ANSWER
SOAP Note: Information on Suicidality in Children and Adolescents
Name: [Patient Name (if not provided, adopt a pseudonym)]
Age: [Patient’s age]
Gender: female
Evaluation Date: November 16, 24
Therapist for Psychotherapy: [Your Name]
Subjective:
The female patient, who is [specified age] years old, exhibits active suicidal thoughts and significant depressed symptoms. She claims that stressors in her life, such as [some elements discussed in the film], have left her feeling useless, despondent, and overwhelmed. There is an immediate risk because the patient has clearly stated her intention to hurt herself using [method]. Changes like social disengagement, irregular sleep schedules, and deteriorating academic achievement are noted by her parents.
Goal:
Looks messy, teary-eyed, and avoids making eye contact.
Behavior: During the evaluation, agitated and only partially cooperative.
Mood/Affect: flat affect, apprehensive, and depressed.
Speech: Slower pace, low volume.
Thought Process: Straightforward, but consumed by ideas of hurting oneself.
Thought Content: Suicidal thoughts that are persistent and systematic.
Cognitive: Person-, place-, and time-oriented. poor judgment and insight.
Safety Assessment: Because of the stated plan and available means, there is a high danger of self-harm.
Evaluation: The patient satisfies the following DSM-5 diagnostic requirements:
suicide thoughts and severe major depressive disorder (MDD) are characterized by active suicide ideation with a plan, persistently poor mood, hopelessness, and disturbed sleep.
Significant emotional anguish brought on by recent life experiences is known as an acute stress reaction.
Evaluation of Risk:
High Suicide Risk: The patient has a well-thought-out strategy, resources, and compromised coping skills. Action must be taken immediately.
Plan:
Unintentional Commitment:
Because she is in immediate danger, the patient will be involuntarily admitted to a secure hospital for emergency mental therapy.
Goals of Treatment:
Assure the stability and safety of the patient.
Deal with severe depression and suicide thoughts.
Interventions:
Establish round-the-clock observation in a mental health facility.
Target depression symptoms by administering SSRIs, such as fluoxetine (Prozac), starting at 10 mg per day.
Start dialectical behavior therapy (DBT), which focuses on emotional control and discomfort tolerance.
Provide psychoeducation to the family about preventing suicide, recognizing warning signals, and establishing a secure atmosphere.
Planning for Safety:
Prevent patients from having access to tools for self-harm at home.
Together with emergency contacts, create a crisis intervention plan for after-discharge care.
Follow-up:
After discharge, weekly psychotherapy sessions.
close observation for side effects and medication effectiveness by a psychiatrist.
Reference:
Make contact with local options for suicide prevention, like support groups and hotlines.
Involve school counselors to offer social and academic help.
An overview of warning signs and available treatments:
Suicidality Warning Signs in Children and Adolescents
Children who are at risk of suicide frequently display warning indicators like:
Changes in behavior include hazardous behavior, a drop in academic achievement, and withdrawal from friends and family.
Mood symptoms include extreme melancholy, hopelessness, and increased irritability.
Physical alterations include altered appetite, loss of energy, and disturbed sleep.
Verbal Cues: Expressing a desire to die or feeling like a burden, either directly or indirectly.
In this instance, the patient displayed several warning indicators that required prompt attention, such as social disengagement, disturbed sleep, and active suicidal thoughts with a well-thought-out plan.
Justification for the Treatment Plan
Because of the severe danger of self-harm, involuntary commitment was selected to protect patient safety. There is evidence to support the use of SSRIs, including fluoxetine, to treat severe depression in teenagers. DBT works well for teaching emotional control and distress tolerance, two skills that are essential for controlling suicide thoughts. Involving the family is essential to lowering the risk of recurrence and ensuring a supportive home environment after discharge.
Citations:
(2013) American Psychiatric Association. The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders.
National Lifeline for Suicide Prevention. (undated). Suicide Warning Signs in Youth. From https://suicideprevention.nv.gov/Youth/Warning_Signs/, retrieved
Video Case Study: Adolescent Suicidality [given via YouTube link].
In 2024, the National Institute of Mental Health (NIMH). Strategies for Preventing Suicide.
Note: Make sure the SOAP note is submitted as directed, follows APA 7 format, and has a title page. Please ask for further information or advice if necessary!
QUESTION
Unit 11 Suicidality in Pediatrics and Adolescents -clinical SOAP Note Due 11-16-24. 900w and 4 references. Please use course resource/ textbook and DSM5 as reference. Must Use attached template and use the YouTube link base the soap notes on the patient in the video. The patient must be involuntary committed! for acute psychiatric treatment as she is a danger to herself and has a plan to kill herself please incorporate this in the treatment plan.
https://suicideprevention.nv.gov/Youth/Warning_Signs/#:~:text=Changes%20include%20inability%20to%20sleep,sudden%20changes%20in%20suicidal%20students.
Instructions
Complete a SOAP Note as if you were the psychotherapist in the video from this week’s resources. The video is provided for you again below.
Then write a separate one-page summary highlighting the warning signs of suicidality in pediatric and adolescent patients and why you chose the treatment plan you choose in your SOAP Note.
Use the SOAP Note rubric to guide you.
All work should be original and submitted as a Word document unless otherwise indicated in the assignment instructions. ALL assignments need to be APA 7 format and accompanied title page in APA 7th edition format in order that the work would be properly identified for the student, the course, and the assignment. Work submitted without a title page will receive a grade of 0.
Complete this assignment and submit it to this assignment dropbox by Sunday at 11:59 pm CT.
Estimated time to complete: 2 hours
Unit 11
Suicidality in Pediatrics and Adolescents Paper
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