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EFTA00040939

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Initials: JE Register #: 76318-054 Institution: NYM Date of death: 8/10/19 Medical Care Level: Not listed Men al Health CL: 1 Cause of Death: Suicide (Hanging) Suicide: Y Homicide: N Hep C: N HIV+: N Brief medical history: 66 year old white male w'th health problems noted as hypertension, hyperlipidemia, Intake on 7/8/19. Was found unresponsive on 8/10/19 with mottling. sleep apnea, pit-diabetes, and constipation. ligature marks around neck and posterior Medication history: Insulin (expired 8/7/19), Omega 3 (Vascepa), Docusate, Milk Tylenol, multivitamin -carry refill history Psychotropic medications: None Non-psychotropic medications: Sliding Scale of Magnesia OTC medications: Vitamin C, Halls, Hydrocortisone, Compliance/adherence: Adherent per self Drug-Drug interactions: None Drug-Disease interactions: None Pertinent objective data: in right arm, sleep apnea. Noted to previously have been on pressure and pulse readings in flow sheets within normal 216, Triglycerides: 413, HDL: 31, Glucose: 102 7/30/19: Seen Toprol XL — Not limits. Pertinent labs: by physician for numbness ordered; however, all blood 6.3%, Total Cholesterol: 7/9/19: HbAlc: Suicide specific data: - Last behaviors. 8/1/19 on encounter in PDS from 8/8/19 — denied suicidal ideation, with him. Noted that he did not appear to be in distress 7/8/19(intake), 7/9/19, 7/10/19, 7/11/19, 7/16/19, and Placed on suicide watch on 7/23/19. Noted to have an Denies self-harm or knowledge of the incident. Location of suicide and method: CelUasphyxiation Mental Health diagnosis: None Enrolled in mental health clinic: No Followed by psychology/psychiatry: Yes intention, or plan. Had a cell mate, and interacted and SHU staff did not report any unusual PDS encounters daily from 7/23/19 through Prior to incident below, PDS encounters noted 7/18/19 History of past suicide attempts and description: incident with string/rope around neck causing Was drinking water

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