Nursing care of depression with suicide attempt due to cannabinoid use: Case study

Abstract

     This study was case study aimed to study nursing care of depression with suicide attempt due to cannabinoid use. The male patient 22 year olds. General employee, Occupation. visited to In Patient Department in Nonsung Hospital on 8 November 2024. Mother gives history that One day Suicidal attempt by hanging. 5 days ago, He cut his right wrist. Haven't had treatment anywhere before. 1 year of stress, thinking too much, unable to sleep, hang out with friends who using drugs, smoking cannabis for 1 year. No underlying disease. Urine test results did not find any drugs in the urine.
     Result : Depression assessment 9Q= 8 points, 8Q= 26 points. Diagnosis : Major depressive disorder with severe suicidal idea. Doctors considered him to be admitted to Non Sung Hospital for treatment. Suicidal precaution. Treat with Nortrip (25) 1x1 hs , Fluoxetine(20) 1x2 pc , Clonazepam (0.5) 1x1 hs. Nursing care to monitor for repeated self-harm by evaluating symptoms. Depression and the risk of self-harm. Build a therapeutic relationship. Nursing care to take medicine according to the doctor's treatment plan. Make the environment safe. Teach the patient to recognize negative automatic thoughts. Encourage patients to shift their view of themselves towards the future. Raise awareness of the dangers of cannabis to prevent relapse into use. Assess substance use using stages of change theory. Enhance motivation for therapy By giving advice on problems that patients need help with and reviewing long-term goals step by step. Behavioral change. The patient's stage of change is in the stage of realizing that there is a problem (Contemplation stage) . Knowledgeable about cannabis and drugs But I'm not sure I can quit. Because I still have friends. Discharge plans have been made with D-METHOD guidelines to educate relatives and patients upon return home. While in the hospital, the patient did not injure himself again. Doctors allowed him to go home on November 11, 2024. Make an appointment to Follow up at the mental health clinic. Non Sung Hospital, November 25, 2024. Patients come for checkups according to their appointments. Take medicine continuously. No thoughts of harming yourself. Do not use drugs. Urine drug test results were negative.