David Jones (6671)

Admission Details for Patient: David Jones (6671)

Gender: Male Age: 31
Marital Status: Married Religion: Calvinist Methodist
Occupation: Quarry labourer
Address: Llysfaen, Carnarvonshire

Date of Admission: December 7, 1905
Date of Death: May 7, 1907
Cause of Death: Pulm. Phthisis certified COD.

Disease: Melancholia
Supposed Cause: Heredity and previous attack

Medical Certificate:
When I examined him this morning he got terribly excited and was going to strike me and behaved in a mad violent manner. He has sleepless nights, being up most part of the time. His wife, Mrs. Jones, states that he has been treating her brutally, is sleepless at nights, he watches by the window saying he hears people outside talking, she went to stop him, is afraid of him. I believe she is not safe with him in the house and that he ought to be under restraint. Dr. Price Morris, Old Colwyn.

Approximate duration of present attack: 84 days

Number of Previous Attacks: 1

Number of Previous Admissions: 1

Number of Subsequent Admissions: 0

Total Number of Admissions: 2

Relatives affected: Sister, father (committed suicide), grandfather

Number of Previous Attacks: 1

Epileptic: No

Suicidal: No

Dangerous: Yes

Clean Habit: Yes

Food Refusal: No

Sleep Habit: Poor

Destructive Habit: No

Disposition: Steady

Education: -

Physical/Mental State at Examination: Health moderate. After being well for some time, he began to alter in manner a few months ago, insomnia came on and he gradually became worse and dangerous. There is nothing but heredity and a previous attack to account for it.

Current Diagnosis: Depressive episode (F33.3)

Case Notes

1905 Dec 14 - Has returned with all the same symptoms of Melancholia as in his previous attack. He is very depressed and dull and full of apprehensive depression.

Conversation rather silly and seems more feeble minded than formerly.

(Dates of subsequent notes are obscured by the Death Certificate)

- Had a tussle with the night warders one morning when rising. Is very impulsive and violent. - Very little change.

- Rather better. Improving slowly and working out of doors.

- Not so well. Has been very violent. - A patient not to be trusted. Has delusions leading to violence.

- Is suffering from Phthisis and is in the Isolation Hospital. Died May 7th 1907.

Medications/Treatments: Treated for TB in the isolation hospital

Additional Notes

Previous admission:

20th December 1902 (No. 6116) with Melancholia, the cause 'domestic affliction' which in this case referred to the recent suicide of his sister.

The Medical Certificate reads:

I. He is despondent and sleepless. Shows signs of a tendency to religious mania, requires someone to look after him continually. Last night at 10.30 he tried to get out thro the window and cut his right hand. II. By his mother, Catherine Jones, Ocean View, Llysfaen, Abergele: His father committed suicide (by hanging). His sister on the 10th of this month ended her life by going over Penmaen Headland into the sea. He himself at times has been despondent and absenting himself from his work thro that.

There is no doubt that he has suicidal tendencies. Discharged recovered on 22nd May 1903.

22/05/1903.