I just checked my post box and guess what I found in it,my discharge letter from the hospital.
This is to inform you that the care of the above named patient has been assessed by myself today,Thursday 14th July 20011 following a deliberate laceration to her left forearm,which required surgical intervention.
On interview Amy stated that the laceration to to her arm was not carried out with suicidal intent.she has been experiencing ruminating thoughts over the past 3-4 weeks of which she wishes to stab herself in the abdomen.on Monday 11th July she had gone to the local shop with the intention to buy alcohol or order to give her the courage to do this,however she returned home without.she stated that initially she praised herself for her positive action but later she became very angry with herself for “missing the opportunity”.As a result of this aggression she took a craft knife to her arm.She immediately requested help from a friend who brought her to the emergency department.During the interview Amy stated that despite her constant thoughts of wanting to stab herself there were no immediate plans to self harm,nor was she experiencing any suicidal thoughts,plans or intent.
We discussed using coping and distraction techniques that she learnt from attending her psychological input at Red Gables. Amy stated that she now feels that she wants to change these self harming behaviours and the recurrent eating disorder she is presently experiencing by being able to access more intensive therapy.
As a result of the interview with Amy we agreed the following plan:-
That she would attempt to use distraction techniques learnt as a way of coping her negative thought processes and potential self harming behaviours as per her care planning meeting on the 8th of July.
Amy has agreed that her sister will accompany her to the GP if she feels that her currents coping strategies are becoming difficult and her self harming or eating disorder is increasing to the pout that Amy no longer feels able to cope.
To consider attending Alabare,however Amy and her sister raised concerns towards this due to threats Amy had received from fellow service user who attends this group.
Mrs Andrea D**e
Mental Health Liaison nurse
First of all there is no mention of the overdose I took in A&E,which caused a dangerous heart which,which only finally returned to normal on the morning of my discharge from hospital. Secondly they didn’t make any note of the pack of 6 craft blades they confiscated from my hand bag,thirdly where the hell is this “more access to intensive therapy” that I am apparently receiving,considering I have been discharged from ALL mental health services.
I am unable to attend Alabre which is a drop in support group due to the fact that a current service user of the group had to be threatened with a restraining order by the police.
I leave you wise people to make up you own minds as to your thoughts on the letter & would really appreciate feedback.