{"id":265146,"date":"2024-01-11T13:51:03","date_gmt":"2024-01-11T13:51:03","guid":{"rendered":"https:\/\/nursingstudy.org\/?p=265146"},"modified":"2025-04-10T03:59:47","modified_gmt":"2025-04-10T03:59:47","slug":"suicidality-in-pediatrics-and-adolescents-comprehensive-nursing-paper-example","status":"publish","type":"post","link":"https:\/\/nursingstudy.org\/examples\/suicidality-in-pediatrics-and-adolescents-comprehensive-nursing-paper-example\/","title":{"rendered":"Suicidality in Pediatrics and Adolescents Comprehensive Nursing Paper Example"},"content":{"rendered":"\n

Suicidality in Pediatrics and Adolescents Comprehensive Nursing Paper Example<\/strong><\/h2>\n\n\n\n

Consent: <\/strong>Verbal consent for psychiatric interview<\/a> obtained from the client and her mother.<\/p>\n\n\n\n

Client ID: <\/strong>14-year-old Caucasian female<\/p>\n\n\n\n

Subjective<\/u><\/strong>.<\/h3>\n\n\n\n

Chief complaint:<\/strong> The mother is concerned that the client \u201cis planning to kill herself tonight. Source of reliability: <\/strong>Client and the mother. (Suicidality in Pediatrics and Adolescents Comprehensive Nursing Paper Example)<\/p>\n\n\n\n

\"Suicidality<\/figure>\n\n\n\n

Present Illness:<\/strong> The client is a 14-year-old female checked in at the emergency department by her mother, who believes she intends to kill herself tonight. The client has a history of depression and self-harm. The client denies being worried and describes her mood as \u201cscrap.\u201d The clients admit to not wanting to do anything or care about anything. \u00a0The client constantly argues and quarrels with the mother, and today, they had a massive fight. She feels the relationship with the mother is getting worse while her brother gets whatever he wants. She notes that her mother must always \u201chave a go\u201d on her. She is neither delusional nor hallucinating. She reports cutting her legs every day but does not think of harming others. She lies in bet the whole day thinking about dying all the day by \u201cjumping from a bridge\u201d or a \u201ctrain track.\u201d She has no plan to commit suicide, and she is worried her mom will be upset with her actions. She admits looking up bus timetables to take her to the bridge tonight. (Suicidality in Pediatrics and Adolescents Comprehensive Nursing Paper Example)<\/p>\n\n\n\n

Current psych meds:  <\/strong>None reported.<\/p>\n\n\n\n

Past psychiatric history<\/strong>: None reported.<\/p>\n\n\n\n

Past Medical Hx: <\/strong>Denies CNS, endocrine, cardia, respiratory, or neurological issues. No surgical history. Denies history of chronic problems.<\/p>\n\n\n\n

Allergies:<\/em> NKFDA.<\/p>\n\n\n\n

Substance use\/abuse: <\/strong>Occasionally drinks. No drugs.<\/p>\n\n\n\n

Past family, social history: <\/strong>Lives with the mother and brother. No legal trauma. Have constant arguments\/quarrels with the mother, and the relationship is growing worse. (Suicidality in Pediatrics and Adolescents Comprehensive Nursing Paper Example)<\/p>\n\n\n\n

Family psych hx:<\/em> None reported.<\/p>\n\n\n\n

Education\/Employment\/Disability:<\/em> No education or employment reported.  No disability.<\/p>\n\n\n\n

Primary support system: <\/em>Mother.<\/p>\n\n\n\n

Hobbies: <\/em>None reported.<\/p>\n\n\n\n

Review of systems:<\/strong><\/p>\n\n\n\n

Constitutional: <\/strong>No weight loss, fever, or chills.<\/p>\n\n\n\n

Eyes: <\/strong>No vision loss.<\/p>\n\n\n\n

ENT:<\/strong> Hearing and smelling senses are intact. No sore throat.<\/p>\n\n\n\n

Cardiac: <\/strong>No chest pains.<\/p>\n\n\n\n

Respiratory: <\/strong>No cough or wheeze.<\/p>\n\n\n\n

GI<\/strong>: Normal bowel sounds. No abdominal pain.<\/p>\n\n\n\n

Skin: <\/strong>Moist and warm<\/p>\n\n\n\n

Neurologic: <\/strong>No fatigue, seizures, or numbness.<\/p>\n\n\n\n

Endocrine:<\/strong> No frequent or burning urination.<\/p>\n\n\n\n

Musculoskeletal: <\/strong>No joint swelling or pain.<\/p>\n\n\n\n

Objective:<\/strong><\/h3>\n\n\n\n

Vitals: <\/strong>BP: 119\/71 P: 71 Ht: 4\u201d9\u201d Wt: 85lbs BMI: 18.4 kg\/m2<\/sup><\/p>\n\n\n\n

Appearance: <\/strong>Appropriately dressed in casual attire.<\/p>\n\n\n\n

Attitude\/interaction: <\/strong>Positive and cooperative.<\/p>\n\n\n\n

Activity level\/behavior<\/strong>: Calm. Maintains fair eye contact.<\/p>\n\n\n\n

Orientation: <\/strong>Alert and oriented \u00d7 3.<\/p>\n\n\n\n

Speech: <\/strong>Fluent and clear. (Suicidality in Pediatrics and Adolescents Comprehensive Nursing Paper Example)<\/p>\n\n\n\n

Thought content\/process\/perception: <\/strong>Resigned. Negative thoughts about self were noted during the assessment.<\/p>\n\n\n\n

Mood\/affect<\/strong>: Describes her mood as \u201cscrap.\u201d <\/strong>Effect is flattened.<\/p>\n\n\n\n

Judgment\/insight\/cognitive\/memory: <\/strong>Poor judgement and insight.Difficulty with abstract thought.<\/p>\n\n\n\n

Concentration: <\/strong>Appropriate for the occasion.<\/p>\n\n\n\n

Stability:<\/strong> Unstable. Acute risk to self is high.<\/p>\n\n\n\n

Testing <\/strong>UDS negative. (Suicidality in Pediatrics and Adolescents Comprehensive Nursing Paper Example)<\/p>\n\n\n\n

Alcohol:<\/strong> Positive<\/p>\n\n\n\n

Assessment:<\/u><\/strong><\/h3>\n\n\n\n
    \n
  1. <\/strong>Major Depressive Disorder (MDD)<\/strong>.<\/strong> ICD-10 code is F33.2<\/strong>. The client experiences recurrent episodes of MDD characterized by depressed mood nearly every day marked diminished pleasures in all activities, psychomotor agitation, and recurrent thoughts of death, unplanned suicide ideation, and feelings of worthlessness (American Psychiatric Association, 2013). This is the primary diagnosis.<\/li>\n\n\n\n
  2. Oppositional Defiant Disorder (ODD)<\/strong>. ICD-10 code is F91.3. The client experiences ODD diagnostic symptoms, including a pattern of irritable mood and argumentative behavior associated with distress from a family member (American Psychiatric Association, 2013), often resentful and blames the mother for her misbehavior. This diagnosis is refuted. (Suicidality in Pediatrics and Adolescents Comprehensive Nursing Paper Example)<\/li>\n\n\n\n
  3. Persistent Depressive Disorder (PDD). <\/strong>ICD-10 code is F34.1<\/strong>. The client experiences PDD diagnostic symptoms, including depressed mood<\/a> for most of the day, low self-esteem, and hopelessness, causing clinically significant distress (American Psychiatric Association, 2013). This diagnosis is refuted. The depressed mood should be observed for at least two years and is better explained by MDD. (Suicidality in Pediatrics and Adolescents Comprehensive Nursing Paper Example)<\/li>\n\n\n\n
  4. Generalized Anxiety Disorder (GAD). <\/strong>ICD-10-CM code is F41.1.The client presents symptoms associated with GAD diagnosis, including excessive worry, restlessness, and irritability that cause significant distress (American Psychiatric Association, 2013). This diagnosis is refuted. MDD better explains the client\u2019s condition. (Suicidality in Pediatrics and Adolescents Comprehensive Nursing Paper Example)<\/li>\n\n\n\n
  5. Disruptive Mood Dysregulation Disorder.\u00a0 <\/strong>ICD-10 code F34.8. Recurrent temper outbursts characterize DMDD manifested verbally inconsistent with an individual\u2019s development level, occurring at least three times a week, and irritable (American Psychiatric Association, 2013). This criterion is observed before the age of 10. Therefore, this diagnosis is refuted. (Suicidality in Pediatrics and Adolescents Comprehensive Nursing Paper Example)<\/li>\n<\/ol>\n\n\n\n
    \"Suicidality<\/figure>\n\n\n\n

    Plan:<\/strong><\/h3>\n\n\n\n

    Goals<\/strong><\/p>\n\n\n\n