Kildal, Blake R.

[Blake Riina Kildal]

Name: Kildal, Blake R.

Age: 17

Date of Birth: February 14, 1993

Race: Caucasian

Blood Type:[/b] O-

Medical History

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Allergies:
None

Current Medications:
BCP

Family History[/b]
None that she is aware of

Surgical History[/b]
None

Visits:

October 12, 1996
Routine check up; noted that weight gain was not sufficient, scheduled to come back in one month.

November 14,1996
Everything was normal; slight cold.

February 18, 1999
Child was small; in the lower ranking percentiles for her age. Ran blood tests, nothing wrong. Advised parents that she was going to be small for her age and size, would not grow more than 5'4". Parents were going to be divorced; advised counseling for the child. Was stated to take care of it.

June 28, 2001
ER visit; broken arm from playing outside. Mother was not present; step-father was. Asked about the injury, was stated that she was camping at the time. Step-father did not know about it; neither volunteered more information.

August 13, 2001
Cast was taken off; signed up for physical therapy. Showed up with mother who was not attached and distant, child was skittish around others and quiet, reserved.

July 19, 2004
ER visit; She weighed 65lbs at time of check-in. Did not seem worried nor portray signs of anorexia nervosa. Was unconscious and remained that way for a few days. IV lines, noted a few faint scars on arms. When asked, was told from being outside. Set up with a counselor who said she was fine after an hour conversation. Released on August 1, 2004.

December 12, 2004
ER visit; brought in with deep cuts to her wrists, across the arm. Also vomiting from taking pills. Stomach pumped, wrists stitched up. Set up with more in-depth counseling to be completed outside. Released on December 16, 2004.

June 8, 2006
OBGYN visit. Said she was sexually active, no parent present. Prescribed BCP for irregular period and to help with cramps. Spoke about using protection and risks. Understood them.

April 7, 2007
ER visit. Weighed in at 70lbs. Was barely conscious, swaying, dizzy. Brought in by good samaritans who found her alongside the roadway. Parents contacted and informed. Fed IV tube, took food well enough. Spoke about home life, stated everything was fine.

July 15, 2008
ER visit; unconscious and stomach full of pills, blood alcohol level of .20. Pumped stomach and set up with IV line, kept for one week. Lectured about dangerous habits.

May 6, 2009
Brought in by police for psychological questioning and covered in blood. No superficial or tissue injuries. Psychological evaluation revealed depression; biological nature with environmental factors. Revealed long-term neglect and emotional abuse by mother, neglect by fathers. Child has suffered severe emotional abuse alongside physical disturbances looking at past medical history. Flagged for low-priority possible suicide watch. Past history of attempts that were brushed off.

Patient does not have full understanding of emotions or relationships. Is skittish around others and very untrusting. Turned violent once when given medicine with a needle; hallucinations reported by the staff as the trigger. Extensive emotional damage done. Recommended to Ridgestone.

April 14, 2010
Brought to infirmary with deep stab wound to right shoulder. In and out of consciousness. No nerve damage to shoulder, expected to make full recovery. Kept for overnight observation then released with sling.

May 14, 2010
Brought to infirmary extremely weak and malnourished, in critical condition. Weighed at 70lbs. Unconscious and reported of having dizziness, lethargy, swaying and being tired all the time. In critical condition.

[Blake Riina Kildal]

Psychological Evaluation

Visit History

July 19, 2004
Patient came in to the ER, followed up with mandatory evaluation. Patient was well spoken and intelligent, answered questions calmly with thought. Did not have any abnormal observations. Patient was normal.

December 12, 2004
Apparent suicide attempt. Spoke with the patient at length and probed. Seemed no more than a cry for attention. Total visit length was three hours. Recommended follow-up be scheduled; did not show to follow up.

May 6, 2009
Patient was brought in by police for mandatory psychological evaluation. Murder suspect in the slaying of her parents. Does not admit to the crime nor pleads innocent. Spoke with her at length over a period of weeks. Determined she is emotionally unstable and that patient has a chemical imbalance to explain depression but does not require medication at this time. Recommended flagged for dangerous suicide attempts; does not follow normal patterns for males and females.

Family history was bad. Emotionally abused and neglected by mother throughout entire life, has no self-esteem. Uses sex as a way to feel wanted by others for a short time. Quiet, reserved, well-mannered. Did not press about family life in first meetings, let her talk.

Later meetings proved that she has no concept of relationships within the world, has not had a friend nor any idea of family connections. Cannot understand how to relate to others, recommended additional counseling and therapy for later. Recommended taken to Ridgestone, rather than jail.

Patient family reveals that mother often told her that she was unwanted, wished her dead and described in detail how mother wanted to kill patient as a child. Child has no concept of how to function within society, spent days or weeks kicked out of house with no concern for well-being. Difficult to get close to, trust is an issue for child. No siblings and no other family. Pessimistic about outcome; there is truth.

Child has no guidance and will not last long alive or outside of jail. Recommend that be transferred to jail upon reaching age limit of Ridgestone. Child may be prone to violent outbursts when probed too much, goes very quiet and stares off into space. Does not respond well to touch or soft voices. Yelling produces a fight trigger.

Isolation is an issue. Does not respond well to being left alone for extended periods of time. Patient will go catatonic for duration. No roommate; may feed depressed behavior as well as trigger violent outbursts. Outbursts are followed by sincere guilt and empathy to victims; no memory of what has occurred during outbursts.

Exercise caution around child. Use restraints when fight is triggered, lockdown in a room is recommended as well. Use isolation as a last resort.

Seems little positive outcome for child; prognosis for life is that she will not last long, suicidal attempts get more and more violent if clumped together rather than spread out over a period of months. Seems to posses no will to live and a callousness about her own life against others; would rather keep others alive than herself.