Citation

Nejtek VA, Hardy S, Winter S. Neuropsychiatr. Dis. Treat. 2010; 6(1): 67-69.

Copyright

(Copyright © 2010, Dove Press)

DOI

10.2147/ndt.s8649

PMID

unavailable

Abstract

The leading cause of suicide ideation, attempts, and completion in adolescents is persistent and unresolved parental conflict. National statistics show extremely high rates of childhood neglect and abuse are perpetrated most often by single mothers. Psychiatric disorders arising from maternal-child dysfunction are well-documented. However, resources to prevent offspring victimization are lacking. Here, we report maternal neglect of a 15-year-old male brought to the psychiatric emergency room for suicidal ideation. An inpatient treatment plan including pharmacotherapy, family therapy and psychological testing was initiated. The patient's mother failed to attend clinic appointments or family therapy sessions. Clinician attempts to engage the mother in the treatment plan was met with verbal assaults, aggression, and threatening behavior. The patient decompensated in relation to the mother's actions. Child Protective Services were contacted and a follow-up assessment with the patient and mother is pending. Psychiatric treatment of the mother may be a necessary intervention and prevention regimen for both the adolescent and the mother. Without consistent Child Protective Services oversight, medical and psychosocial follow-up, the prognosis and quality of life for this adolescent is considered very poor. Stringent mental health law and institutional policies are needed to adequately intercede and protect adolescents with mental illness. © 2010 Nejtek et al, publisher and licensee Dove Medical Press Ltd.

Language: en

Keywords

adolescent; human; Adolescent; mental health; Suicide; male; case report; quality of life; suicidal ideation; depression; aggression; article; fear; psychologic test; hospital patient; attention deficit disorder; escitalopram; methylphenidate; frustration; drug dose reduction; maternal behavior; child neglect; morning dosage; Maternal neglect; Maternal treatment noncompliance