• Apytele@sh.itjust.works
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    2 hours ago

    Or “PDW” when I’ve got 2 minutes to write down your life story before moving on to the next patient in handoff. It’s not uncommon for me to scribble down something to the effect of:

    “PDW w/o plan iso ++life stress” (passive death wish without plan in the setting of multiple life stressors)

    multiple times per assignment. Like out of a six-patient assignment for the night I’ll probably write that at least twice.

    If it’s only one specific stressor or I’m not too pressed for time I may specify. Common specific stressors include:

    • homeless (most common)
    • job loss
    • SO/mom/dad/sis/bro/pet/fam died (usually only one buuut)
    • charges
    • SUD (substance use disorder)
    • chronic ill.

    …but yeah people be checking into the psych ward for passive death wishes that all the time. 9/10 times the stressor is homelessness and realistically many are exaggerating a little for 3 hots and a cot but I probably would too tbh and I also really don’t wanna live in a world where we gotta question the validity of somebody’s expressed suicidal ideation.