Suicidal Ideation Case Study Summary

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

Suicidal ideation is a medical term for thoughts about or an unusual preoccupation with suicide. The range of suicidal ideation varies greatly from fleeting to detailed planning, role playing, and unsuccessful attempts, which may be deliberately constructed to fail or be discovered, or may be fully intended to result in death. Although most people who undergo suicidal ideation do not go on to make suicide attempts, a significant proportion do.[1] Suicidal ideation is generally associated with depression; however, it seems to have associations with many other psychiatric disorders, life events, and family events, all of which may increase the risk of suicidal ideation. Recurrent suicidal behavior and suicidal ideation is a hallmark of

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.

Mrs. Patterson is a 72 year old female who presented to the ED with complaints of ringing in ear and some sores in her nose. Per documentation Her son, however reported Mrs. Patterson has expressed repeated threats of suicidality and has said she is going to overdose on medication and has overdosed in the past. He reports she also threaten to walk into traffic. At the time of the assessment Mrs. Patterson denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She appeared 3X oriented. Mrs. Patterson memory appears recently impaired. She reports a history of 1 attempted suicide years ago. Mrs. Patterson states when asked suicidal attempt she responded, "Yeah,but I forgot what I done." Her son Jim was contacted for collateral information. Jim reports 6 months ago his mother overdosed and has done so multiple time, however he is unaware if it's intentional with the intent to harm or her memory effecting her actions. He states, "She makes jokes about it (referring to suicidal ideation)." Jim expressed his primary concern with his mother is her not managing medications effectively. Jim reports he has a plan to move his mother into his home and take care of her daily needs and also manage her medications. Additionally, Jim reports her going to Daymark recovery Services. He reports DSS came out to the home today to offer any additional aid to Mrs. Patterson. She reports a history

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,

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. 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

Patient is a 35 year old male presenting to the ED involuntarily as petitioned by his cousin due to threatening to shoot himself with a gun. At the time of assessment, patient denies feeling suicidal or having a plan. When confronted about admitting being suicidal and having a plan to nursing staff and TACT, Mr. Crowson stated "He is here because he is going through withdrawals and his mother is lying." The Mr. Crowson reports in the past year he has lost his father. Mr. Crowson reported wanting to receive Methadone from hospital to help with withdrawal symptoms. He expressed feeling body aches, stomach cramps, chills, irritability, angry, and verbally aggressive behavior. Patient refuses to finish full assessment.

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

Mrs. Passmore is a 31 year old female who presented to the ED via LEO attempting to harm herself. Per documentation Mrs. Passmore reports someone taking her Klonopin several days ago and has not been able to take it. Today she allegedly tried to cut her wrist. She denies suicidal ideation, homicidal ideation, and symptoms of psychosis to nursing staff. At the time of the assessment Mrs. Passmore reports a mental health history of bipolar, anxiety, and depression. Mrs. Passmore noted she has only been hospitalized when she was 15 year old for behavior issues. She denies having a history of self harm or suicidal attempts. Mrs. Passmore reports recently she has been going through a lot. She reports her father died 3 weeks ago, financial issues,

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

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

Mrs. Lowe is a 39year old female who presented to the ED for chest pain and anxiety. She states recent change in anxiety medication, however due to financial strains she could not afford the new medication prescribe to her. Per documentation she reports relational issues with her family as the primary stressor contributing to her distress. At the time of the assessment Mrs. Lowe denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She expressed feelings of irritability, tearfulness, and hopelessness. Mrs. Lowe reports recently her mother died last month, conflict with daughter who just moved back into her home, and a aunt who recently had a stroke moving into her home as well. Mrs. Lowe also reports due to medical issues