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.
2100時，一名21歲的大學生在憂鬱症惡化六週後，由朋友帶到急診室。個案九天前開始服用艾司西酞普蘭，並在17歲時曾嘗試藥物過量。個案說：「我收集了我的處方藥瓶，並計畫今晚服用它們。」後來又補充說：「我的一部分希望這次嘗試會成功。」朋友報告個案昨天送走了一台筆記型電腦。個案感到害怕時打電話給朋友，同意留下來接受評估，並說兄弟是讓他們堅持下去的理由。個案沒有槍枝，並每週看校園諮詢師。心率88次/分，血壓118/72毫米汞柱；毒理學篩檢結果為陰性，未發現任何攝入。