At 2100, a 21-year-old college student is brought to the emergency department by a friend after six weeks of worsening depression. The client started escitalopram nine days ago and made an overdose attempt at age 17. The client says, 'I collected my prescription bottles and planned to take them tonight,' and later adds, 'Part of me wishes the attempt would work.' The friend reports the client gave a laptop away yesterday. The client called the friend when frightened, agrees to stay for evaluation, and says a brother keeps them going. The client has no access to firearms and sees a campus counselor weekly. HR 88/min, BP 118/72 mm Hg; the toxicology screen is negative, and no ingestion is identified.
At 2100, a 21-year-old college student is brought to the emergency department by a friend after six weeks of worsening depression. The client started escitalopram nine days ago and made an overdose attempt at age 17. The client says, 'I collected my prescription bottles and planned to take them tonight,' and later adds, 'Part of me wishes the attempt would work.' The friend reports the client gave a laptop away yesterday. The client called the friend when frightened, agrees to stay for evaluation, and says a brother keeps them going. The client has no access to firearms and sees a campus counselor weekly. HR 88/min, BP 118/72 mm Hg; the toxicology screen is negative, and no ingestion is identified.