Suicidal Ideation Case 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

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 patient was admitted to the hospital by her daughter after discovering that she had abandoned her medication and was significantly experiencing adverse effects from the withdrawal. The patients’ medical history included renal dysfunction, anemia, malnourishment, back pain, and a family history of mental health. The patient has a psychiatric history of being previously placed in the same clinical structure eight months ago due to related issues including the failure to take her medication and increased levels of mental health conditions that led

CM was out on vacation from 5/3/2017 to 6/14/2017. On 6/20/2017, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed in proper attire for the weather. Her affect and mood was appropriate. Client maintains eyes contact appropriately and she was oriented to person, place, time and situation. Client continue to deny suicidal or homicidal ideation

The patient was placed on HOLD to see the writer to address his non-compliance with treatment. The patient was reminded about his Step 3 of the patient engagement. According to the patient as the writer reviewed the patient case history of his no show for counseling, group attendance, and continuously AWOL, the patient only response was, " I, know." The writer then inquired of the patient efforts to engage in mental health services through ICRC. The patient admits that he haven't done the intake when the deadline was extended for the third time. The writer discussed with the patient about the risk of facing an intent to discharge due to his non-compliance and addressed alternatives such as suboxone and transferring to a clinic in Massachusetts to accommodate the work location. The patient declines the writer's suggestion as he wants to remain with HCRC-Hartford due to the positive treatment and said. " You guys really care....I do not want to be discharge.....I, mean what is the process of the intent of discharge?" The writer explained to the patient about the appeal process as his record will be reviewed by the Practice Manager to determine as to whether or not to forward with the discharge or the discharge to be overturn.

Client was scheduled for a Mental Health Assessment at Woodhull Hospital on 8/9/2016. Client reported she didn’t go because she doesn’t need. Client continues to report if the Mental Health Counselor at Woodhull Hospital need to contact her and tell her why she need to be seeing and to show documents. CM explain to the client since she saw the onsite psychiatrist doctor, that the doctor referred her for mental health counseling. Client agreed and another appointment is scheduled for

Ronny is a 46-year-old white male who present to CRU from RRC-W on ACOT for PAD. He was amended by his OP clinic, Life Behavioral Wellness, for not complying with the terms of the order and treatment plan. Per collateral, Ronny has a hx of violent behavior including pulling knives on people and stabbing. According to his OP psychiatrist, Diana Havill, MD, Ronny pulled a knife on a pregnant woman. He also have a history of self-harm including attempted hanging. Patient is cooperative during admission, and answered all questions. He has a PMH of HTN, Asthma, TB, seizures, and Brain surgery (infant). His vital signs were WNLs. Patient will benefit from medication

American Foundation for Suicide Prevention. (2016). A model school policy on suicide prevention: Model language, commentary, and resources. Retrieved from:

Durkheim argues that the suicide rate is a social factor that can be interpreted as an indicator for social solidarity within a society (http://link.springer.com/article/10.1007/BF01114474).

The patient has 53 years and completed the electronic screening assisted by this therapist. The results were negative for suicide ideation (C-SSRS), positive mild for depression symptoms (CAD-MDD, CAT-DI: 56.3), severe for anxiety symptoms (CAT-AND: 74.5), elevated for mania/hypo mania symptoms (CAT-M/HM: 59.8), positive for medication non adherence (MMAS-8: .50) and positive for tobacco (NIDA assist). The patient verbalized financial issues among other factors to contribute on his symptoms. He forgot the referral for mental health services to McIntosh Trail, however, he said by phone that he will pick up the referral previous his appointment next Thursday. The recommendation is psychiatric evaluation and counseling services. Eunice Malavé

The patient was placed on hold due to his AWOL status. The patient provide an explanation stating he was not feeling well. This writer discussed with the patient about the importance of daily dosing and th erisk factor of missing a dose will put him at risk for a relapse, at which the patient agreed. The patient then reports he relapsed yesterday and used heroin, 10 bags by IV due to missing his dose. The patient signed a AWOL notice. Furthermore, the patient may consider going inpatient to further help with this relapse so that he can get clean. The patient is aware to notify this writer as soon as possible about his consideration of going inpatient. The patient has a court hearing on 03/07/2016 to address his DUI case.

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 death that is caused by self-inflicted injurious behavior, with the intent to die, is known as suicide (Centers for Disease Control and Prevention [CDC], 2015). Whereas, a suicide attempt is a non-fatal, self-inflicted, and potentially injurious behavior, with the intent to die. Suicide ideation is the considering, thinking about, or the planning of suicide (CDC, 2015).

There are strong correlations between various factors affecting the youth of today and the suicide ideation and attempt rates among ethnic minority youth. The article “Latina Adolescent Suicide Ideations and Attempt: Association with Connectedness to Parents, Peers, and Teacher” uses various sources to collected data by organizations like the Center for Disease Control and Prevention which provide ample information about suicide ideation and attempt in Latinas compared to other non-Hispanic groups. Statistical data yields information about adolescents at a rate of 21% for suicide ideation and 14% for suicide attempts. These numbers reflect data for adolescent Latinas between 10 to 24 years of age in the United States. Among these statistics,

The patient is a 21 year old female who presented to the ED with suicidal thoughts and multiple superficial laceration to her left arm. The patient reports a altercation with her boyfriend, which he was physically and verbally abuse. The patient denies homicidal ideations and symptoms of psychosis. The patient reports substance abuse of opiates and benzo's.