The patient came on a Friday night and missed the doctor. So he sat around, talked with myself, the RN, and the other patients. When he checked in he said he had suicidal thoughts because his mother was sick and he had problems with his sister. What confused me with his death was that he made plans for the future (day treatment), he was changing jobs (he had money, just worked for fun), and had a huge support system (very large family and several friends).
When I went up to our psych ward, myself and two other RNs’ who worked with the patient discussed possible reasons. I think when he arrived home something triggered the suicidal thoughts i.e. dying mother, fighting with sister. The RNs’ think he did it because he received no real treatment. Because he came in on a Friday and the doctor doesn’t come in until Monday, he pretty much sat around watching television and sitting in group. The patient pretty much went through our psych assembly system.
The patient was a good man and everyone spoke very highly of him. I am not talking about a guy who was a jerk and in death he became nostalgic. He was genuinely a good person who was very social and a positive thinker. I believe sometime on the weekend he made peace with suicide and that was why he was so nice to everyone. It’s too bad the patient did not get the chance to receive the treatment he needed.
I did not have time to feel bad though, I received a call to get to our ER registration. A fight was about to break out over ugly shoes. Stupid people keep me busy enough so I do not have to deal with death in the hospital. I guess when I get old and retire I feel for these people then. For now though I have become comfortably numb.