Page 734 - 2015 2nd Half No Table

The flat was full of equipment for printing and other things. Simon said
he had spent" a quarter of a million" on his businesses including 20 000
on each of two printers.
Has thoughts of killing himself "when I eventually clear my name."
FH of Bipolar Disorder /Schizophrenia- grandmother
PPH
https://rio.beh-mht.cse.thirdparty.nhs.uk/rio/Reports/RiOReports.asp
29/01/2019

94
Progress Notes
Page 94 of 106
From previous notes
-Tried to hang himself at the age of 16 when in a young offender’s
institution and needed to be resuscitated. He was moved to a high security
hospital and kept in seclusion on a number of occasions. He says he was
seen regularly by a psychiatrist called Dr Caplin from "the safe project"
(probably CAMHS.
-He says there was a second occasion where he tried to hang himself
when in a cell after he was sentenced Said attended NMUH A and E 2014
after drinking liquid nitrous oxide with intent to die Forensic history
Long history police contact from juvenile, mostly connected with driving,
theft-? in prison on remand in past Smokes 1-2 spliffs most days, no other
drugs, alcohol or tobacco SH
1 bed council flat, no debts, ESA, food in fridge, flat cluttered but clean
MSE
Clean, open manner, engaged well, incongruently cheerful, very polite
Appeared euthymic- did not appear particularly elated: idea of harming
self "when name is eventually cleared" but currently has no thoughts of
self-harm or harming anyone else
Pressure of speech but able to repeatedly interrupt without irritability
Thought disordered: Tangential, circumstantial, preoccupied
Paranoid delusions relating mainly to police and woman upstairs:
delusions of reference
His comments about hearing having police talking about him on tapes
may be elaboration of auditory hallucinations No evidence commands or
passivity
Insight: articulate: does not think he has a mental health problem: Said
he'd had all these problems for the last year, especially in the last few
months but felt they were getting worse. He has withdrawn from all social
contact except with his mother.
Impression
FEP, possibly with mood element history at least several months
Strengths: Significant part of personality intact at present, was willing to
engage with us today Maternal support
Risks: isolation, self-neglect if mother withdraws support, potential risk
harm to self but trigger factors not clear (past self-harm attempts as
teenager appear to have related to court appearances)
Plan