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Healthcaregivers' Mandatory Reporting?  

post #1 of 5
Thread Starter 
Hi all, if a patient were to tell a psychiatrist/counselor/etc that they had been feeling suicidal, would there been any larger repercussions? I.e., is it possible that CPS would get involved or that the patient could be involuntarily committed to a hospital?

I truly hope this doesn't break any MDC rules. Thank you for any responses.
post #2 of 5
I don't know. I suppose that if there was reason to suspect that the person was so overwhelmed by their depression and suicidal thoughts that there is a chance that a child be at risk because of the parent's state of mind, I am sure intervention would need to happen. These laws aren't designed to interfere (even though that is , uinfortunately, how they sometimes play out) but to protect chidlren when their parents aren't able to do so.

If I had a friend feeling this way, I would encourage her to find a support system for her child and herself and then go to a counsellor for the help she needs. Knowing that there are other adults around helping to care for the child/ren and giving the parent some relief makes a difference. If, on the other hand, I were a counsellor of any sort and someone showed up in my office with a baby or child or two in tow because she couldn't find childcare and began talking about suicidal thoughts, I would be very concerned.

I don't know at what point people are involuntarily committed to a hospital when they ar suicidal. I expect that if they are actively planning a suicide or talking seriously about it and not responding well to intervention, then they would be committed. However, I am NOT a mental health professional and I do not know for sure.

No one wants families to be separated or for children to go through the trauma of being removed from a parent. On the other hand, home can be traumatizing if a parent is unwell and there are not other family nmembers stepping in to help out and protect and care for the child while the parent works through their difficulties. It doesn't mean it isn't a loving home, but temporarily the parent cannot do it alone. I was raised by a single mother who was very unbalanced emotionally but was able to hide it well - and very good at teaching me to keep it all a secret. I talked her out of suicide countless times over the years, starting when I was a preschooler. I always had a plan in place for what to do if I woke up one morning and she was dead or if I came home from school and found her dead. Sure, my family stayed intact and CPS never got involved - but they should have. If my mother had been committed at some point and received the care she needed, our lives would have been much better once the crisis passed. I would have gone through the trauma and upheaval of being removed from my home, but I would have been spared the ongoing trauma of my mother's illness and dealing alone with her suicidal tendencies. Knowing that there were people caring about my well being would have been less traumatic than dealing with everything alone.

Can you call a local mental health association and ask some anonymous questions?
post #3 of 5
If someone is in imminent danger, the healthcare professional has a duty to act, whether it be to prevent someone from harming himself (ie via involuntary hospitalization) or to prevent someone from harming someone else (mandatory notification to the person who is at imminent risk of being harmed a la Tarasoff).

I think that the key word here is imminent. Most people who are contemplating suicide are just that: thinking about it. Usually the person does not really want to die, but wants relief from pain and suffering. It can be very helpful to talk to a mental health counselor when one is having suicidal thoughts, because then a plan can be put into place that can be activated when the thoughts become strong. Something as simple as "I will call my therapist when I am feeling like hurting myself" is considered a "safety contract" and allows the person who is feeling suicidal to have a safety net when things get bad.

If someone came in and said, "I've thought about suicide and have been hoarding up all of my pills. But I don't really want to die because of my kids. I'm just tired of living and sometimes feel like I'd be better off dead." the person is not in imminent danger. If someone comes in and says "I've thought about suicide and have been hoarding up all of my pills. I'm going to lock myself in the bathroom tonight and take them all and no one can stop me. I want to die" then that's another story. Does that make sense?

BTW if someone is hospitalized for depression, the staff will make every effort to make sure that plans are in place for someone (like a family member or close friend) to care for the kids while the parent is getting treatment. The'd much rather avoid involving CPS or similar agencies unless the children are in danger or are being severely neglected.

Hope this answers some of your questions and that everything works out well for the person concerned.
post #4 of 5
I agree with the above posts. I have worked as a mental health professional and been a patient. CPS is usually only involved if there is some sort of child abuse/neglect going on. If there really were nowhere for the child to go then they might be placed in a shelter but every attempt would be made to place them with a family member or even family friend. I have had suicidal thoughts often and have discussed them with my therapists over the years and the only times I have every been committed was when I actually attempted suicide, and even then it was technically voluntary because I wasn't going to fight it. Please don't hesitate to get help out of the fear of being committed. If you feel that you are truely at imminent risk then you could proactively come up with a plan for where your children could go if you did need to be hospitalized. I am 38w pregnant and haven't had any true suicidal feelings in awhile but I have already discussed with my husband and mother what to do if I am hospitalized(just in case I have really bad ppd). I hope that you do have some familial/friend support but if you do not then talking to a counselor is even more important.
post #5 of 5
Thread Starter 
Thank you SO much for the responses. They were really helpful and I really appreciate the time that you all took with them!
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