My patient told me he is going to stab someone. There's nothing I can do
“I’m going to go home and I’m going to stab someone.”
Alan is in the weekly ward review meeting with a group of doctors, nurses, and students. We’ve told him we think he is well enough to leave the ward; he disagrees.
I am a consultant psychiatrist with a team working in a secure psychiatric inpatient unit, where he has been treated. He is unusual in that he has had his first psychotic episode later in life. The rest of his story is more depressingly typical; a chaotic childhood, expelled from school, periods in care and prison. He received no professional help and was left to drift between... read more
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