Suicidal Ideation Case Study

A 39 year old African American male homeless walked to Beaumont Grosse Pointe. The consumer does have income. The consumer report that he came to the hospital to get help with substance use. The consumer report using crack and herion today. The consumer has flat affect, guarded, vague and lack motiviation to improve on her current situation. The consumer report suicidal ideation with a plan to overdose on his medication or any pills. However, when the writer ask the consumer about his medication the consumer states he does not have his medication. The consumer denied any auditory/visual hallucination, no homicidal ideation, no poor impulse control, no impaired judgment and he lack insight into the need for treatment. The writer review

I enjoyed reading your article it was enlightening. I concur that keeping in mind the end goal to completely comprehend our clients we should first speak with them while evaluating on the off chance that they have suicidal tendencies. While assessing individuals with suicidal ideation social workers must take a look at the individual biological and environmental components. Social workers must decide whether the client depression is mild to moderate or severe. Apparently, the more extreme the depression manifestations, the more probable the individual is in danger of suicide (Jacobson, 2014). Mild to moderate or servere—endless anguish that is less genuine than real melancholy—isn't viewed as a hazard factor for suicide. At the

The current suicide rate among 15- to 24-year olds is quite disturbing. Growing in numbers since 2007, the latest toll taken in 2013 on suicide within college settings is 11.1 deaths per 100,000 people (Scelfo, 2015). According to the article Suicide on Campus and the Pressure of Perfection, Pennsylvania State University had six students commit suicide in a 13-month stretch (Scelfo, 2015). Suicide within college settings are usually linked with severe depression. As mentioned by Kevin Breel in the Confessions of a Depressed Comic Ted Talk, depression is not sadness, real depression is being sad when everything in your life is going right and this, this I can personally relate to.

Mr. Wooten is a 33 year old male who presented to the ED following a visit to his primary care provider. Prior to Mr. Wooten coming to the ED his provider contacted TACT with concerns of Mr. Wooten mentioning suicidal ideation with a plan to use a gun to shoot himself and experiencing depression. At the time of the assessment Mr. Wooten denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He states having no suicidal ideation today, however mentioned to his provider a previous thought of harming himself. It should be noted Mr. Wooten was seen on 4/22/17 here at Randolph Hospital for reporting similar statement, however retracted his statement after reports a hidden agenda of only seeking anti-depressant medication to alleviate

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. 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

This week clinical I felt better prepared than I did with my first week. I was able to focus a lot more on interpersonal skills and develop therapeutic relationship with my patients. In terms of Mental Status Examination (MSE), this assessment provided me with a helpful base of information from which to observe changes, progress, and monitor risks. Especially, suicide risk assessment is a gateway to patient treatment and management. The purpose of suicide risk assessment is to identify treatable and modifiable risks and protective factors that inform the patient’s treatment and safety management requirements. I got insight into how important it is to document suicide risk assessments with sufficient information. Documentation of suicide risk assessments facilitates continuity of care and promotes communication between staff members across changing shifts. It is easy for suicidal patients to “fall through the cracks” of a busy psychiatric unit that has rapid patient turnover of admissions and discharges, and mostly during shift change. Asking question such as “What is your view of the future?” or “Do you think things will get better or worse?” helped me to elicit important information regarding patients suicidal ideation. Additionally, how my patients expressed their hope about the future assisted me to identify, prioritize, and integrate risk and protective factors into an overall assessment of the patient’s suicide risk and include in MSE.

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

Mr. Saunders is a 32 year old male who presented to the ED and referred for an mental health evaluation by Dr. Kieth due to SI with plan to take pain and sleep meditation to end his life. with a gun. Mr. Saunders stated "I feel really sick and I'm very paranoid". He reports SI from stressors in his life and the feeling of hopelessness. Mr. Saunders reported that he has not had a job in a year and a half due to his medical condition and issues with his family. He expressed that he self mutilate to control his thoughts and behaviors. He reports he has been burning himself with cigarettes and a lighter over the past few days, with multiple visible burn marks on his arms. He denies current HI, however admits to having thoughts in the past. He endorses

Patient is a 53-year-old female who presented to the ED after a attempt to commit suicide by cutting both her wrist. Patient stated: "I don't care about my life, I can die and it would not matter to me." Patient becomes tearful and expresses when she was cutting her wrist she didn't die. LEO brought patient into the ED from DayMark recovery services under IVC. At the time of assessment, patient endorses feeling suicidal with a plan. Patient reports health, conflict with neighbors, and financial issues as the primary factors contributing to her current distress. Patient reports having a history of suicide attempts by overdose, the last being "years ago". Patient reports no hospitalizations from incidents. Patient reports a history of domestic

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

a 24 yo SAAM who presented independently to COPE today. He stated that he is homeless and seeking transitional housing, however he also is exhibiting symptoms of psychosis. Patient is having command hallucinations to hurt himself and was observed responding to internal stimuli during assessment. Patient denies paranoia, but does have some delusional thinking. He stated sleep/appetite are decreased, grooming/hygiene poor and is unable to contract for safety at this time. He has had multiple suicide attempts, and showed me an old scar on his wrist from "2015 I used plastic from a container, I didn't know how to do it the right way". He also showed me several cuts on his chest that appear fresh, the nurse was able to look at them and determine

The patient is a 42 year old male who presented to the ED with suicidal thoughts of walking in front of traffic. The patient reports non compliance with medications. Patient denies homicidal ideations and symptoms of psychosis. The patient describes depressive symptoms as: sadness.

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

During the time of assessment the patient was sitting upright in her bed, her father at her bedside. The patient denies HI, SI, and symptoms of psychosis. The patient reports a history of depression. She expresses that a few days ago her and her boyfriend ended their one year relationship and he left the home due to the multiple domestic violence situations that have occurred in the home. The father of the patient provided a copy of the message sent of Facebook sent to the boyfriend, which expresses that the patient is hurt by the relationship ending and has suicidal thoughts with a plan to take a prescribe bottle of Valium to cope with the situation. Per documentation, patient's boyfriend throws knives at her, beat her and is verbally abusive. This was confirmed by the patient and her father. Per documentation the patient's parents picked her up a few days ago and she feels safe to go home. The patient reports joking about taking pills on Facebook. Per documentation the patient states, " If I wanted to kill myself,I'd just stay with him." Further the patient states, "If I go back to my boyfriend, he's going to beat me and I won't be able to take in much long." Per documentation the patient express crying episodes and feeling sadness, panic attacks for the past few day, and trouble