2. Case Presentation 1
A 51-year-old female with a history of bipolar disorder presented to the ER claiming she was feeling suicidal.
She had jumped from a second story window and c/o pain in her back and both ankles. She was alert and
oriented, but combative on admission to ED. C-collar in place, handcuffed to stretcher. “I was on the floor, my
husband was trying to hurt me, so I jumped.” “I wanted to hurt myself, and I wanted to hurt my husband.”