Patient is a 16-year-old female presenting to the emergency department with concerns for psychiatric evaluation. Patient states that she is here because she has had suicidal thoughts. She states that she “acted out” at home today. She reports that she was recently hospitalized at Prairie care for a month and 1 week. She states that she was “kicked out of residential” because of frequent outburst. Patient states that she did not feel as though she was getting the help that she needed. She reports that she felt as though the workers there were talking about her. She states that today she again felt more suicidal. She states that she cut her arm with the top of a container. Denies any recreational drug or alcohol use. She denies other concerns at this time.

Previous psychiatric diagnoses include PTSD, RAD, Dysthymia, GAD and ADHD. She has had 2 previous psychiatric hospitalization(s). Most recent psychiatric hospitalization was 3/22/26 at Prairie Care, Altru health 2/12/26 for 13 days. Prairie Care in December 2025 due to behavioral escalation and SI crisis. . She admits current or past partial programs or residential programs. She was at Prairie Care Residential for one month. She had to leave due to her behaviors like hitting, screaming, biting and trying to kill herself. She denies psych testing. She admits to 1 previous suicide attempt(s): In December jumped in front of a car. She admits to engaging in self-injurious behavior. Last SIB Today cut her left inside forearm.