Dear Supervisors,
I hope both of you are fine via this email. I would like to report the urgent
case of my participant.
after the meeting. I immediately contacted the participant to talk to her.
As for her background, the participant is now 15 years old. There are several sensitive
issues to provoke her to have a self-harm idea in the last week. She is in a period of a few weeks (10 weeks) after
delivery (8th August 2022). Her baby was born prematurely and received
resuscitation then passed away in the seventh week after birth. This situation
affected her in various aspects, for example,
- Relationship; now she is divorced from her
boyfriend.
-
She was prohibited to go to
her boyfriend’s house where the baby’s funeral was there.
-
She is being stigmatized by
her boyfriend’s family as a bad mother.
-
She is also being
stigmatized by her grandmother in this situation which causes her to run away
from home.
The participant went to her father’s house in another province.
It seemed to be that she would not receive a welcome from the new wife of her
father and her grandmother to be there. She told me that she has a new
boyfriend who made a promise to her that he will collect her in the next few
days to live together in his house and build a new future together. This plays as the only hope that she might
think she is being wanted by people around her. However, the man whom she
called her new boyfriend was not picking her up as a promise because his wife
caught him that he is cheating on her with the participant. His wife had called
her to stop connecting with her husband. At this time, she was confused about
her life and had a self-harm idea as she noticed me last week.
After discussing with both of you in the last meeting, I was allowed to contact
healthcare providers in Thailand to refer the participant to the healthcare
system.
In the first action, I planned to implement 2 approaches, counseling and planning
to refer the participant to the healthcare system
1. I did the counseling with the
participant. I found that the participant has been self-recovering by talking
with friends and opening herself to chat with other boys via Facebook. She said
that there are many men, more than 10, who come to talk with her through
Facetime this such many men make her have no time to think of the man as called
her new boyfriend.
2. I asked her permission to get a home visit from a
community nurse team, but she was not allowed to do so. She gave the reason that
this is not her own house. If the nurse team come to the house, it would bring
a big problem for her, then she might get some effect from her stepmother or
grandmother.
3. I offered her to go to the nearest primary care center. However,
she denied the offer. She told me that she has not the self-harm idea anymore
since she has many men to talk to via Facebook. And she has a plan to go back
to her own house in Kalasin on the 13th of October, Tomorrow.
This case is challenging. Personally, I think that as evidenced by her posts on
Facebook and the ways she thoughts and speaks out, she has no suicide or self-harm
ideas. But she put herself in many ways of risk-taking especially sexual behaviors.
As I connected with the healthcare providers in both 2 areas that get involved
with the case. The staff is prompt to work with that, but the big obstacle is that
the participant does not give permission to do anything with her. This is about
human rights and regal related issues.
I write this report to inform you that as the projection for this participant,
she has minimal risk to do self-harm in the short term, but she engages in high-risk
behaviors. For this, it means that I am not sure about my role and my responsibility
to deal with this participant. It is, therefore, could you please give me a
recommendation?
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