Mrs. Grant is a 54 year old female who presented to the ED via LEO following an 911 call to her resident after a friend was no the phone with her and heard a gunshot in the background. At the time of the assessment Mrs. Grant denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Per documentation Mrs. Grant is experiencing medical issues and relational issues, and alcohol dependence are stressors contributing to her current distress. She acknowledges last night attempting to gain her husband attention by writing him a note in regards to her being "tried of his cheating and wants him to let her know if he want to be with her or not. "…
At the time of the assessment Ms. Newby adamantly denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reports today around 1:30pm her mother and her got into an argument over her mother's Facebook password code being changed. Ms. Newby reports she is visiting her mother from Florida. Per documentation she reports taking adderall years ago and has a history of ADHD. Ms. Newby denies feelings of depression.…
Ms. Freedle is a 11 year old female who presented to the ED with suicidal ideation without a plan and homicidal ideation without a plan. Ms. Freedle reportedly has had multiple suicidal attempts in the past 3 months. She has had 2 attempts by drowning herself and one by place a knife to her chest. Today she went to school with a knife from home. Ms. Freedle states she was going to give it to her boyfriend.…
Mr. Chavis is a 24 year old male who presented to the ED via LEO under IVC through DayMark Recovery Services. Per documentation Mr. Chavis presented to DayMark Recovery Services with suicidal ideation, stating he wants to die and plans to do it soon. He reports in the past week cutting himself uncontrollably, making multiple lacerations to his right arm. In addition, Mr. Chavis engaged in pathological substance abusive behaviors. At the time of the assessment Mr. Chavis is calm and cooperative.…
Mr Singer is a 61 year old male who presented to the ED with uncontrollable behavior at his living facility. He does not presents to ED with aggressive behavior or agitation. Mr. Singer denies suicidal ideation, homicidal ideation, and symptoms of psychosis to nursing staff. At the time of the assignment Mr. Singer presents calm and cooperative. He states today he became angry because one of the nurses tried to take away his pens, that he was given to by another nurse as a Christmas gift.…
Mr. Ware is a 17 year old male who presented to the ED via LEO with suicidal ideation with multiple plans. At the time of the assessment Mr. Ware currently denies suicidal ideation, homicidal ideation, and symptoms of psychosis. He reports tonight his mother and he got into an argument over cleaning his bed room. He became angry and decided to walk to calm down. He expressed his mother would not leave him alone, so out of anger he stated he would harm himself by drinking bleach, overdosing on pills, or stick a fork in a light socket.…
Mrs. Brown is a 80 year old female who presented to the ED via EMS for neighbors concerned about her sitting on her back porch for several hours yesterday and then continue to sit on her back porch in the rain. At the time of the assessment Mrs. Brown denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She expresses religious preoccupation. She reports a history of bipolar. She reports non compliance with medication.…
Mr. Trimmer is a 29 year old male who presented to the ED via LEO following an incident at Walmart where he gave a cashier a note informing them he was going to harm himself with intent to cause pathological results. Mr. Trimmer reports to ED staff he was going to stab himself in the neck with a screwdriver. At the time of the assessment Mr. Trimmer appear guarded and irritable. He reports today sitting in the bathroom at Walmart for several hours, then going to a cashier at Walmart with a note informing them he had a plan to stab himself in the neck with a screwdriver. He states, "I don't give a fuck anymore."…
When confronted about admitting being suicidal and taking medication to this clinician, patient stated "I just thought I might get to go to back to Highpoint if I said that, they have some good information up there." The patient presents with minimal eye contact during the assessment and story has change a few time. The patient reports he does not have a place to go. Patient reports having a history of suicide ideation, the last one being in 2015, where he was placed at HPR, when he reports cutting himself and a history of bipolar. The patient currently has multiple laceration on both arms.…
JD has been diagnosed with schizoaffective disorder bipolar type. Additionally, she is also diagnosed with chronic kidney disease, unspecified feeding or eating disorder, insomnia, mild neurocognitive disorder due to multiple etiologies, depression, suicidal ideation, tachycardia, and psychological factors affecting other medical conditions: not eating- malnutrition, sepsis, renal failure, dehydration, and constant walking- foot ulcer. This is JD’s 2nd psychiatric hospitalization at OSH, but she has been hospitalized for psychiatric reasons 10 times throughout her life. She has been admitted for attempted suicide. She has tried to commit suicide at least three times throughout her life.…
In another circumstance, I had the opportunity to sit down and hear another patient’s story. This patient shared her beliefs on how she felt it was outrageous for her to be admitted to this unit. The anger in her voice was evident, while she was speaking. She stated multiple times that she was fine and the psychiatrist was simply punishing her by keeping her here on the unit. I later found out that this patient was admitted for an attempted suicide, as a result of an overdose.…
Ms. Holmes experienced her first hospitalization in 1994 after the birth of her first child and was hospitalized at Richmond Community for one week and was then hospitalized two years later at Richmond Community for another one week stay due to experiencing symptoms related to depressive symptoms. Ms. Holmes was also hospitalized a third time at the same hospital for the same period of time again dealing with symptoms related to depressive symptoms. At the time of the assessment Ms. Holmes was asked to identify any psychiatric symptoms she had experienced in the last thirty days and she identified the following: paranoid (2-3x weekly) where she has irrational and persistent feelings that when in large crowds people are going to get or kill…
Three men were at the door, three officers of the police. ”(66-67) With the knowledge that it was late at night and he had a corpse in the floorboard, Mr. Smith should’ve acknowledged the emotion of panic or fear, not the complete opposite. With these severe of a case of schizophrenia, Mr. Smith is unable to manage his own affairs. He was incapable of making wise decisions due his mental…
The patient seems to be of a kind and considerate nature, which only makes her fears and paranoia worse. She appears to be making her paranoia worse by concerning over fictitious threats to another's…
Psychosis Leads to Murder When a person has thoughts to commit a murder, do they simply act upon it or have seconds thoughts and considers the consequences. What thoughts are running through their mind at that particular moment and in what state of mind are they in. Murder is not something we want to see or hear about, we feel a sense of sympathy towards the victim. It is terrifying to know that someone can take the life of another human being. Those that kill sometimes do not feel guilty for committing murder because they do not realize what they have done.…