Suicidal Ideation: The Applicant Report

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.

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.

In addition, for patients who are being treated for mental health problems or for those patients who I may suspect as being suicidal, I can work on gradually leading the patient to talk about their suicidality in order to get them to open up and gain their trust (Bryan & Rudd, 2006). For patients who have show suicidal thoughts or ideation in the past, I will work on treating the suicide as the behavior to change instead of focusing just on any comorbid mental health disorders (M. Class 4/10). I will focus on getting to know my patients better and the factors that have lead them to where they are in life. In order to help them the most, I will need to know their drivers and in order to do that, I will need to build rapport with them, so that they share with me. We will also work to build their coping skills, because I know how hard it can be to figure out coping mechanisms on your own especially when you are dealing with a crisis (M. Class

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

Patient presented to the ED via EMS after a attempted suicide by driving his car into a tree. Patient reports braking up with his girlfriend a month ago and experiencing depressive symptoms. He reports that his girlfriend and him had a 7 year relationship, which he shared a with a 6 year old daughter from the relationship. Patient expresses that in the past he has been verbal aggressive towards her and she has recently moved into er mothers home. The patient reports since her leaving he has been having suicidal thought. He reports that he never attempted suicide, however has had a history of depression and a verbally abusive father. The patient express a poor appetite, sleep, and loss in usual pleasure, which is praying for change in his relationship.

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.

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

Using the search strategy, numerous articles were identified as relevant to the search topics. Major search topics for this study included suicide assessment and nursing students, nurses and suicide education, and nursing students and mental health simulation. The databases frequently accessed included PubMed, Proquest, EBSCOhost Medline, and Elsevier Science Direct. Search filters included the years 2000-2017. After scanning the abstracts for further applicability, seventeen studies were eligible for inclusion in the literature review. The literature review incorporated all levels of evidence with a higher appreciation for Level III or above research.

This paper explores the leading cause of suicidal ideation amongst juveniles in a corrections facility. We will be discussing the dreadful mental health issues that are upon incarcerated inmates. Touching points on (a) mental health problems within the inmates in a corrections facility and we will be paying attention to the differences between male and female. As we move forward into the paper, we will begin to specify the topic and launch the

Mr. Wright is a 61 year old male who presented to the ED with vague suicidal ideation without a plan. Per documentation Mr. Wright has been struggling with cancer for several years and recently relapsed on alcohol after being sober for the past 7 years. At the time of the assessment Mr. Wright denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He reports feelings of depression increase around this time of year. He states the cancer is not his primary concern, however the loneliness from the lack of support. Mr. Wright reports feelings of depression as: feelings of hopelessness, worthlessness, and insomnia. However, he later states the insomnia could have something to due with his acid Reflux. Mr. Wright appears calm and

Presenting Problem: He has an hx of suicidal ideation, he has engaged in verbal and physical aggression towards authority figures in home and at school often making homicidal threats as well. Hx of destruction of property, inabitlity to manage anger appropriately, impulsive poor judgement, lack of remorse, lack of insight into his behaviors, inability to manage moods effectively and poor relationships with peers and family members. He has an hx of self harm by cutting himself. Its reported that he displays aggression and anger against anyone in position of authority. Reported suicidal ideations with no previous attempts. He reported having a sexual addiction which began at the age of 14. He states his addictions are watching porn, gambling,

“She hid it, she hid what she felt, she was quite good at it” In the United States alone approximately 1 million people die yearly as a result of Suicide. Consequently, making it the tenth leading agent of death. How does one get to that point? Suicidal ideation is experiencing thoughts of terminating one’s own life. Two types exist, Passive suicidal ideation is the desire to be dead without a concrete strategy whereas, active suicidal ideation entails having thoughts of committing suicide and a detailed plan of making those thoughts a reality. Depending on the person’s well-being, following suicidal ideation, attempted suicide may transpire and later completed suicide. Depression and a person’s inability to deal with major stressors are prime

A 57 year old African American woman at St John Main after cutting her wrist. According to the consumer she states that she stop taking her psych medication. The consumer report being very depressed and feeling paranoid at home. The consumer states she cut her left wrist. The consumer was schedule to for intake at POCS in Wayne, MI on 1/24/18 at 11:00am. The consumer states she has no money and is staying in her son house alone. The consumer also states she has PTSD and in the process of trying to get SSDI. The consumer denied any current suicidal ideation. The consumer denied any homicidal ideation, auditory, visual, delusion or hallucination. The consumer has not follow up with a Community Mental Health Agencies. The consumer is tearful

Although my personal experiences come from a unique program at the University of Missouri-Kansas City (a 6 year BA/MD program), research has made it clear that a unique program does not imply unique experiences. Per the study “Prevalence of Depression, Depressive Symptoms, and Suicidal Ideation Among Medical Students”, authored by L.S. Rotenstein, M.A. Ramos, M. Torre, J. B. Segal, M.J. Peluso, C. Guile, S. Sen, and D.A. Mata, published in 2016 in JAMA, it’s estimated that an average of 27.2%, or more than one in four, medical students have depression (Rotenstein, Ramos, Torre, Segal, Peluso, Guille, Sen, & Mata, 2016). The same study also states that the “…prevalence of suicidal ideation was 11.1%...”, which mean that more than one out of

Depression affects everyone's life at sometime or another. Depression comes in a wide variety of forms, from mild unhappiness to a chemical imbalance in the mind. There are many different symptoms that reveal a person's problem with depression. If left untreated, depression may continue to develop into a serious illness or even death.