L is a 16 year old, Caucasian female student admitted to the adolescent mental health unit of a major Brisbane hospital due to active suicidal ideations manifested by taking a recent overdose. This was also accompanied by thoughts of harming herself and ending her life. L has a history of suicidal ideation, an eating disorder and self-harming. L was picked up from school by her stepfather and later disclosed that she didn’t want to be here anymore and wanted to die.
L later admitted to feeling depressed since she was in Year Eight, prior to this episode and admission. L had described no future aspirations and therefore did not see the point of going to school or studying further. L admitted that although she had a good group of friends, that she had difficulty socialising with them outside of school. L’s depressive symptoms included social withdrawal, hopelessness, sleep difficulties and anxiety. L has found comfort in self-harming and it has become a nightly ritual along with frequent thoughts of suicide.
L’s family have been very supportive of her but her recent increases in self harming behaviour have had a negative impact on the family. This has resulted in a wedge between the families. Family relationships can either positively or negatively impact a child’s development. This can also occur in the reverse manner where families can influence the overall health of the child but on the other hand the child can influence the overall health of the family (Birmaher, Brent
Demographics: Ms. Olivia Jacobs is a 22-year-old female graduate student. Ethnicity unknown. Chief Complaint/Presenting Symptomology: Ms. Jacobs presents with the chief complaint of suicidal ideation for the past three months and reports superficially cutting her arms on occasion; she states she wanted to “see what it would feel like”. She lives with a roommate whom she confided in about her suicidal ideation.
After Samantha reported her feelings to the school psychologist, her parents were contacted about her statements. They were made aware that Samantha may be having suicidal ideation. Permission was received to perform a suicide assessment. This was done immediately after the statements were made. Samantha risk
I decided to do my discussion on a woman named Alexandra Lewicke, who suffered from severe depression and self-harm disorder. She was diagnosed as a teenager, when she was a junior in high school. She was constantly bullied by others and her grades were suffering immensely. She had to be admitted to the hospital twice. She had believed that her depression was caused by all of the negative things around her, but when she moved away and began college, she realized that wasn’t the case.Despite having found wonderful new friends, a loving boyfriend, and having perfect grades, Alexandra still had the dark shadow of depression in the back of her mind. Her feelings got worse and she contemplated suicide.She knew she needed help, and so her close friends
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. Hurtado states tonight his boyfriend and he were riding home when another guy sent him a message on Instagram. After looking at the message he showed his boyfriend, which started a confrontation. Mr. Hurtado reports a history of cutting behaviors for a stress relief, however tonight he endorse harming himself with intent to end his life. He reports relational issues with his family accepting his sexual preference and the inability to control himself when face with confrontation as stressor contributing
In the case of Kiara, we learn what a professional therapist should never do and actions to avoid. Her actions towards her client were negligent and forceful. Her failure to follow up with her client who showed suicidal ideation is unethical, unprofessional, and illegal. It is important for therapists to provide informed consent forms at the very beginning of their sessions with their clients and make sure that their clients fully comprehend what they will be signing. We must never ask our clients to sign consent forms weeks after initial intake. This can be very dangerous to the professional and could potentially ruin our client’s lives. In the following essay, we will review Kiara’s case and the steps she could have taken to conduct a professional
Mr. Gray is a 13-year-old male who presented to the ED with after an argument with his father, which resulted in him allegedly saying he wanted to die to his sister. Per documentation Mr. Gray denies any mental health history but admits to hearing voices in the past. At the time of assessment, Mr. Gray denies feeling suicidal. He states, "I never mention wanting to kill myself to anyone, I just got angry." Mr. Gray reports family conflict as the primary stressors contributing to his current distress. He reports hearing voices in the lunch room a while back, however he could not make out what was being said. Mr. Gray denies having a history of suicide attempts. Mr. Gray denies a history of child abuse, sexual trauma, and witnessing domestic
Moderate Suicidal Risk: Tristan is a 19-year-old freshmen in college who has a history of smoking pot. Two weeks ago, his mother kicked him out of the house due to taking her money and buying pot. Tristan wonders why she kicked him out because he has seen her smoke pot when he was 13 years old. He reported in the past how him and his mother constantly argued when he was in high school. There was one argument where his mother addressed how she wished she never had Tristan. Tristan disclosed after this remark, he had thoughts of suicide, but did not know how he was going to do it. After his mom kicked him out, Tristan moved in with his drug dealer and signed himself into therapy because he thought it was a healthy way to release his thoughts
Mr. White is a 38-year-old male who presented to the ED with suicidal ideation and a plan to stab himself. Mr. White stated: "I found out that I can't stay with my brother or mother." LEO brought Mr. White into the ED under IVC from DayMark. At the time of assessment, Mr. White endorses feeling suicidal with a plan. Mr. White reports family conflict as the primary stressors contributing to his current distress. Mr. White since being told by his brother this past Friday he has been hearing voicing and having suicidal thoughts. Mr. White reports having a history of multiple suicide attempts, the last one being a few years ago when he attempted to stab and hang himself. Mr. White has a history of child abuse by his grandfather. Mr. White currently
Sarah is a 15 year-old girl from a middle class family. She is one of three children. Her older brother and younger sister spend half their time with their mother, and half their time with their father. Parents have been divorced since Sarah was five. Sarah and her family came to the therapist’s office seeking help with Sarah’s self-harming behaviors and violent, angry outbursts. Sarah’s parents called the police on several occasions because she seemed out of control and as though she might hurt herself or others. Over the past three months, Sarah had been hospitalized, been through two outpatient programs, and had just been released from 30 days at a residential treatment program. While the self-harm had ceased and much
In writing this essay I have introduced a 25 year old female named Jane. Jane is well known to this hospital as she has had six previous admissions and had recently spent four weeks in the inpatient unit prior to being discharged after setting fire to a bed. All of her previous admissions have been in the context of either threats of self harm or actual overdoses. Jane receives ongoing mental health treatment from her GP. At tonight’s presentation, Jane is mildly intoxicated with alcohol and states that she is very depressed and is describing fantasies of stabbing her ex boyfriend at his home and then jumping off a nearby railway bridge.
You see her on campus, she looks beautiful, intelligent, dedicated, but would you have ever imagined that she has thoughts of killing herself when she is alone? Feeling extremely emotional after a long day of school, questioning “what is my purpose in life?” Viewing life as “we only live to die”. Ned Vizzini, an American writer who suffered from depression had a famous quote, that goes like this “I didn't want to wake up. I was having a much better time asleep. And that's really sad. It was almost like a reverse nightmare, like when you wake up from a nightmare you're so relieved. I woke up into a nightmare.” I would like to start off with just a small glimpse of my personal life and how I got to learn more about depression. I have an older sister that as I was growing up I became to realize that she was not herself during her college years.
Since the mid to late 1990’s, youth suicide has become a common cause of death for young Australians (Carter 2010 para. 1). The government then acted and managed to reduce the suicide rate, which was a success (Carter 2010 para. 2). After decades, the problem was re-encountered and it became one of the leading causes of death for people under 25 years old in Australia surpassing car
The patient expressed she has no current suicidal ideation or homicidal ideation. However, she admitted to suicidal ideation in the past, right after her breakup, approximately two months ago. She expressed that she wanted to hurt herself and had a plan on how to do so, but did not think she could go through with it. Her plan was to overdose by taking her mother’s
By this point their parents had noticed this self harm and stepped in. The parents quickly took steps to pursue professional help for their child through a variety of therapists to help address
The mental illness of adolescents has become a major problem in Australia. Although people are more aware of the importance of addressing mental illness currently, there are some reports which show that Australian adolescents have more serious mental problems than five years ago (Pearce 2017). The World Health Organization (2017) found that depression also become a worldwide problem. Mental health refers to mentality (Pearce 2017). Negative mentality will lead to young people lose confidence in life and make them feel more desperate to their life. Mental illness including diseases such as anxiety, depression and eating disorders and so on. These diseases need to be treated and could be treated (Mindhealthconnect.org 2015). Most mental illnesses can be prevented and treated. This essay will describe the severity of teenage mental health problem in Australia. What causes mental health problem. The treatment and services of mental illness. The limitations of mental therapy and how to prevent mental health problem.