Suicide and Risk Assessment (Essay Sample)
Read Decoding the Ethics Code Chapter 12
Suicide and Risk Assessment Case Analysis
In this assignment you are required to perform a suicide/risk assessment utilizing the following assessment tool, located in the Resource section of your syllabus.
Suicide Check List: Ways to Assess Suicidality, also located in the Resource section of your syllabus.
Print the form and checklist, fill them out, scan and upload as a pdf files.
Review the reading assignments on suicide prevention and assessment. Using the above Assessment tools, please evaluate the following vignette for risk and suicidality. Please consider culture in your assessment. You are required to reference your work in APA format.
After you fill out the form, write a paper discussing your assessment and decision making, possible interventions and prevention strategies that you might use in this vignette. Justify your decisions and actions by using and referencing the course text and ethics code. All work must be written in graduate level English in APA format.
Your paper should be 2-3 pages plus a title and reference page.
Naomi, a 16-year old Native-American female, is brought to your office by her parents after they found scratches on Naomi’s wrist and a note saying, “I just wish I wouldn’t wake up in the morning”. Triggering event is reportedly seeing her boyfriend with another girl at school. The parents report that Naomi is an excellent student and always has been a happy child. During her adolescence, she reportedly became moody and irritable, with fits of rage when she doesn’t get her way. When she was 15, Naomi apparently told her best friend that she planned on overdosing on her father’s pain pills, but the best friend told Naomi’s parents and this was intercepted. The incident at that time was also over rejection by a boy at school. Currently, Naomi is an excellent student, has no physical ailments, denies substance use and shows no signs of psychosis or mania. Mother tells you that Naomi sleeps a lot, sometimes 12 hours on the weekends, eats very little at dinner, and has gotten quite thin. Father is worried about his daughter as she is not the same little girl that adored him. Both parents are fearful that Naomi will harm herself. In session Naomi appears annoyed and denies intent to harm herself. She tells you, “I’m fine. Everyone is over-reacting. My parents just need to chill. They’re smothering me with their ridiculous worry.”
Family history reveals suicide attempts by Naomi’s mother when she herself was an adolescent due to chronic abuse by her alcoholic father. Mother denies suicidal ideation at present, and is on antidepressant and antianxiety medications. She does reveal that her paternal grandfather was an alcoholic who “killed himself’ when his wife left him. Naomi’s father is a police officer, currently on disability. He suffers from chronic back pain, and is prescribed narcotics for pain management. Both parents are adamant that their medications are safely kept and that Naomi has no access them.
Suicide Risk Assessment
Subject and Section
Suicide is one of the most common and immediate concerns that clinicians must be able to address. While it is true that not all suicides could be prevented even with the greatest efforts, it is true that a timely response and intervention on the part of counselors (or clinicians) could lead to a significant reduction of the number of patients committing suicide (Firestone, 2014). In the case at hand, Naomi is a 16-year old female that is reported as having suicidal tendencies by her parents. While she denies the fact that suicidal thoughts cross her mind, the evidence adduced by her parents and her testimonies has shown that prompt intervention is needed.
Before assessing the best kind of treatment or intervention for Naomi, clinicians must first identify some of the warning signs of suicidal tendencies. As stated in the case, Naomi’s parents have seen her note saying that “I just wish I wouldn’t wake up in the morning” together with the scratches on her wrist. This physical manifestation of her intent to harm herself is already a sign that she is being troubled by her present experiences. Accordingly, it was reported that one of the ‘trigger points’ for her suicidal acts is the fact that she sees her ex-boyfriend at school with another girl. This is apparent since it caused drastic changes in Naomi’s temperament and behaviors, from being a happy and excellent student to one that is “irritable”.
Based on the circumstances and the
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