victims under the age of 25 have had a history or self-harm behavior (as sited in Cook, Clency, Sanderson, 2004). These statists provide a strong argument for the importance of vigilance and ongoing monitoring when providing care for clients who display self-harm behavior. This paper will argue the importance for close monitoring when caring for self harm but not necessarily the prevention of self harm itself. Vigilance and monitoring are important However there is evidence that complete preventions is not necessarily the best approach to self-harm (Duffin, 2006).

Client reported that he has been doing well since the last session. He reported desires of change of his diet, change of the time that he wakes up, and reduce the amount of tobacco use to become healthier. Client reported that he needs to prepare to go to the court because his ex-girlfriend may not let him see his daughter. Client spoke in length in regards of what he wants to change and achieve, and how he was not able to. Client reported that id he needs to have a heart surgery, he would rather avoid it, and choose to die from heart disease. Client denied having suicide thoughts. He reported that applying the new thought "I just want to be with someone" for the use of ABC model when he sees his ex-girlfriend has helped him throughout

Deliberate self-harm is a term that covers a wide range of behaviours some of which are directly related to suicide and some are not. This is a relatively common behaviour that is little understood. This essay provides an overview of the nature and extent of those most at risk of self-harm, including causes and risk factors. Examining some of the stereotyping that surrounds self -harm, and looking at ways in which self-harm can be prevented.