Week 1 Main Discussion Post
NRNP 6665
Holly Bowling
Even though depression is uncommon among children, the prevalence of depression rises
sharply during adolescence. A network analysis that was conducted to show suicide ideation as a
symptom of adolescent depression, concluded that suicidal thoughts and behaviors, and
depressive symptoms can have major negative consequences in the short and long term, as both
are related to increased other forms of psychopathology, such as anxiety, substance abuse, or
addiction, are a cause of extra distress, and have several behavioral and emotional consequences
(Gijzen, Rasing, Creemers, Smit, Engels, & De Beurs, 2021).
What Did the Practitioner Do well and How Can the practitioner Improve?
In the YMH Boston, Vignette 5 Video, the clinician did a good job of learning about
Tony’s achievements in school, even though he stated his grades had been declining, as well as
his peer relationships, which ended up being the basis of why he is having the feelings he is
having (YMH Boston, 2013). Tony mentioned how his grades have been lacking lately, and one
journal article discusses how adolescents with suicidal thoughts and behavior and elevated
depressive symptoms show lower academic performance (Gijzen et al., 2021). Also, his
girlfriend broke up with him about two months prior, which is when his symptoms of depression
first started (YMH Boston, 2013). I do not feel like the clinician did a very good job of building
a rapport with Tony, which is the first task of the interviewer (Sadock, Sadock, & Ruiz, 2015).
She did not introduce herself or discuss the extent of confidentiality with him, which as an
adolescent, is mandated before sharing information with the parents (Sadock et al., 2015). She
did ask Tony if he knew why he was there, and when Tony said yes, his doctor referred him, she
This study source was downloaded by 100000810282105 from CourseHero.com on 01-05-2023 14:09:08 GMT -06:00
https://www.coursehero.com/file/94344996/Week-1-Discussion-NRNP-6665docx/
, did not opt to summarize the concerns the doctor was having for him, she just went into the next
question. For the evaluation to be successful, the client must understand why the referral was
initiated (Thapar, Jacob, Sharma, & Guatam, 2019). Although she did ask him important
questions related to symptoms of depression, she did not clarify what any of the questions meant
or why she was asking them. And without asking any reasoning for any of his answers, she
would move quickly onto the next question. Toward the end, the interviewer did capitalize on
Tony’s comment of not wanting to be alive, which opened up a window to discuss his thoughts
about suicide (YMH Boston, 2013).
Compelling Concerns
I believe the main concern at this point in the interview is learning more about Tony’s
thoughts of dying and if this is something he is actively planning. Rates of suicide and suicide-
related behaviors increase with age and with gender, with suicide rates higher among the male
gender, and 14.5% of high school-age adolescents reporting suicidal ideation in 2007 (Cash &
Bridge, 2009). Therefore, the pertinence of the clinician retrieving information about Tony’s
thoughts is vital at this point in the interview.
Next Question and Why
Do you have any plans to end your life? Do you think about harming anyone else or
ending someone else life? Suicide is the third leading cause of death among adolescents (Sadock
et al., 2015), therefore, Tony should be evaluated as to whether or not hospitalization is necessary
or if outpatient follow up will be sufficient (Sadock et al., 2015). Also, if he has intentions to
harm someone else, then he would need to be detained and that other person of interest would
need to be notified.
This study source was downloaded by 100000810282105 from CourseHero.com on 01-05-2023 14:09:08 GMT -06:00
https://www.coursehero.com/file/94344996/Week-1-Discussion-NRNP-6665docx/
NRNP 6665
Holly Bowling
Even though depression is uncommon among children, the prevalence of depression rises
sharply during adolescence. A network analysis that was conducted to show suicide ideation as a
symptom of adolescent depression, concluded that suicidal thoughts and behaviors, and
depressive symptoms can have major negative consequences in the short and long term, as both
are related to increased other forms of psychopathology, such as anxiety, substance abuse, or
addiction, are a cause of extra distress, and have several behavioral and emotional consequences
(Gijzen, Rasing, Creemers, Smit, Engels, & De Beurs, 2021).
What Did the Practitioner Do well and How Can the practitioner Improve?
In the YMH Boston, Vignette 5 Video, the clinician did a good job of learning about
Tony’s achievements in school, even though he stated his grades had been declining, as well as
his peer relationships, which ended up being the basis of why he is having the feelings he is
having (YMH Boston, 2013). Tony mentioned how his grades have been lacking lately, and one
journal article discusses how adolescents with suicidal thoughts and behavior and elevated
depressive symptoms show lower academic performance (Gijzen et al., 2021). Also, his
girlfriend broke up with him about two months prior, which is when his symptoms of depression
first started (YMH Boston, 2013). I do not feel like the clinician did a very good job of building
a rapport with Tony, which is the first task of the interviewer (Sadock, Sadock, & Ruiz, 2015).
She did not introduce herself or discuss the extent of confidentiality with him, which as an
adolescent, is mandated before sharing information with the parents (Sadock et al., 2015). She
did ask Tony if he knew why he was there, and when Tony said yes, his doctor referred him, she
This study source was downloaded by 100000810282105 from CourseHero.com on 01-05-2023 14:09:08 GMT -06:00
https://www.coursehero.com/file/94344996/Week-1-Discussion-NRNP-6665docx/
, did not opt to summarize the concerns the doctor was having for him, she just went into the next
question. For the evaluation to be successful, the client must understand why the referral was
initiated (Thapar, Jacob, Sharma, & Guatam, 2019). Although she did ask him important
questions related to symptoms of depression, she did not clarify what any of the questions meant
or why she was asking them. And without asking any reasoning for any of his answers, she
would move quickly onto the next question. Toward the end, the interviewer did capitalize on
Tony’s comment of not wanting to be alive, which opened up a window to discuss his thoughts
about suicide (YMH Boston, 2013).
Compelling Concerns
I believe the main concern at this point in the interview is learning more about Tony’s
thoughts of dying and if this is something he is actively planning. Rates of suicide and suicide-
related behaviors increase with age and with gender, with suicide rates higher among the male
gender, and 14.5% of high school-age adolescents reporting suicidal ideation in 2007 (Cash &
Bridge, 2009). Therefore, the pertinence of the clinician retrieving information about Tony’s
thoughts is vital at this point in the interview.
Next Question and Why
Do you have any plans to end your life? Do you think about harming anyone else or
ending someone else life? Suicide is the third leading cause of death among adolescents (Sadock
et al., 2015), therefore, Tony should be evaluated as to whether or not hospitalization is necessary
or if outpatient follow up will be sufficient (Sadock et al., 2015). Also, if he has intentions to
harm someone else, then he would need to be detained and that other person of interest would
need to be notified.
This study source was downloaded by 100000810282105 from CourseHero.com on 01-05-2023 14:09:08 GMT -06:00
https://www.coursehero.com/file/94344996/Week-1-Discussion-NRNP-6665docx/
