The patient is a 10 year old male who presented to the ED via LEO with suicidal thought with a plan to shooting himself with on of his grandmother's unsecured guns and cutting himself. The patient denies suicidal ideations, homicidal ideations, and symptoms of psychosis. The patient reports bullying as his contributing factor to his current distress. The patient reports depressive symptoms as guilt, insomnia, hopelessness, tearfulness, irritability, and anhedonia.
During the time of the assessment the patient is calm, cooperative, appropriate eye contact, drowsy, appropriate speech, and flat affect. The patient reports yesterday he became frustrated in class, let class, walked into the hallway, and hit his head on the wall because he became irritable about his homework. The patient reports he does not know remember saying anything to his teacher or peers about harming himself. The patient states, "I remember talking about what not to do to harm yourself." Patient expressed this was a way he was told to cop with his stressors. Patient reports he has trouble concentrating in school. Further, the patient reports when he gets angry he dos not remember anything he does, he just sees the results after. Patient states, "I go into self defense mode, my eyes turn red, and I don't know what I'm doing." Patient mother reports she does not know much about patient's behavior other than what she has been told by school staff. The mother was not helpful in giving information. Per documentation the patient has history of self harming behaviors of cutting 3/27/16. …show more content…
TACT consulted with Dr. Snyder 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
During the time of the assessment the patient is calm, cooperative, appropriate eye contact, drowsy, appropriate speech, and flat affect. The patient reports yesterday he became frustrated in class, let class, walked into the hallway, and hit his head on the wall because he became irritable about his homework. The patient reports he does not know remember saying anything to his teacher or peers about harming himself. The patient states, "I remember talking about what not to do to harm yourself." Patient expressed this was a way he was told to cop with his stressors. Patient reports he has trouble concentrating in school. Further, the patient reports when he gets angry he dos not remember anything he does, he just sees the results after. Patient states, "I go into self defense mode, my eyes turn red, and I don't know what I'm doing." Patient mother reports she does not know much about patient's behavior other than what she has been told by school staff. The mother was not helpful in giving information. Per documentation the patient has history of self harming behaviors of cutting 3/27/16. …show more content…
TACT consulted with Dr. Snyder 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