The patient is a 14 year old female who presented to the ED with homicidal ideation (HI) to harm her mother. Patient reports suicidal ideation (SI) with no plan on arrival.
During the time of assessment the patient was sitting upright in her bed watching TV. According to nursing staff notes the patient has not been aggressive since arrival to ED. The patient reports a history of emotional abuse from her siblings and peers. The patient states, "Most of my life people have been mean to me." Furthermore, the patient reports that she has seen a lot of verbal and physical aggression over the course of her life from family members with substance abuse issues. Since the summer it has been difficult for her. She reports over the summer her ex-boyfriend's
On 8/14/17 Joseph Gomez, Wellness Coach (WC) made a visit to Angel Lopez (Tenant) at his apartment for the purpose of following up on her mental health, medical wellness and to address any issues she may be experiencing. When WC arrived Tenant was quite cordial. Tenant was dressed appropriately and was well groomed. When WC arrived tenant was reading the news on the internet. He appeared to be mentally stable.
Throughout the past 11 months Maribel did not have an exacerbation of current medical conditions. No hospitalization, ER visit or serious acute illnesses/injuries. Client’s major concern continues being her behavioral episodes that included disruption (yelling, crying, cursing), self-injury (biting self, picking scabs, head banging), and aggression (hitting, slapping, scratching, biting peers or staff). Psychiatric symptoms are currently treated with medication and Positive Behavioral Support Plan; psychotropic medication adjustments during the year were made as per patient’s response and psychiatrist discretion (refer to medication review). Maribel underwent dental rehabilitation under general anesthesia on 5/16/16 and EGD on 06/14/16; both
Limitations recognised throughout the SDM process were related to risk of further deterioration in the Consumer’s mental state. As the Consumer was slowly taken off his medications, in a safe clinical manner, his presentation deteriorated. The Consumer’s sleep pattern worsened due to the elevation in his mood, there was a noted increase in impulsivity and poor boundaries with others on the inpatient unit, leading to the Consumer becoming vulnerable. There was a prominent increase in erratic and aggressive towards others, leading to the assault of a staff member on the inpatient unit and subsequently required the use of restrictive interventions. The decline in mental state resulted in the Consumer’s father, case manager and treating team coming together for a family meeting with the Consumer present in which the previous medications the Consumer had been previously prescribed were recommenced in an attempt to re-stabilise his presentation, unfortunately this was a substituted decision made by the consumer’s father and treating tream.
The Suicidal Risk Screening tool would have a great relevance in the counselling and community services sector, as it is often that clients seeking counselling may be struggling with depression or going through a difficult time in their lives. This tool has been developed as an information gathering source, to support and guide in the decision making about the current level of risk of suicide and is to be used by a clinician. It is important that the clinician using the tool and completing the assessment is able to describe their confidence when giving a risk factor level rating. Clinicians must consider the weight of situation, understanding that it is a serious, heavy, and sensitive conversation to conduct, and must present
More than 15 million Americans suffer from major depression, that’s approximately 6.7 percent of the American population (ADAA). There is one treatment that is offered to people who suffer from major depression... antidepressants. Although some believe that antidepressants cure their major depression, there are others that disagree and claim that antidepressants actually worsens people’s depression and can lead to suicide. “Antidepressants Can Result to Suicide” written by Angela Bischoff in Opposing Viewpoints provides Bischoff’s and “Hey, Let’s Not Get Carried Away: Anti-Depressants Really Do Help People,” a piece written in The Atlantic by Maura Kelly, are two articles that are persuading two different sides of an argument. Both pieces uses
Her symptoms presented when Client A’s father started a new job and when she transferred into a new school (precipitant). Client A admits to feeling anxious, angry and frustrated when she is being ignored and misunderstood. She firmly believes everyone in her life should listen, believe and try to understand her. When others do not abide by her decisions or value her thoughts and emotions, she feels abandoned and that no one cares for her (maladaptive cognition). In response to her thoughts/emotions, Client A reacts with angry outbursts and becomes defensive, defiant and disrespectful towards others along with efforts to controlling them as well (maladaptive behavior).
Ms. Martin is a 14 year old female who presented to the ED after an altercation between her mother and she. She denies suicidal ideation, homicidal ideation, and symptoms of psychosis to nursing staff. At the time of the assessment Ms. Martin is calm and cooperative. She reports tonight her mother would not let her eat a pop-tart for dinner and she became anger and proceeded to hit her mother. Ms. Martin states she only gets angry at her mother and lashes out at her.
Pyfrom was out of the room I made an evaluation of the patient’s mental state and assessed that the patient has no really intension of harm to himself or others, he was just feeling frustrated that he could not get his pain medications and that his pain is unbearable. I explained to him that our providers do not prescribe pain medications at the strengths which he has become accustomed to receiving. I went on to explain that statements of self harm and/or intent to harm another has to be reported since we are mandated reporters, additionally no providers will give pain medications if they told that the patient is suicidal, first the threat of suicide must be addressed before any medication can be prescribed. I suggested that this type of threat usually will not get him the type of attention that he is seeking. He stated that he understands and will refrain from making these statements in the
A small joke could sometimes trigger people to commit suicide. An individual could tell another a joke about suicide and how in the joke, nobody cared for their suicidal action. That joke could then influence the listener to think the same and imitate the suicide from the joke. According to an article by Stefan Andrews, “copycat suicide is an emulation of the suicide of another person, most likely a famous one [and] supposedly, the person who is to commit a copycat suicide is usually moved to act by a report on the TV, or, as history suggests, by the written word” (Andrews). Whether for survival or admiration or other reasons, people have always copied other people.
In today society, people tend to get hurt twenty-four seven intentionally or unintentionally. Getting hurt helps you learn from your mistakes such as a child learns not to put his/her finger into an electrical output or playing with fire. Though throughout the years growing up, we as adults already know what’s wrong and what’s right, but not everyone is the same physically and mentally. Intentional Injury means to harm yourself or others purposely and some major risk factors for intentional injuries is access to firearms, alcohol abuse, drug abuse or mental illness. For example, between the ages of 15-24 there is a low rate of unintentional incidents, and high rates homicide and suicide incidents.
On February 26, 1986, a female student, whom the court records refer to as C.R., at Morton East High School in Illinois brought a note to her school psychologist, Dr. Rosario C. Pesce. The note informed the plaintiff that C.R.’s male friend (“J.D”) was struggling with shame, confusion, and suicidal thoughts because a male teacher at Morton East High School allegedly abused J.D. sexually. After hearing this, Dr. Pesce gave C.R. a professional therapist’s contact information to pass along to J.D., and later that day, J.D. chose to come see Dr. Pesce in his office to discuss his confusion and suicidal thoughts (“Dr. Rosario”). Before discussing the content of the letter and the student’s suicidal thoughts, Dr. Pesce “assured the student…of the
1. List five warning signs for each of the clients in the case studies (10 points) Case #1John 1. Sleep difficulties and increased agitation. 2. Lack of social activity.
“I love the name of honor, more than I fear death.” "I went to the worst of bars hoping to get killed, but all I could do was to get drunk again.” Suicide comes from the Norwegian word “seirmond” meaning self murder (“Suicide: A Global Perspective”). This form of execution was used since Roman Times and is still used present day. The change of its connotation in the five-hundred since it was first used is due to a change in acceptable ethics, rationale and reasoning within society.
Did you know that 1-5 females and 1-7 males engage in self harm each year? Did you know 90% of self harmers started to self harm in their teenage or adolescent years? The numbers of self harm and suicide incidents are rising each and every year; and it’s becoming a major concern. Self harm and suicide are very serious, not a joke, so why are we treating it like one? (25 seconds)
Over the years the issue of suicide has been slowly increasing. It is now the third leading cause of death among young people. The effects of suicide are tragic and felt long after the individual has taken their own life. Some people who consider suicide, however, never make a “serious” attempt at it. For every attempted suicide, there is said to be more than one person whose thought of suicide has never translated into an actual attempt.