When to call it quits - a case report

Abstract

Introduction

We present a case report highlighting the central role of psychiatrist in care coordination in spite of current trends when care is fragmented and provided by specialist teams. The importance of organic causation in bio-psycho-social case formulation and its treatment is emphasized.

Objectives

To demonstrate the range of skills employed by practicing psychiatrist in optimising the care of the patients.

Aims

The role of Psychiatrists in managing risk in the suicidal patient with depressive illness is paramount and central.

Method

The highlights in a patient’s journey are revisited via a review of medical notes.

Results

The opinions of allied professionals and the split in the team in addressing heightened suicide risk is highlighted. The emphasis is placed on reflecting on when to end active management and consider a maintenance postion for the patient.

Conclusions

The concept of continuity of care and specialist knowledge of person in enhancing quality of care and optimising the patient outcome is firmly established.