Holistic Assessment and Planning for a Patient with Suicidal Tendency

Part 1
1. Holistic assessment and planning
1.1 The mental status examination
Appearance: Looks younger than his age, long shaggy shoulder-length dark hair. He
wears a cowboy hat, dusty jeans with a grubby long sleeve shirts and worn out riding
boots. HE is very thin also. On all the fingers of his left hand, the word “LOVE” is
spelled out on tattoos. On all the fingers of his right hand, “TESS” is tattooed.
Behaviour: At the initial stage, he was reluctant to speak to the nurse, speaks quietly
with some monosyllables.
Attitude: Secretive, sad, thanatophobia which means, losing a loved one is also
present in him, focused. While talking about his girlfriend, his eyes fill with tears. He
has a phobia that his girlfriend will leave him.
Level of consciousness: Moody, fluctuating and depressed since his girlfriend moved
to another place for studying.
Speech and language: volume is soft and weak; he spoke quietly to the nurse.
Thought process: Incoherent, loosing association, preserved. He thinks his girlfriend
who has left to another city two months back for the purpose of studying won’t love
him anymore.
Suicidality: He told the nurse about his cousin who committed suicide a year ago and
Jayan thinks his cousin was successful to find the way out. When he was asked that if
he has any thought of killing himself he replied that he thought about this a lot and he
believes he can do that also. SO, he is having high tendency to commit suicide.
1.2 Clinical Formulation Table using 5Ps
Presenting Precipitating Predisposing Perpetuating Protective
The It is another Predisposing The factors Protective

presenting
factor of
5Ps
basically
shows the
problem
faced by
the
individual
and any
signs and
symptoms
regarding
the issue
(Baer,
2015).
In this
case,
Jayan is a
27 year
old male
and he is
depressed
as his
girlfriend
factor of
5Ps, which
triggers the
onset of the
illness or it
causes the
behavioural
disorder
among the
patients
(Boudreaux
et al., 2016).
In case of
Jaya, he
shared all of
his secrets to
his
girlfriend
and as she
has moved
to another
city, Jayan
is basically
feeling
alone and a
is a factor of
5P which
determines the
factor that
contributes to
the life of
patients over
many years
and causes
behavioural
disorder
(Davies,
Hughes,
Sayce,
Sullivan &
Wilcox,
2018). Jayan is
an aboriginal
and from his
very childhood
he didn’t like
school as he
faced bullying
and taunts on
racism from
which
maintains
the negative
symptoms of
any kind of
illness or
other
condition is
perpetuating
factor in the
5Ps
(Goldsmith,
Lewis, Dunn
& Bentall,
2015). In the
case of
Jayan, he is
not ill but he
was
depressed.
But, he
drinks too
much and
doesn’t look
at himself.
factor is the
factor of 5P
which
helps to
reduce or
prevent any
particular
behavioural
distress
(Huffman
et al.,
2016).
Factors that
can reduce
his
negativity
are he
loves
horses,
cattle and
being out
in the bush
and he
works in
the station

has moved
to another
city for
studying
and he has
a fear that
his
girlfriend
won’t love
her
anymore.
This
thought
process
has made
him
depressed
and
suicidal
tendency
is found in
him.
fear of
losing his
girlfriend
has acquired
him and as a
result he is
suffering
from
massive
depression.
other mates.
He used to
have
playground
fights. In all
kind of fights
only the
aboriginal
students were
dragged into
the principal’s
room. So from
his early
childhood he
was facing
discrimination.
hand.
1.3 Plan for nursing care