Patient Assisted Suicide Case Summary

The patient is a 52 year old female who presented to the ED via LEO following an incident in which she made multiple lacerations to her arms with a knife following an argument with her boyfriend. Patient reports family conflict and relational conflict as the primary stressors contributing to her current distress. Patient reports depressive symptoms as anhedonia, worthlessness, tearfulness, hopelessness, irritability, and fatigue. Patient endorses suicidal ideation with a plan to cut her self and bleed out in her tub. The patient denies homicidal ideation, and symptoms of psychosis. Patient does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli.

Patient stated, "I was not really thinking, just trying

to harm myself." Patient reports losing her mother in 2003 and feels like the loss is still contributing heavily to her depression. The patient reports having a history of suicide attempts, the last one being 3/2015 when she attempted to overdose. Patient has a history of child abuse by her father from ages 3-6, sexual trauma in which she was raped and molested by her father from ages 12-13, and domestic violence from her current and previous boyfriends. The patient reports a history of drinking up to a fifth daily. She was sober for one month until she relapsed last night by drinking 2 beers. She denies other drug use and this was confirmed by her most recent drug screen which was positive for benzos with a BAC of .08. Patient denies any withdrawal symptoms.

Due to an increase in depressive symptoms, suicidal ideation with a plan, history of attempts, harm to self, poor insight, poor judgment, poor impulse control, patient does meet criteria for IVC and inpatient hospitalization. TACT consulted with Dr. Osborne and it was recommended to refer for inpatient hospitalization for safety and stabilization. TACT assisted the ED doctor in completing IVC paperwork. TACT will search for appropriate placement.