Suicidal Ideation Case Study

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Patient is a 45 year old male who presented to the ED with suicidal ideations with a plan to stab self with with his ninja sword. Patient also endorses homicidal ideations with a plan to "disembowel" his boss and people in New York that have treatment him poorly, with his ninja sword. He expresses feelings of anger, irritability, tearfulness, sadness, and worthlessness. Patient reports people continuously speaking negative towards him his whole life as heavily contributing factor to his depression. The patient reports a history of emotions abuse from his mother and bullying from others throughout his life. He denies symptoms of psychosis and does not appear to be responding to any internal stimuli. Patient friend who he reports staying with for the past for months was contacted. She reports patient has been staying with for 4 months and his behavior has change. The friend reports the patient has been becoming more angry, sad, and has isolated his self more. She reports today the patient was very anger and stated, " I want to go back to New York to kill everybody that has done me wrong, show them what respect is, I have nothing to lose." …show more content…

TACT consulted with Dr. Osborne and Howard McQuirter, LCSW, 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

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