Suicidal Ideation: A Case Study

Mr. Jennings is an 18 year old male who presented to the ED with suicidal ideation with a plan cut himself on his left arm after an argument with his girlfriend. At the time of the assessment Mr. Jennings has superficial laceration on his left arm. He denies suicidal ideation, homicidal ideation, and symptoms of psychosis. Mr. Jennings reports relational conflict as the primary stressor contributing to his current distress. Mr. Jennings reports he did take a knife an put it to his arm and told his girlfriend he was going to kill himself during the argument. Mr. Jennings reports recent non compliance with prescribed medication and he has not attended to recommended outpatient services at Daymark after last hospitalizations for a simpler situation. He is unable to contract for safety at this time. Mr. Jennings does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli.
She states, "He said he was going to kill himself to me." She reports when he gets angry he tries to hurt himself and she was able to stop him 2 months ago for attempting to stab himself with a knife.

According to Mr. Jennings UDS he tested negative for all testable drugs. However he reports marijuana use and alcohol use. Mr. Jennings reports he does usually smoke 1 blunt 2X weekly and drinks 2 beers weekly, but has not since he was release.

Due to an suicidal ideation with a plan, history of attempts, harm to self, Mr. Jennings does meet criteria for IVC and inpatient hospitalization. TACT consulted with Dr. Snyder, 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