Mr Fitzwilliams Case Study

Mr. Fitzwilliams is a 25 year old male who presented to the ED with suicidal ideation with multiple plans. At the time of the assessment Mr. Fitzwilliams endorses suicidal ideation with plans to walk into traffic, cut wrist, or consuming a large amount of alcohol with intent to kill himself. He reports relational issues and issues with disability. Mr. Fitzwilliams reports a history of cutting behavior. He states, "When I cut its more for a stress relieve." He reports a history of PTSD, anxiety, and depression and hospitalization for the same. Mr. Fitzwilliams reports today he got a letter from disability and thought he might loss his disability and that put him over the edge today. He denies homicidal ideation and symptoms of psychosis. Mr. Fitzwilliams reports recent depression symptoms have been occurring over the course of the past few months. He reports depressive symptoms as feelings of sadness, tearfulness, isolation, irritability, and anger. He does not appear to be exhibiting signs of agitation, aggression, or responding to internal stimuli. Mr. Fitzwilliams reports he started to
Fitzwilliams roommate. His roommate Vincent, reports Mr. Fitzwilliams threatening to walkout into traffic or cut his wrist. Vincent reports Mr. Fitzwilliams had a knife in his hand, to his wrist today while making threats. He reports Mr. Fitzwilliams stated, "Who can stop me, I got it right in my hand." His roommate reports sometimes he will over react to things without thinking them through and act off of
TACT consulted with Dr. Jody Osborne and Howard McQuirter, LCSW, it was recommended to refer for inpatient hospitalization for safety and stabilization. TACT assisted the ED doctor in completing IVC paperwork. TACT will search for appropriate