📄 Extracted Text (317 words)
Medical Care
Level: Not listed
Initials: JE Register #: 76318-054 Institution: NYM Date of death: 8/10/19
Men al Health
CL: 1
Cause of Death: Suicide (Hanging) Suicide: Y Homicide: N Hep C: N HIV+: N
Brief medical history: 66 year old white male w'th health problems noted as hypertension, hyperlipidemia,
sleep apnea, pit-diabetes, and constipation. Intake on 7/8/19. Was found unresponsive on 8/10/19 with
ligature marks around neck and posterior mottling.
Medication history:
Psychotropic medications: None
Non-psychotropic medications: Sliding Scale Insulin (expired 8/7/19), Omega 3 (Vascepa), Docusate, Milk
of Magnesia
OTC medications: Vitamin C, Halls, Hydrocortisone, Tylenol, multivitamin
Compliance/adherence: Adherent per self-carry refill history
Drug-Drug interactions: None
Drug-Disease interactions: None
Pertinent objective data:
7/30/19: Seen by physician for numbness in right arm, sleep apnea. Noted to previously have been on
Toprol XL — Not ordered; however, all blood pressure and pulse readings in flow sheets within normal
limits.
Pertinent labs:
7/9/19: HbAlc: 6.3%, Total Cholesterol: 216, Triglycerides: 413, HDL: 31, Glucose: 102
Suicide specific data:
Location of suicide and method: CelUasphyxiation
Mental Health diagnosis: None
Enrolled in mental health clinic: No
Followed by psychology/psychiatry: Yes - Last encounter in PDS from 8/8/19 — denied suicidal ideation,
intention, or plan. Had a cell mate, and interacted with him. Noted that he did not appear to be in distress
and SHU staff did not report any unusual behaviors.
PDS encounters daily from 7/23/19 through 8/1/19
Prior to incident below, PDS encounters noted on 7/8/19(intake), 7/9/19, 7/10/19, 7/11/19, 7/16/19, and
7/18/19
History of past suicide attempts and description: Placed on suicide watch on 7/23/19. Noted to have an
incident with string/rope around neck causing damage. Denies self-harm or knowledge of the incident.
Was drinking water and then woke up snorting.
History of drug abuse: Denied
SENSITIVE BUT UNCLASSIFIED (SBU)
EFTA00040939
Summary comments: No additional summary comments regarding death. Psychology information and
timeline available in PDS.
SENSITIVE BUT UNCLASSIFIED (SBU)
EFTA00040940
ℹ️ Document Details
SHA-256
afc50a9b672543ccdf6f3089d1e5ec82bbb6ee19996046c7076bb39f16c6671f
Bates Number
EFTA00040939
Dataset
DataSet-9
Document Type
document
Pages
2
Comments 0