Suicide Assessment Cases BSW by Tiffany Tumminaro https://padlet.com/ttumminaro/leuw6xz28g5zm2e8 en-us 2020-09-14 14:06:13 UTC 2021-11-30 22:39:52 UTC hello@padlet.com Why are we concerned for this person's safety? ttumminaro https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/744020238 2020-09-14 14:08:20 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/744020238 What do you think your automatic response would have been like to this client? ttumminaro https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/744036281 2020-09-14 14:11:30 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/744036281 Summarize how the situation was handled. ttumminaro https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/744037939 2020-09-14 14:11:51 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/744037939 Would you have done anything differently? ttumminaro https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/744039351 2020-09-14 14:12:08 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/744039351 Concern taylorschauff https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921486066 He mentioned, " I might as well be dead". When questioned, he responded saying he would kill himself with his handgun. He was served an order of protection from his wife and abuses alcohol. Vince has long-standing risk factors and was experiencing anger and agitation. ]]> 2021-11-30 22:01:31 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921486066 https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921488292 He tried to kill himself in his twenties on heroin

He has warming signs of from his flares up when he gets a pain in his liver 

He feels hopeless and doesn't have a great support system

he has a gun, concerned his AA counselor

He gets mad for telling his supervisor that he needs

]]> 2021-11-30 22:03:38 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921488292 What do you think your automatic response would have been like to this client? taylorschauff https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921489983 Ask Vince if he had a plan and what his plan was. Ask him if he has access to the gun once he responded. ]]> 2021-11-30 22:05:17 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921489983 Why are we concerned for this person's safety? rplaza02 https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921493363 Because he overdosed by abusing pills and alcohol. He also has suicidal ideation and suffers from PTSD symptoms. ]]> 2021-11-30 22:08:13 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921493363 Why are we concerned for the person's safety? tphoebe7 https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921494894 He stated "I might be better off dead" in group IOP. ]]> 2021-11-30 22:09:44 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921494894 What do you think your automatic response would have been like to this client? rplaza02 https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921495306 Create a safety plan. ]]> 2021-11-30 22:10:09 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921495306 Why are we concerned for this person's safety? https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921496801 She has bipolar disorder, has attempted suicide, and uses cocaine that worsens her hypomanic and depressive episodes. She also lacks stable housing and employment making her at high risk for relapse potential.

]]> 2021-11-30 22:11:30 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921496801 Summarize how the situation was handled. taylorschauff https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921497170 His first comment was about not wanting to live without his wife. This led for concern from the counselor. The counselor explored this comment more deeply. He asked, " You made a comment not wanting to live without Jolene, Can you help me understand that?". He responded he would be better off dead and it would serve them right if he, "just blew his brains out.". The counselor made the decision he needed an emergency room evaluation that day. Due to Vince being nonreceptive to this recommendation, an escort to the emergency was needed to prevent suicide and violence. ]]> 2021-11-30 22:11:52 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921497170 Summarize how the situation was handled. rplaza02 https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921497837 The counselor was able to get Leon to be honest by giving him time to think and talk and asking direct questions. The counselor also created an appointment to the VA for him. ]]> 2021-11-30 22:12:25 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921497837 Would you have done anything differently? rplaza02 https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921498282 No, the counselor did a good job. ]]> 2021-11-30 22:12:50 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921498282 What do you think your automatic response would've been to your client? tphoebe7 https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921499501 Try to remain calm. After group talk to him and try to determine what level of care he needs. Then later reapproach the topic in group.]]> 2021-11-30 22:14:00 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921499501 https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921499816 Why do you think you feel hopeless?  Was there a time when you didn't feel hopeless? 

what will changing your will do? How is your relationship with your family and community? 

Come up with a safety plan or get put into IOP.]]> 2021-11-30 22:14:18 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921499816 Would we have done anything differently? taylorschauff https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921501030 I don't think so. Due to his actions and history, it was necessary for him to be evaluated for his safety and others safety. He was becoming aggressive so the escort was the best option for transportation and safety. ]]> 2021-11-30 22:15:27 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921501030 Summarize how the situation was handled. tphoebe7 https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921501733 He was pulled aside after group. The counselor asked if he started using again. Then asked further questions to determine if he is actively suicidal. ]]> 2021-11-30 22:16:12 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921501733 What do you think your automatic response would have been like to this client? https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921503517 Ask what her safety plan is, what does your support system look like, how are you going to handle difficult situations]]> 2021-11-30 22:17:59 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921503517 Would you have done anything differently? tphoebe7 https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921505199 Make referral for mental health assessment]]> 2021-11-30 22:19:36 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921505199 https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921505583 overall, the siltation was handaled good. 

He worked with his daughter to get the gun out of his house, put with a mental health consult. 

His pain is his trigger causing his suicidal thoughts, we can see internal pain]]> 2021-11-30 22:19:57 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921505583 Summarize how the situation was handled. https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921507122 Angela's therapist met with her brother Walter to include him in her treatment planning. The therapist discussed treatment options and housing options that will be beneficial to her recovery. The therapist and Walter then had a discussion with Angela about her treatment options and discussed how to help keep her safe. ]]> 2021-11-30 22:21:13 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921507122 #1. Why are we concerned https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921508719 1. Rena's Stated desire to hurt herself
2. Pills
3. Rena was alone
4. Previous Suicide Attempts
5. Relapsed Drinking]]> 2021-11-30 22:22:41 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921508719 #2. Automatic Response https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921509788 1. Stay calm.
2. Inquire to find out if there's a suicide plan in place.
3. Review safety plan
4. Follow-up with an office visit ASAP]]> 2021-11-30 22:23:42 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921509788 Would you have done anything differently? https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921509881 Encourage Angela to elaborate more on her plan, have Angela set her own goals, assess her progress on a weekly basis ]]> 2021-11-30 22:23:49 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921509881 #3. Summary https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921512985 Rena was having suicidal ideations. She followed her safety plan & tried to self-regulate. When that did not work, she called her counselor who continued reviewing the safety plan. He utilized her Hope Box to try to redirect her thinking to a more positive/hopeful outlook, choosing a photo of her children to focus on. He then suggested she come to town to visit the ER to further assess her current mental health needs. He collaborated with Rena's mother, since she was alone, to give her a ride to the ER.]]> 2021-11-30 22:27:02 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921512985 #4. Do anything Differently? https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921513336 The only thing we might do differently is follow-up with treatment for her trauma/childhood sexual abuse, assuming she was not already in treatment for it.]]> 2021-11-30 22:27:23 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921513336 https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921513709 Motivation interviewing
Showing him positive change instead of just telling him
Trying to get a better understand of his life before he tried killing himself the first time

Know more about past drug use, and liver problems ]]> 2021-11-30 22:27:45 UTC https://padlet.com/ttumminaro/leuw6xz28g5zm2e8/wish/1921513709