Reference no: EM133911094

Case Study 

Thomas, a 16-year-old high school student, visits you during class in distress. He tells you that he's being bullied at school because the kids think he is gay. Thomas tells you he thinks he might be transexual, but that he is scared to tell anyone, and voices suicide ideation. He is not supported at home: his mother and father, both professionals, work long hours and his older sister picks on him. Thomas's best friend since the age of 10 recently told him he didn't want to hang out with him anymore because he was "weird." A few months ago, another friend who was picked on more than Thomas went missing. Rumor in the school indicates that he ended his life.

Questions:

1. Is a crisis intervention required?
2. What are your next steps with Thomas?
3. Do you have any immediate concerns in terms of Thomas's safety?
4. How do you conduct a Mental Status Exam?
5. How do you conduct a suicide risk assessment?
6. Search for and share 2 community-based local support resources you would recommend.
7. Do you approach Thomas's family? If so, how?
8. What's your role in terms of mental health advocacy and promotion?
9. How does culture influence mental health care?
10. Create 2 short term goals using SMART.
11. Create 1 long term goal using SMART.
12. What are 3 things you would educate Thomas and/or his parents on and explain why.