Address how many of the known risk factors were present

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Reference no: EM133408176

Address how many of the known risk factors were present before the subject died in the case below (how many risk factors are there?) What would you have done differently if you were the principal therapist?

Factors that may increase a person's risk for suicide include:

•?Current ideation, intent, plan, access to means

•?Previous suicide attempt or attempts

•?Alcohol / Substance abuse

•?Current or previous history of psychiatric diagnosis

•?Impulsivity and poor self control

•?Hopelessness - presence, duration, severity

•?Recent losses - physical, financial, personal

•?Recent discharge from an inpatient psychiatric unit

•?Family history of suicide

•?History of abuse (physical, sexual or emotional)

•?Co-morbid health problems, especially a newly diagnosed problem or worsening symptoms

•?Age, gender, race (elderly or young adult, unmarried, white, male, living alone)

•?Same- sex sexual orientation

CASE:

Thirty-five-year-old woman self-referred for therapy; reports during the 4th session that she has been suicidal over the past several days. The trigger for her ideation is reported to be her relationship with her boss. After talking to her by phone nightly for several weeks, he now refuses her calls and is cold and remote at work. The client feels hurt, angry and rejected and has threatened to kill herself. She has a plan to drive her car off a bridge that she passes on her way home from work. She is also reporting ongoing anger at her mother who will not allow her to smoke or entertain men at their home. In the session, the woman appears somewhat confused and repeats elements of her story. When asked, she admits to drinking several glasses of wine today. The initial assessment history reveals that the client has made one previous suicide attempt by overdose resulting in a short hospitalization 6 years previously. Upon sobering up, the woman denies further suicidal ideation or intent.

Reference no: EM133408176

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