Citation

Zwick T, Sharp C, Severn D, Simpson SA. Cureus 2021; 13(6): e15670.

Copyright

(Copyright © 2021, Curēus)

DOI

10.7759/cureus.15670

PMID

34277261

PMCID

PMC8282263

Abstract

Malingering is the intentional fabrication of symptoms for material gain. Malingering among frequent utilizers and patients with psychiatric symptoms is suspected to be common in emergency settings but difficult to detect and manage. We present a case report of a 50-year-old man feigning psychosis and suicidality in order to obtain shelter. Strategies to identify malingered psychiatric symptoms are presented. Understanding how malingering is adaptational can help clinicians begin to manage these patients and symptoms in a compassionate manner that preserves healthcare resources, improves patient care, and reduces the risk of burnout for clinicians.

Language: en

Keywords

suicide; homelessness; case study; emergency treatment; malingering; hallucinations; emergency psychiatry; emergency room; suicidal ideations; feigned symptoms