NARRATIVE REPORT PAGE_1 OF 3 x£] supp □ c0rr □ dei ,^^ 03 the blade with her hands and pulled it from Suspp.cW ik| /\a l ' s qrasp. 04 Victim/ bn.c>e(AK^said she ran, from thp bedroom, toward the side door 05 with the knife in her right hand but Suspect,/ f4()SAj caught her from 06 j i -—-- behind. She stated Suspect/ HftS^t Pushed the door shut before she 07 could get outside. She recalled that Suspect/ /^(5^a1 began hitting 08 her on the head with a hard object. She stated, "From the corner of 09 my eye it looked like a wrench". She interjected that she only 10 questioned it was a wrench, because her wounds were not consistent 11 with being struck by a wrench. She stated that, during the struggle, 12 she was able to push the door open but dropped the knife in the 13 it process. Once outside, she ran for help and was not pursued. MEDICAL INFORMATION Also on 8/1/ I. Det. fef\n^r. was 15 contacted by Subject/^/^^ of Univ. of Mich. Hospital. She indicated 16 that, prior to release, Victim/^?\\J)^X{](^f] was seen by a psychiatrist, 17 Dr. (yfij/^i i and the Forensic Pathologist, Dr. Kaplan. She 18 indicated that Dr. concluded Victim/^AoC/lA^ was not in 19 the state of mind to self-inflict injury. She indicated that Dr. 20 f*^"( photographed and determined the angles of injury. He indicated 21 they were not self-inflicted. 22 Later, Dr (^fi (j_y\ contacted me directly. He stated that the 23 psychiatric consultant, Dr. *0$JCl , had asked him to check Victim/ 24 ^Wo-CyWJUV s wounds • He recalled that Victim/^]/\PL&\[Y\0Jf\ rehashed the 25 incident for him, prior to his analysis; (Note:It was consistent with 27 her statements to me). Dr. ^)f[cJL indicated he took photos and diagrams of Victim//^\\D-0/)A(Kf\' s injuries and the patterns were not oa NARRATIVE REPORT PAGE_3 OF 3 xH supp □ corr □ del DATE day shift platoon badge 1 badge 2 incident Q Cm arrest Q unf prim class yr incident number 08-12- ( MON 02 04 3044 | , d cl* except h ,nact }30iQ-^ l, | ,8^65, 02 03 _rnnri ^TTut" T-J*if"}n ^rn"1^ " I f] i r^or3 ~ ~ • *n ~_yT-i J -f-Tnci f i— r- -f- n 1 ~ „ — i.._ 04 l-uu^ij llhl tvj.l.11 oc-lj. iULiit-LCLl YVO UilLiS . lie SCLlCi Lilc liOilLaX neCK wounds fiould hp rp! f-i nf 1 i rtpri hnt tY\P wniTpris nn h^r finnprq nands 05 and arms were defensive in nature. Ke stated that the injuries to the 06 back of her neck, shoulder and face were improbable self-infliction 07 wounds and he "overwhelmingly" believed they had resulted from an 08 attack. Ke indicated there were no visible injuries to the back of 09 Victim/ ^lAyO-dmA-IV'^ head; but noted it was tender which could possibly 10 be the result of a blow from a wrench. Dr. nfl&( stated he feels --- ■ ■- 11 comfortable enough with his opinion, and the patterns of the wounds, 12 to say he believes Victifl^/^l^/Vv^ • Dr. f^f] CM indicated that he 13 1 h would send a copy of his report to PTPD. Other, initial, medical reports were obtained from Subject/^^^^pending completion of 15 Victim/ ^ixGCfAttf)' >> official medical records. 16 STATUS/DISPOSITION Active 17 18 19 20 21 22 23 24 25 »« 27 Center for Mental Health and Cheaical Dependency 5361 McAuley Drive P.O. Box 1127 Ann Arbor, Michigan 48106 DISCHARGE SUMMARY UNIT MO: 53340 DISCHARGED: 5/24/0 IDENTIFYING DATA AND CHIEF COMPLAINT: This was the first psychiatric hospitalization for this 22-year old white single female who is a senior at the University of Michigan. Patient is adopted into the ^\\o-eyr\0^ family. She has been a Music major at the University of Michigan School of Music specializing in Voice Performance. RECENT HISTORICAL E^NTS LEADING TO PRESENT ADMISSION: The patient reports that she has been in good physical and mental health until just a little while ago when she was having romantic difficulties with her boyfriend. The boyfriend is someone who is in the process of divorce and in fact just recently obtained a divorce from his first wife. He is 22 years old also. However, recently he has distanced himself from the patient and indicated to her that he wished to terminate the relationship. Her response to this was to become enraged ;and then to become suicidal on the evening prior to this admission. She attempted to slash her wrist with a butcher knife and as a consequence she was taken to the Emergency Room at our sister hospital where depression and suicidal intent was noted by the doctor on duty and the mental health worker. Both thought that an emergent admission to the Center was necessary. The patient has done well in the Music School. Her good grades have been in performance singing. In 'the other courses of musicology she has not done as well. For some reason and I think probably the reason is significant the patient decided to change her major to Biology. She has therefore switched to the School of LS&A and has had a year in Biology and she reports to me near-failing grades. The reasoning for the switch from Music to Biology and from voice performance to the cognitive work of laboratories was not convincing. I'm sure she had a reason, but the reason is not available to her. She felt hurt and her self-esteem has been injured because of her poor performance in LS&A. The reason I mention this is that in getting to know the patient I wasn't impressed with her thinking along the lines of very considered well thought out plans. I think she is organized in an artistic? experiential mode and while I can see her as a very good performer and making use of what she told me was an excellent gift of the voice I think she'll have difficulty in cognitive activities especially where persista nee and perseverance and thoroughness are required. Center for Mental Health and Cheaical Dependercy 5 361 McAuley Drive P.O. Box 1127 Ann Arbor, Michigan 45106 DISCHARGE SUMMARY DISCHARGED: 5/24/0 UNIT NO: 153340 f INITIAL MENTAL STATUS EVALUATION: On initial interview this was a 22-year old quite attractive female who was alert, well-oriented, logical and coherent but slightly on the flip or very casual side. She looked her stated age and despite a flip quality to her speech and to sections of the first interview she was also tearful and weeping as she related the breakup with her boyfriend. She admitted to background suicide thoughts for several years past. There was a dramatic quality to the patient's presentation and I felt that she was trying to give me the answers to the questions she thought I wanted and was trying to perform in the session in a fashion that would be very pleasing to me. I don't think she had the notion of conveying to me clinical information. PHYSICAL EXAMINATION: Admission physical examination noted the patient's hypothyroidism. ; LABORATORY STUDIES: Urinalysis was a normal study. Potassium, Fasting Blood Sugar, Calcium, Creatinine, GOT, GPT, ALK PHOS, Protein, Albumin, Uric Acid and CBC were entirely within normal limits. TSH was markedly elevated at 21.4 our normal range being 0.3 to 5.0. In this connection I spoke to the patient informing her that I thought her hypothyroidism needed further attention and that she should get in touch with" Dr. Sanfield whose telephone number I gave her for follow up. COURSE IN HOSPITAL: Patient was hospitalized throughout on our open coeducational young adult unit and she was placed on suicide precautions for the first day. These ware discontinued on the second hospital day. Patient was very much interested and she said she pro fitted greatly from our session sof psychotherapy with me, group therapy on the unit and the other cognitive sessions about depression and about stress and anxiety offered in our program. By the third hospital day the patient was less depressed and beginning to respond and she was integrating quite well by the fourth and fifth hospital day. How nuc h of this reflected the patient's benefit from our therapeutic activities, versus a reconciliation that was .effected with her boyfriend is hard to say. In any event the reintegration proceeded at a rapid rate and no neuroleptic assistance was necessary. The patient informed me in the sessions that she had been in therapy with a Center for Mental Health and Chemical Dependency 5 361 McAuley Drive P.O. Box 1127 Ann Arbor, Michigan 48106 DISCHARGE SUMMARY UNIT NO DISCHARGED: 5/24/61 53340 DISCHARGE DIAGNOSES: AXIS I: Depressive Diso rder. AXIS II: Histrionic Personality. AXIS III: Hypothyroidism. AXIS IY: Severity of psychosocial stressors: Moderate. AXIS Y: Highest level of adaptive functioning past year: Fair. DISCHARGE MEDICATIONS: Levothyroxine Sodium 200 MCG q 8:00 a.m. and oral contraceptive. These were the medications that the patient has been on chronically and she vent home with her supply of these medicines. As far as neuroleptic or psychiatric medicines are concerned there were ncne. PROGNOSIS: Favorable. This is an intelligent young woman who responds to emphasis upon her thinking -functions. She very much desires to please her therapist and I believe she haVa 'very well marked histrionic personality. While the acute suicide crisis was resolved upon dischargejneverthelessj-in view of the fact that the patient admits thinking of suicide throughout the past year and did make a serious attempt one has to regard her as chronically at risk until considerably iro re intrapsychic work in her therapy is carried fo rwa rd. DISPOSITION AND AFTERCARE PLANNING: Patient returned to her apartment in Ann Arbor with plans to work in Ann Arbor through the summer and to continue with NARRATIVE REPORT PAGE__L0F_2_ SUPP □ CORR □ D£ date oat SHIFT PLATOON BADGE 1 1AD0E 2 INCIDENT |~] CLB ARflEST □ UNF PfllU class TP, INCIDENT number 08-12-. i i i i i 04, 3044 1 , , STATUS r~j CLP. EXCEPT .□ INACT 1300-2 i i i 1 1 8265 1 i i i i i ADDITIONAL INFORMATION/EVIDENCE On 8/5/ ,1, Det. , was contacted by Victim/^\[d^\N\(kV\ and Subject/ Aajindicated that they had moved back into their bedroom on Sunday, 8/4/ In the bedroom, they had found a house key which neither of them recognized as their own. Subsequently, they had investigated and learned that Victim/ ^j/yQ-^yiAflA*'s mother, who stayed with them after the attack, had found the key on Wednesday, 7/31/ , underneath the bedroom vanity. She had placed it on top of the vanity, where it remained, until they discovered it. Subsequently, they tried the key on the side door and it was able to unlock it. Realizing the key was possible evidence, they secured it in a plastic bag. Both said they had never given Suspect/ a key and neither could recall a time when she would have had access to make a key. Note, the key was stamped with the name "Julio's".) Subject/ said he had checked information ,in Lansing, and found a locksmith shop named "Julios" on Hagadorn Road and Grand River Avenue in the Brookfield Plaza.Victim.'^^J/Y^f^ and Subject^ ^-g^-f-) f)G stated they had never been there._ Additionally, Victim/ ^^f](}tJfY)Alf\ had drawn a picture of the knife used to attack her. Subject, recognized the knife as ,possibly being, a "ghurka knife". He said Suspect has a knife collection and he remembered seeing "ghurka knives" on a vanity beside her bed. (Note: A friend, Sa| j