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Mrs. Goins Case Summary

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Mrs. Goins is a 43 year old female who presented to the ED with suicidal ideation with a plan to drive her car off a cliff. Mrs. Goins reported to nursing staff she has been in therapy however feels her medications are not working. She denies homicidal ideation and symptoms of psychosis to nursing staff. At the time of the assessment Mrs. Goins appear calm and happy watching tv. She expressed being in a good mood. Mrs. Goins denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reported a history of bi-polar and fleeting suicidal thoughts when feeling depressed. Mrs. Goins reports relation issues and substance abuse as stressors contributing to her distress. She denies currently feeling depressed, however expresses feelings of hopelessness, worthlessness, sadness, irritability, and increased sleep. Mrs. Goins expressed her husband has been emotionally abusive towards her. She denies a history of suicidal attempts or self harming behaviors. …show more content…
Goins mother and husband was contacted. Her mother reported today her daughter informed her she wanted to get help for depression. The mother reported following her daughter to the hospital to address her issues with depression and substance abuse. The husband (Mark Johnson) was called. He reported being willing to aid with connecting Mrs. Goins to the appropriate services. It should be noted Mr. Johnson appeared agitated when informed of the possibility of his wife being discharged. He stated, "If she had insurance y'all probably be keeping her." He was informed that the hospital was a non-profit organization and Randolph Hospital did not function in that manner. Upon his arrival to the hospital he became so agitated Mrs. Goins asked him to leave and found alternate means of transportation to follow up with Daymark in the morning. Her mother and she agree she would stay at her home tonight. Also Howard McQuirter (supervisor) and Tracey (house supervisor) has been made aware of husband comment to

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