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Sam T. is a 62-year-old man whose wife recently died of leukemia. His only son moved to California 2 years ago with his daughters. Sam has been caring for his wife for 3 years before her death and has become withdrawn and despondent since her death. He is now in the emergency department after a “fender bender” and is getting two stitches on his ear; his blood alcohol level is 0.6. He does admit to being very depressed after losing his wife. You ask Mr. T if he has thought about killing himself, and he says, “Well, there is always a last resort, isn’t there? “When you question him about the lethality of his plan, he admits to having a gun in the house for protection. 

1. How many risk factors does Mr. T have? 

2. Do you think he needs hospitalization? If not, what should be put in place before he returns home? Explain the rationale behind your answer. 

3. What are Mr. T’s needs? What kinds of referrals do you think would help him deal with this crisis? 

4. What do you think about the “fender bender”? 

5. Name at least three groups in your community to which

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