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Crisis Intervention
Project Two
This assignment is due December 6, 2006 by midnight. You can email your responses to: saxg@chemeketa.edu. Or post this assignment on the Web Board in your personal conference. I will return my comments to you after grading via your web board conference.
Being aware of Suicidal Risk Factors
In the following brief descriptions of individuals, state at least 2 and up to 4 risk factors of suicide potential that you find. Just in case you want to skip some, these were all people who were suicidal when I talked with them. They weren't all as lethal in a plan and ability to carry out that plan, but nonetheless they all had suicidal ideation.
- An 18 yr/old male who didn't do well in the interview process and therefore didn't get into the college program that he has dreamed about for years. He has been very successful all through high school.
- An 18 yr/old male who has just graduated from high school and isn't sure what he wants to do next. He also has recently suffered the loss of a good friend who was killed in an automobile accident. This friend had been at a party with most of the seniors and decided to leave by himself.
- A 22 yr/old female who has experienced periods of depression on and off for the last 12 years. Her mother has been hospitalized with depression several times in her adult life.
- A 42 yr/old male who has been recently laid off because of changes in the company structure. He has worked as an accountant for this company all his adult life.
- A 46 yr/old female who lives with her three teenage children. She has recently lost her job and now works two part-time jobs in order to keep the apartment for her family and food on the table. She is tired, lonely and feels hopeless.
- A 75 yr/old male who has been recently diagnosed with terminal cancer. He lives alone in an apartment at a local retirement facility.
- A 75 yr/old male who has been recently diagnosed with terminal cancer. he lives in an apartment at a local retirement facility with his dog.
Practice your Crisis Intervention Skills:
For each of the following scenarios (1) describe at least two main principles associated with responding effectively to the individual(s) involved. Be concise but complete in thought. (2) Write out the words that you might use (in the first/second response) in such a scenario as part of your description.
(3) Also list at least one (1) resource that you would utilize in each situation.
This exercise is similar to those done in the last class session. I do expect some specific responses, not simply generalizations.
- The call was dispatched to a quiet neighborhood to "a 40 year old lady who is acting odd."
When you arrive you have a very concerned grandmother asking you to help her granddaughter, who is out in the backyard. Grandmother says that her granddaughter slept in late today and when she got up she didn't make much sense in what she was saying or doing.
This is totally unusual and nothing like this has every happened before. The granddaughter works late evenings at a local retail store and has had this job for over 15 years. She moved in with her grandmother to help with meals and general upkeep.
You find the granddaughter in the back yard sitting in a sandbox all curled up. When you approach her she speaks to you in giberish and initially refused to come with you to the ambulance.
Your response to the 3 questions above?
- There has been a motor vehicle crash involving three teenagers driving too fast around a corner. The driver and front passenger, both male and intoxicated, were hardly injured. The sober female passenger in the backseat was thrown from the vehicle and was dead on scene.
You know about all the people involved but are assigned to work with the passenger, front seat individual. There is no evidence of remorse or grief and he seems very concerned about his minor injuries. Then he says, "Man my sunglasses are broke."
Your response to the 3 questions above?
- You are dispatched to a report of an ill patient, problem unknown. You arrive to find an emaciated 25 year old female. Her mother called you, even though the daughter requested that she not. The patient has had vomiting and diarrhea for 3 days and is quite dehydrated.
She tells you that she was diagnosed as HIV positive 5 years ago and as an AIDS active diagnosis 2 years ago. This week her doctor told her that the medications they have been using are causing severe side effects and must be stopped. She has become so weak that she is unable to care for herself at all.
When her mother leaves the room, the patient quietly tells you that she wishes to die and plans to kill herself today. When you ask her if she has a plan, she describes her plan to you. She has the means to carry out her plan and it has potential to be lethal. She reminds you of her right to confidentiality and tells you that you do not have permission to tell her mother or anyone else.
Your response to the 3 questions above?
- Your EMS crew is dispatched to a home knowing that the parents are doing CPR on their 4 months old baby. It is 6:00 AM. When you arrive, you find the parents preforming CPR on an infant that appears to be a well developed baby.
When your crew tries to take the baby from the mother, she won't let go. You attempt to ventilate the baby in the mother's arms but meet with much resistance and the chest does not rise. The baby's body is very cold, it is totally blue / grey all over and the pupils are dilated and fixed. All evidence that your crew gathers describes a baby that has been dead for some time.
Your response to the 3 questions above?
- Your EMS crew has been dispatched to a residence for an 88 year old man who is down and unresponsive. The paramedics are working on the gentleman.
The lead medic turns to you and asks you to take the man's wife, an 86 year old woman, to the other room and talk with her. You are a volunteer with the agency but have been with them about 2 years.
Your response to the 3 questions above?
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