Case Study on Risk Factors and Interventions for Mental Health Issues

This case study discusses the risk factors and interventions for mental health issues such as suicidal ideation and depression. It also highlights the importance of culturally safe interventions and maintaining confidentiality in healthcare.

Running head: CASE STUDY
CASE STUDY
Name of the Student:
Name of the University:
Author Note:

1CASE STUDY
Response 1a:
On critically evaluating the facts presented in the case study, it can be said that the
identified risk factor is the presence of ‘suicidal ideation’. The client has stated that he had
been feeling extremely low and incapable of performing well in his concerned workplace. It
has further been mentioned, that the client feels hopeless and thinks of his own self as a
failure in being able to carry out the duties as an able father and a husband. Studies have
predicted the existence of a relationship between the presence of self-loathing thought-
content and suicidal tendency in patients with a susceptible mental health disorder (Ribeiro et
al.,2016).
Response 1b:
The first intervention that could be taken up the midwife on detecting the risk factor
would involve engaging a psychotherapist to provide care to the client. The psychotherapist
would devise interventions such as involving the client in counselling sessions so as to
understand the underlying reason for the dearth of suicidal thought in the client. Further,
based upon the risk assessment the psychotherapist could proceed with suicide prevention
cognitive behavioural therapy. Research studies show that the administration of suicide
prevention cognitive behavioural therapy can effectively help in minimising the risk factors
and can also prevent the possibility of a relapse (Forkmann et al., 2014).
Response 2a:
In close association it can be said the client is vulnerable to develop a major
depressive disorder. It should further be mentioned here, that the client has already developed
the initial symptoms of depression and the symptoms must be managed immediately in order
to prevent further deterioration. The client has reported to feel low and has also revealed to be

2CASE STUDY
stressed on account of homesickness and stress in the professional field. Studies predict that
the prevalence of depression is extremely common among immigrants placed at a different
country for an academic or a professional purpose (Bhugra et al., 2014). The primary reason
accountable for the same is cultural distance and the lack of awareness related to knowledge
about coping strategies (Bhugra et al., 2014).
Response 2b:
The immediate intervention proposed for the client would include a family
counselling session. The counselling session would be conducted by a psychotherapist who
would be responsible for devising a care plan for the patient. The psychotherapist would
educate the family members of the patient about the critical mental health status. It should be
noted here that the root cause of depressive symptom is primarily because of his professional
stress and family related issues. Planning an effective intervention would involve the client as
well as his family members in a one to one counselling session so as to create a positive
recovery environment (Sanders & Hill, 2014). Research studies show that the use of
antidepressant drugs in combination with counselling therapy can help in effectively treating
depression (Antoniades et al., 2014).
Response 3:
The professional issue could be issues related to the maintenance of confidential
information. It should be noted here, that the case study states that the client has already been
under investigation because of the drug error. Hence, dispensing confidential information
about his mental health can lead to disastrous consequences. Negative consequences related
to poor mental health among health care professionals can be as adverse as temporary or
permanent suspension.

3CASE STUDY
The ethical issue would involve the caregiver in delivering a culturally safe
intervention to the client. As has been mentioned, the client is an immigrant. The delivery of
a culturally safe treatment is important as it might contradict the traditional methods used to
cure mental health illness within the client’s community (Antoniades et al., 2014).

4CASE STUDY
References:
Antoniades, J., Mazza, D., &Brijnath, B. (2014). Efficacy of depression treatments for
immigrant patients: results from a systematic review. BMC psychiatry, 14(1), 176.
Bolton, J. M., Gunnell, D., &Turecki, G. (2015). Suicide risk assessment and intervention in
people with mental illness. BMJ: British Medical Journal (Online), 351.
Bhugra, D., Gupta, S., Schouler-Ocak, M., Graeff-Calliess, I., Deakin, N. A., Qureshi,
A., ...& Till, A. (2014). EPA guidance mental health care of migrants. European
Psychiatry, 29(2), 107-115.
Forkmann, T., Wichers, M., Geschwind, N., Peeters, F., van Os, J., Mainz, V., & Collip, D.
(2014). Effects of mindfulness-based cognitive therapy on self-reported suicidal
ideation: results from a randomised controlled trial in patients with residual
depressive symptoms. Comprehensive psychiatry, 55(8), 1883-1890.
Ribeiro, J. D., Franklin, J. C., Fox, K. R., Bentley, K. H., Kleiman, E. M., Chang, B. P., &
Nock, M. K. (2016). Self-injurious thoughts and behaviors as risk factors for future
suicide ideation, attempts, and death: a meta-analysis of longitudinal
studies. Psychological medicine, 46(2), 225-236.
Sanders, P., & Hill, A. (Eds.). (2014). Counselling for depression: A person-centred and
experiential approach to practice. Sage.pp.57-63