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depression, 1. self-directed violence � hx of suicide attempts-this admit plan to hang self, suicide note written, friend interrupted � sleep (~3 hrs night) � triage urine positive for benzodiazepines (rx mogadon), methadone (rx), barbiturates (?) etoh (26 mmol l) in er mar. 17 03 � hx of physical, verbal & emotional abuse � kids taken by social services aug 02 � lack of social support (only methadone program) � quit using cocaine 3 yrs ago ~ methadone program x 3 yrs � groups � open to seeing addictions counselor for support (1st time) � imipramine 10 mg po tid (antidepressant cocaine w d) � trazodone 50-100 mg po hs (antidepressant anxiety cocaine w d) � methadone 65 mg po od (narc. analgesic- tx cocaine abuse) , ip i � adjustment disorder w depressed mood cocaine abuse in remission & other substance abuse (methadone program) suicide attempt ii � n a iii � atrophied kidneys d t etoh abuse hepatitis b positive iv � insomnia recent breakup w common-law hx of physical, verbal & emotional abuse loss of kids to social services foster home family hx mom same (admit x 1), uncle etoh abuse (died recently) v � gaf = 50 1� assessment � suicide, elopement-close