Owen Owen Hughes (9398)

Admission Details for Patient: O O H (9398)

Gender: Male Age: 51
Marital Status: Married Religion: Baptist
Occupation: Slate quarrier
Address: Llanberis, Carnarvonshire

Date of Admission: March 18, 1920
Date of Death: April 21, 1921
Cause of Death:

Disease: Mental depression
Supposed Cause: Illness

Medical Certificate:
He has been under observation for about 12 months and treated with hypnotics. He is stupid, stares, refuses to answer questions and talks to himself. He thinks it better to die and told me that he tried to hang himself twice and that the world had gone wrong and was against him. His wife and the Revd. A. George, Bron Eilian, Llanberis, corroborate this evidence. He told his wife he would kill her and himself. She is afraid of him. He talks to himself about her being killed, he also told her he would get up in the night and put an end to his life in the lake. He took the picture cords down and she says she has seen marks of the cord on his neck at least twice. He wants to get out at night and ran out the other day in his shirt. He asked her to get a gun or a knife so as to do away with himself. He struggled to get hold of a lighted candle to set fire to the house. Dr. John Roberts, LRCP, Llanberis, 18th Mar 1920.

Approximate duration of present attack: Over 12 months

Number of Previous Attacks: 0

Number of Previous Admissions: 0

Number of Subsequent Admissions: 0

Total Number of Admissions: 1

Relatives affected: Uncle on mother's side/Parents depressed also

Epileptic: No

Suicidal: Yes (threatens)

Dangerous: Yes (threatens)

Clean Habit:

Food Refusal:

Sleep Habit:

Destructive Habit:

Disposition: Temperate and steady

Education:

Physical/Mental State at Examination: Poor health and condition. Suffered from Pneumonia and Influenza 2 yrs ago. Illness is suggested as a cause for present attack. Mother and a sister died of consumption. On admission he is very depressed and fed up with life, exceedingly nervous and tremors on being touched. Gait is unsteady.

Current Diagnosis: Depressive episode (F32.2)

Case Notes

1920 Mar 22 (copy) - Suffering from Mental Depression. Very apprehensive and states that he feels very low and that he is tired of this life. Very nervous and shaky and at times very resistive.

There is difficulty in persuading him to take his food.

28 - Very weak and depressed.

Lies in bed all day without saying a word.

Apr 5 to Oct 1 - Notes indicate no change.

Nov 11 - Has been in the Sick Ward with an attack of diarrhoea and a slight temp.

Sullen and resents the attendants' services.

Dec 3 - Getting up today after 3-4 days in bed with some dropsy of feet.

1921 Jan 1 - Remains feeble, resistive and bad tempered. Silent if left alone but will swear and strike out if asked questions.

Feb 23 (copy) - Suffering from Mental Depression. Becoming demented. Very curt and offensive in his conversation. Becoming dirty in his habits.

Mar 28 - Some diarrhoea this last few days and off his food.

Mental condition hopeless.

Apr 5 - Still in bed with slight amount of diarrhoea.

21 - Died this afternoon after a prolonged stay in bed of Senile Heart Disease aggravated by Mitral Regurgitation.

Medications/Treatments: