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  #1  
Old 03-09-2012
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Psyche Suicide attempt...next step

A 22-year-old woman is seen in the emergency room after a suicide attempt. She swallowed 10 aspirin in the presence of her mother, with whom she had just had an argument. The patient has a long history of cutting herself superficially with razor blades, which her psychiatrist of the last 5 years confirms by telephone. The patient currently lives in a stable environment (a halfway house) where she has been for 3 years.
Which of the following option is the best course of action for the physician in the emergency room?
a. Admit the patient involuntarily
b. Admit the patient voluntarily
c. Admit the patient to a medical floor
d. Discharge the patient to outpatient therapy after meeting with the patient’s mother
e. Discharge the patient back to outpatient therapy and the halfway house
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  #2  
Old 02-01-2013
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admit involuntarily! To manage this attempt and to prevent the next attempt
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Old 02-01-2013
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a. Admit the patient involuntarily
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Old 02-01-2013
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b. Admit the patient voluntarily

She never refused admission so why involuntarily ?
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Old 02-01-2013
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Quote:
Originally Posted by Novobiocin View Post
b. Admit the patient voluntarily

She never refused admission so why involuntarily ?
Doesn't that mean admit even if the patient is not voluntary?
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Old 02-01-2013
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Quote:
Originally Posted by akshaya.amc View Post
Doesn't that mean admit even if the patient is not voluntary?
You only admit involuntarily when patient refuses to be admitted voluntarily.
I mean, why do you want to force something when you can do without it?
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Old 02-02-2013
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Adding to the confusion, Shouldn't the physician in the emergency room admit the patient to a medical floor first to monitor her for a little while since she had an aspirin overdose?

Voluntarily and Involuntarily options seem like distractions to me here. Discharging a patient who's made several suicide attempts is not an option either.
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Old 02-02-2013
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One of the reasons I think of killing myself after reading such questions in step 2 CK !
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  #9  
Old 02-02-2013
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Good to know Im not the only one feeling suicidal these days!
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  #10  
Old 02-02-2013
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I think > d. Discharge the patient to outpatient therapy after meeting with the patient’s mother
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Old 02-02-2013
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This question was discussed here also
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