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Assignment:
Case Study
Kate is a 27 year old graduate student that was brought into the emergency room by EMS. Her mother called 911 after she found Kate in her bathroom unresponsive. She found empty bottles of acetaminophen (Tylenol) and (fluoxetine) Prozac next to Kate and is unsure of how many pills she may have taken. The ED team is able to stabilize Kate. She is transferred to the ICU for 24 hours then stepped down to the med-surg unit where her labs and vitals will be monitored until fully stable. Psychiatry is on consult. The attending psychiatrist goes and talks to Kate who appears her stated age, is fully dressed with depressed mood and flat. She is noticeably intelligent and articulates "I wanted to end my life.
It has become too much to bear." I am stressed out from school, my dissertation topics keep being rejected, I was diagnosed with Lupus last year, I am a single mom, my bills are too much, I just lost my part time job and had to move back with my parents. My fiancé has been seeing another woman for 8 months and I just found out. Nothing is going right" Kate does smile when talking about her family and passion to own her own case management service to help those in her community. Kate says that she loves her son but that "she's struggling so much that she's no good for him and he would be better off without me." She expresses that part of her wish she had died but she is happy that she will get to see her parents and son again. Its determined that Kate is still suicidal and she will be admitted to the psych unit once she is medically stable.
1) Is Kate suffering from major depressive disorder or dysthymic disorder? Why or why not?
2) What risk factors does Kate have for depression? What are Kate's protective factors?
3) How would you classify the lethality of Kate's plan to commit suicide?
4) What is the priority while Kate is on the psych unit?
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