THE PATIENT. A 30-year-old police officer reports thoughts of suicide. He was under investigation for illegal work-related activities and feared he would have to report his coworkers’ involvement in these activities and lose his job.
CASE FACTS. The patient was voluntarily hospitalized for 4 days and received medication and inpatient psychotherapy. When he was discharged, a psychiatrist prescribed follow-up outpatient psychotherapy and antidepressant and antipsychotic medications. The next day, the officer fatally shot himself.
THE PATIENT’S FAMILY’S CLAIM. The psychiatrist did not adequately weigh the patient’s depression and stressors, including possibly losing his job, and did not properly assess suicidal ideation. Also, the patient’s mother claims she attended the discharge meeting with the psychiatrist and that her son expressed suicidal intentions at that time.
THE DOCTOR’S DEFENSE. The patient believed he could get another job if necessary and was no longer contemplating suicide. Also, he was a voluntary patient and could not be hospitalized any longer without consent.
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