A sixty year old woman is brought to the clinic by the police after being drunk and disorderly. She agrees to be assessed for appropriate treatment. She claims she has been sober for thirty-nine years, and is a history professor who has recently lost her husband. What are the two reasons to mark a suicide risk on her file?
  1. The loss of her husband.
  2. A relapse following long term sobriety.
  3. The threat of physical withdrawal.
  4. Being picked up by the police in a seedy neighborhood.
Explanation
Answer: A & B - The loss of a husband and longtime sobriety are major grief issues. The husband was probably her major companion and support. With the failure of relapsing after long-term sobriety and in a profession that influenced her self-esteem, she now may feel without any support. The threat of physical withdrawal is an automatic watch by staff; it does not institute being placed on suicide watch for withdrawal.
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