As a means of suicide, how effective is an "overdose of forty ot fifty trazodone 50 mg tablets"?
source:
http://www.courttv.com/trials/yates/docs/discharge1.html?page=12 The methodist hospital
Admit: 6/18/99
Discharge: 6/24/99
Admission diagnosis:
Depressive disorder - not otherwise spedified.
Principal diagnosis:
Axis I: Major depressive disorder, single episode, severe
Axis II: Deferred
Axis III: Four months post partum. Status post trazodone overdose.
Axis IV: Severe
Axis V: Global assesment of functioning of 20 on admission.
Criteria for admision: The patient was seen originally at the Ben Taub General Hospital by Ben Taub staff and diagnosed with a major depressive disorder, stats post overdose. She was referred to The Methodist Hospital for inpatient admission with suicidal ideation.
History of present illness: This patient is a 34-year-old married white female, transferred from Ben Taub Emergency room after being stabilized following an overdose of forty ot fifty trazodone 50 mg tablets. She states that she just wanted to sleep forever. The paitent was lavaged and given charcoal. At the time of transfer, the patient gave very vague answers to questions, was a poor historian, and reported that she wanted to die.
The patient is four months postpartum, in addition ot her post trazodone overdose.
Past psychiatric history: The patient denies any prior psychiatric history.
Family psychiatric history: The patient denies prior family hiostory of psychiatric illness.
Substance use history: Denies prior history of substance use.
Allergies: The patient has no known drug allergies.
Medications: The patient was on no other medication.
Medical status examination on admission: The patient was somewhat sedate, with minimal spontaneous speech. Psychomotor activity was very retarded. Mood was depressed. Affect was flat. She had a paucity of spontaneous interaction, but did seem to comprehend questions. Dr. Flack noted that there was possibly a component of delusional guilt. She denied hallucinatoins. She was alert and oriented times three, but her attention was poor. Memory was only fair. Judgment was clearly poor. Insight was limited.
Laboratory data: A complete blood count drawnin Ben Taub Emergency Room was essentially normal. urinalysis was clean.
Hospital course: This patient is a 34-year-old female, who is status post trazodone overdose, with a major depressive disorder. She was started on Zoloft for depression, quickly titrated to a dose of 150 mg over several days, and was subsequently discharged because of insurance restrictions. Dr. Flack tried repeatedly to engage the [atoemt om tjera[eitoc a;;oamce. jpwever. sje re,aomed ;arge;u giarded amd detacjed diromg jer jps[ota; stau/ Tje [atoemt amd fa,o;u reqiested tjat sje be doscjarged tp the family's home and Dr. Flack was in agreement when the family contracted to keep a close eye on the patient.
Final dispostion: ON june 24, 1999, this patient was discharged to home.
Discharge dieat: The patient was to continue her regular diet.
Activity on discharge: As tolerated.
The patient verbalized understanding of all discharge instructions and assured Dr. Flack that she would call Dr. once discharged.