Hospitalization among adolescent females in an inpatient psychiatric unit is fairly common. However, little research has been done on the topic. This qualitative research proposal will examine the reasoning behind the effects hospitalization has on these adolescent females, between the ages of 12-18, after they spent some time at Chicago Lakeshore Hospital. Self-reporting, via interviews and questionnaires, from hospitalized adolescent girls will be the manner in which the data will be collected. Since the length of hospital stays may vary, questionnaires and interviews will be conducted upon discharge in order to keep procedure unanimous.. A general inductive approach will be used to assess data collected from patients.
An inpatient psychiatric hospitalization may come as a bump in the road to some, but may be routine procedure for others. At Chicago Lakeshore Hospital, adolescent females are hospitalized for many reasons ranging from suicidal ideations to eating disorders. From the observations since starting an internship at Chicago Lakeshore Hospital, suicidal ideation and self-injury behavior occur in most of the patients. Borderline personality disorder and major depressive disorder are the two leading diagnoses on the unit.
Many individuals with BPD suffer from problems regulating emotions and thoughts, impulsive and reckless behavior, and unstable relationship with family and friends. It has also been found that patients with BPD are frequently encountered in emergency room settings, usually presenting with threatened suicide or an actual suicide attempt. In the United States alone, such visits occur about 500,000 times per year (Biskin & Paris, 2012). Individuals with BPD often engage in dangerous behaviors; recurring ...
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Some of the key components of BPD include self-harm, or suicidal thoughts and actions, dichotomous thinking, and low emotional granularity. People that present with reoccurring suicidal thoughts and actions, combined with a fear of abandonment, are commonly diagnosed with BPD. These two characteristics make BPD easily recognizable, but this diagnoses is often not used. The emotional volatility, recurrent crises, and self-injurious behaviors of those with BPD are often seen as willfully manipulative episodes, and not a sign of illness. (Gunderson, 2011) Yet, it is important to take these thoughts and actions seriously, as one never knows when someone may actually decide to end their life.
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The mental health assessment is a crucial part in everyday nursing care as it evaluates an individual’s mental condition to assess for risk factors of mental illnesses and provide optimal care and treatment. Mental health is described as “a state of well-being in which the individual realizes his or her own abilities, can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community.” (CDC) If the patient not mentally healthy, they can develop mentally illnesses, which can affect treatment and the disease process of physical ailments because without mental health a person cannot be completely healthy. “Suicide Risk Assessment in High Risk Adolescents” is a nursing article that outlines suicide risk factors and prevention strategies for assist nurses in performing mental health assessments. Suicide, the act of
Young people are unintentionally vulnerable when it comes to mental health development causing them to at times make unreasonable decisions. This is why we have laws and restrictions that keep adolescents from voting, entering legal ...
BPD is a complex disorder in a sense that the symptoms such as depression, anxiety and substance abuse may cause a misdiagnosis thus overlooking BPD completely (Biskin & Paris, 2013). This personality disorder has also been known to occur simultaneously with anxiety disorders, eating disorders and bipolar mood disorders (Butcher, Mineka & Hooley, 2014). In addition, the prevalence of BPD decreases in older individuals (American Psychiatric Association, 2013).
If an adolescent has any signs of depression, look for help in hospital or doctor who could make refer to a specialist or program. Frankel and Kranz (1994) have declared "when a person who has been depressed for long time seems to cheer up, that is often a bad sign"(p.22). Adolescent commit suicide because our attention is missing in their life. Nobody notices signs of an adolescent who is depressed because people are ill informed.
Kessler, R., Chiu, W., Demler, O., & Walters, E. (2005, June). The Numbers Count: Mental Disorders in America. Retrieved Febuary 13, 2011, from National Institute of Mental Health: http://www.nimh.nih.gov
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