Past Hx of Treatment: Client reports an extensive episode of major depressive symptoms about two years ago, a year prior to the actual attempt of suicide, which he sought help through religious organizations, family and friends with a strong faith based counseling service. But no report of seeking medical help from professionals.
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. 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
He has a history of using alcohol to self-medicate, drinks 3-4 times a week and uses chewing tobacco.
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
Purpose of Evaluation SR is a 45 year old, single, African American male, who lives with his family in an urban area of Columbus, GA. SR is currently unemployed, but is on disability. SR is presenting to see if a higher level of care is needed for his presenting symptoms. A local outpatient community service board referred SR, after a routine appointment with his outpatient therapist because of reported aggressive behaviors, to include homicidal threats, with multiple plans, by his family. While at the appointment his outpatient therapist reports that the client was rambling, having racing thoughts, rapid and frequent mood swings and severe paranoia. SR reports that he is easily agitated and has anger outbursts that accompany his mood swings. He also reports severe bouts of depression that leads to decrease in sleep and appetite, as well as helpless, hopeless, and worthless feelings. Client reported feeling like people were talking about him, and laughing at him, while at home with his family, he also feels that his family are out to get him, and his money, onset, x2 weeks. SR also reported current active homicidal ideations on 10/31/16 with a plan to shoot his friend who stole money from him. Client reports onset for H/I was 10/29/16. SR has no previous homicidal attempts. Per family, SR is very impulsive and spends his money on gambling and drugs. SR also has a 15 year addiction to cocaine, which he feels he can’t kick. SR has tried to stop in the past, but he always
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
The patient is a 40 year old female who presented to the ED with suicidal ideation and a attempted overdose on cocaine the day before. The patient reports increase depression and recently losing her job, house, and car. The patient denies homicidal ideations and symptoms of psychosis.
Mr. Hurtado is a 19 year old male who presented to the ED with an suicide attempt. He cut himself multiple times with a razor on his legs and then proceeded to cut the right side of his neck with a box cutter. At the time of the assessment Mr.
Presenting Problem Pt is a 15 y/o Caucasian male presenting at NNBHC with self-harming behaviors. Pt states that he and his father got into an argument on Sunday, where he used his razor from shaving and begin cutting his left forearm. Pt has numerous superficial cuts to the left forearm, he stated to release pain from the argument. Pt states some stressors in regards of conflicts with father, and limitations on being able to visit mother. Pt also stated he has been off his medications for almost 1.5 weeks. Pt has not received any therapy since discharge from VCU. Pt was diagnosis with PTSD, unspecified anxiety and unspecified depressive disorder. Pt was recently admitted to VCU in 10/2016 due to SI with a plan. Pt father reported that due to insurance difficulties he has not been able to fill his medication or provide him with therapy while Medicaid is pending. Pt states of neurovegetative symptoms in regards of sleep disturbance of frequently awakenings that last for about 30-45 minutes. Pt states he has recently been having vivid dreams. Pt also AWOL from home for four hours, per dad this behaviors is abnormal for him. Pt has
There are many types of approaches when seeking help for children and teens that are suicidal . One approach is known as the humanistic approach that involve in helping clients to developed the highest potential. Humanistic approach focuses on the positive aspects of others ad self-grown including self-actualization rather than negative behaviors or past. There are theories to explore when using humanistic approach such as client-centered, gestalt, and existential
Presenting Problem: Johnathan was referred to outpatient services after he overdosed on Corricidin. He reported that he took 16 pills and was in the hospital for 2 days. His mother reported that he told the Psychiatrist at the hospital that he was not trying to kill himself and that
Suicidal Behaviors Jennifer Pavlick Rasmussen College Author Note This assignment is being submitted on June 13, 2016, for Professor Kehiante McKinley’s G148/PSY1012 Section 02 General Psychology course.
Recent understanding suggests that vulnerability to suicidal behaviour is elicited by a complex interaction of several genes and stressful environmental factors (Roy et al., 2009). These stressful events very often lead to depression. Though depressive conditions and other psychiatric disorders such as bipolar disorder (BPD) and schizophrenia (SCZ) have been associated with suicidal behaviour, it has been reported that approximately 40% of such patients attempt suicides. It is therefore, evident that 60% of the people are more vulnerable to suicidal behaviour irrespective of the disorder or stress (Vijay, 2007). Adoption studies have shown an elevated risk of suicide in the biological relatives of adoptees who die by suicide compared with non-suicidal
Mrs. Bailey is a 55 year old female who presented to the ED with suicidal ideation with a plan to cut her wrist. Dr. Keith requested an mental health evaluation. At the time of the assessment Mrs. Bailey endorse suicidal ideation with several plans. She appears to present with circumstantial speech. She makes several comments about past experiences of domestic violence by a past boyfriend. She states during the assessment I just want to get it over with, I don't want to talk about it, It's the only solution." She makes several gestures with her hand as if she was shooting herself in the head with a gun. Mrs. Bailey expressed yesterday to this clinician thoughts of taking all her medications. Mrs. Bailey has access to her medications and has
For some teens, striving for perfection has led to harming their own health and wellbeing such as living with depression and suicide. Teenagers today are relying on what they see in ads, T.V., magazines and on the internet for their input on appearances, the way they think not only comes from media sources, but from family and friends.