Admission Details for Patient: Ellen Jones (6560)
Name Mismatch: 6560 , 6547
Gender: Female Age: 28
Marital Status: Single Religion: Baptist
Occupation: Domestic servant
Address: Tremadoc, Carnarvonshire
Date of Admission: April 18, 1905
Date of Discharge: December 18, 1906
Discharge Category: Recovered
Disease: Melancholia
Supposed Cause: Not known
Medical Certificate:
A vacant appearance, incoherency of speech, a profession of disconsolate realisation of her sin and escape threrefrom, a sense of an impulse to injure herself and others.
Owen Jones, her father, states that on Sunday morning last she got up about 2.00 am. and went downstairs and brought 2 knives and inflicted grevious harm on her brother's throat.
Dr. W. Jones Morris, Isycoed, Portmadoc.
Approximate duration of present attack: 112 days
Number of Previous Attacks: 0
Number of Previous Admissions: 0
Number of Subsequent Admissions: 0
Total Number of Admissions: 1
Relatives affected:
Epileptic: No
Suicidal: Threatened and attempted
Dangerous: Yes
Clean Habit: Yes
Food Refusal: No
Sleep Habit: Good
Destructive Habit: -
Disposition: Avery intelligent and respectable girl
Education:
Physical/Mental State at Examination: Health good. Patient is a cook and has always borne the highest character, she became depressed in Service in Heswall about 4 months ago and returned home, recently she has become directly suicidal and recently attacked her brother and tried to cut his throat, no cause evident.
Current Diagnosis: Depressive episode (F32.3)
Case Notes
1905 Apr 22 - A nice pleasant featured girl of average height and build. Well nourished and healthy. Brown hair, fair complexion, brown eyes. She seems to be suffering from mild depression, feelings of mistrust of herself, and of something to happen to her, associated with (she says) attacks of an impulsive nature in which she wishes to harm herself or somebody else.
She states that she blushes very readily and that this has so preyed on her mind as to cause her present mental symptoms; she thinks it is noticed by others who place their own construction on it. Eats and sleeps well.
May 3 - Bright and a diligent needlewoman showing no trace of excitement or indeed of anything very much amiss. 19 - This patient has recently become worse and is now decidedly a source of trouble and uneasiness to others. She imagines she has no right to food, and refuses to take it.
She thinks it best that she were dead and is very pressing to be allowed to get out alone for a minute or two.
Today she got away over the rails and when brought back to me (who saw her run away) she wanted to get to the station, and when asked what for, said to put herself under a train.
This she could easily have done for she is sly and apparently quite sensible to those who do not know her.
She is under a Special Caution Card.
Aug 10 - No change.
Persistently demands her discharge.
Nov 6 - Much brighter and takes interest in things and writes quite sensibly, tho same delusions and morbid ideas persist.
1906 Feb 7 - Has during the last few months got quite stout and strong.
To the ordinary casual interviewer she must seem to be quite well.
This is not so for if questioned she states that she wishes she were dead and that if she were it would remove trouble from her people and she sees no harm in doing so.
God would be pleased if she did etc. She also hears God talking to her.
She makes these statements in all seriousness and I have little doubt that were she discharged she would take an early opportunity of carrying out her wishes. She is very obstinate and quick to take offence, or take to herself remarks that are intended for others.
June 14 - Appears to have improved and is very different to what she was and it may be that it may soon be prudent to allow her a trial.
She is bright and as far as can be seen the old ideas are not in evidence.
Sept 7 - She is now out on trial for 2 months and left 3 weeks ago.
Dec 18 - This patient appears to be well for she has left home and now in service in England. She is therefore Discharged Dec 18th 1906.
Medications/Treatments:
Additional Notes
Escaped and recaptured.
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