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History of Present Illness : The client is a 53-year-old white male, divorced, living alone, admitted to the hospital in a near-comatose condition because of

History of Present Illness : The client is a 53-year-old white male, divorced, living alone, admitted to the hospital in a near-comatose condition because of an overdose of approximately thirty tablets of Valium, 5 mg, combined with alcoholic intoxication. The client was given supportive care and was alert at the time of intake. A heavy drinker for at least 10 years, he has been unemployed from his custodial job for the past three months as a result of showing up late and missing days entirely due to being hungover. He acknowledges feeling increasingly depressed since being fired, and for the past two weeks having insomnia, lack of appetite, and weight loss of eight pounds. He indicates he wanted to die, had been thinking of suicide for the past week, planned the overdose, but had to "get drunk" because "I didn't have the guts [to kill myself]." He is unhappy and frustrated that the attempt failed, stating, "nobody can help me" and "nobody even cares." He denies having any close relationships or caring how others would feel if he completed suicide. He views death as an "escape" and states he feels relieved every time he thinks about it. He denies having

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