Mr. C Suicide Attempt Case Study Discussion
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages To Order 5-10 Pages Description/Paper Instructions
Question Description
Suicide Case Study Assignment
Case History
Mr. C is a 35-year-old Hispanic male with a long-standing history of mental illness. He was admitted to an inpatient psychiatric facility following a severe suicide attempt. He stated that he had been feeling progressively more depressed during the past three months and had been having an increase in suicidal thoughts over the past week. He felt tired most of the time and had problems concentrating. He felt hopeless about his life, found his job and personal life unfulfilling, and worried a lot about his critical financial situation. He was unable to think about reasons to continue living even though he has an extensive family living close by and several children from other partners. A few days prior to his admission, he went to a local casino for the first time in a few years and lost a significant amount of money. He then went back home, drank eight beers, and slit his wrists. He was found by a friend who stopped by the patient’s house to ask him to pay back some money he’d loaned the patient.
The patient was brought to the hospital by ambulance, was medically stabilized, and was sent to the psychiatric unit. He reported passive suicidal ideation but felt safe in the hospital. Denied any homicidal ideation, thought, or plan, as well as any psychotic symptoms. Denied recent use of illicit drugs but admitted to having weed once every six months and drinking two beers and a couple shots of whiskey per day on a regular basis. Denied any past history of withdrawal symptoms.
Psych Hx: Some elementary school problems with bullying and resulting encounters with school counselor. Also showed increasing problems with lying and stealing as a youngster. Recommended mental health counseling, but parents never followed up.
One previous suicide attempt at age 27 resulting in three-day hospital stay. Intermittently compliant with outpatient treatment. Stopped taking escitalopram 20mg several months ago because of sexual side effects.
Substances: Extensive abuse of cocaine since age 16. Drinking since age 14-15, mostly beer and whiskey. Has tried rehab several times but relapses shortly afterwards. No history of withdrawal. Currently doesn’t see his alcohol use as a problem and denies using any cocaine for the past two years, saying “it costs too much.”
Legal: Two DUIs. Served six months for robbing a convenience store. Frequent arguments and fights which have necessitated police involvement but no arrests. Denies significant problems with gambling except for most recent event, during which he lost a lot of money.
Family Psych Hx: Mother diagnosed with bipolar and somatization disorder; father has history of alcoholism.
Social Hx: Third of four boys. Parents divorced when he was 5 years old. Inconsistent contact with father after that. Remembers father as drunk and physically abusive much of the time. Some trouble in school; kicked out after cheating incident. Never returned and only finished 11th grade. Never married, but many relationships, often short-lived, with three children that he knows of. Little contact with any of them. Works as truck driver. Has moved to several different places, often as a result of “trouble with paying back debts.”
Medical Hx: Overweight, denies any medical issues. ED visit following accidental overdose of cocaine. Thought he was having an MI.
Labs
- Total Cholesterol: 220
- Triglycerides: 172
- SGOT (AST): 48
- SGPT (ALT): 36
- HGB: 16.5gm/dl
- HCT: 45%
- Na: 134
- K: 3.2
- Free T4: 1.1
- TSH: 3.2
During his hospital stay, the patient presented as rather calm and charming with other patients. Always agreeable but gave little history about himself. Would not participate in divulging personal details of his life or talk about ways in which he might change in order to live a happier life. Seemed to always redirect the conversation to irrelevant subjects unrelated to his treatment. Mood and affect improved significantly over the course of his stay.
Assignment Instructions
Based on the case history, answer the following questions. Use APA format with a minimum of three evidence-based journal articles to support your answers and reference accordingly. Your analysis of this case should be in depth and demonstrate advanced understanding of the psychodynamic, psychobiological, and psychosocial factors relevant in this case. Format your paper so that it is clearly noted which questions are being addressed. Per APA, please use headings.
- What is your diagnostic formulation? How does the diagnosis(es) meet DSM criteria?
- What are your rule-outs (differentials)?
- What screening/assessment tools would you use (if any) and why?
- Discuss the etiology of your major psychiatric diagnosis(es) and the psychological underpinnings.
- Discuss the epidemiology associated with your diagnostic formulation.
- Discuss medical concerns (if any) and suggested interventions.
- What would be your therapeutic interventions while the patient is in the hospital? Outpatient? Include both psychotherapeutic and psychopharmacologic interventions. Be specific and evidence based when determining your treatment strategies.
- Discuss key points that might be considered when interviewing this patient considering his diagnosis(es).
- What should you keep in mind about counter-transference issues that might come up with this type of client? How would you manage your feelings and minimize impact on the therapeutic process?
- Give the prognostic factors associated with your diagnostic formulation.
- Discuss the risk assessment for this gentleman.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. The can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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