What a dreadful position to be in. My thoughts are with you.
In my opinion this chap is an immediate risk to others' safety (particularly the poor jogger's life). It is a myth that verbalising self harm or harm to others means it won't actually happen. He has made plans on how to do it and therefore is statistically much more likely to go ahead. 
It is one of the few times I would breach confidentiality and contact the police (even though they apparently know about it ... but you do only have his word that they are involved).
Then you can go and have a nice holiday :)
Kind regards
Liz

On 11 Jan 2013, at 07:41, Tracy Turner <[log in to unmask]> wrote:

> Good Morning. I wander if I can have your advice please especially those in mental health. Yesterday saw a gentleman who requested a self referral and wanted HR to be present.
> He had signed himself off with stress the day previously. He informed me that he had been experiencing unnatural thoughts towards meat. When I asked him what these thoughts were he replied. I want - wanted to eat human flesh. I asked him if he had ever thought how this would be achieved and he replied. Oh yes there is a jogger who lives near me and I planned to run him over and then take the body and eat it. I knew where to could be stored and everything. 
> He informed me that he was receiving psychiatric care and that the recovery and crisis team were involved who had informed the police. He was angry that they had been informed as he thought it was unnecessary to do so.
> He stated that he has previously suffered with mild depression and anxiety but since September he had various family issues father with dementia and brother with cancer and he was having difficulty handling the stress.
> He reports that he still has the thoughts of canabalism but he knows not to act the thoughts out. He has said that his medication is being increased.
> He had increased his drinking to 4 strong cans of cider per day. He had one can of cider before attending clinic.
> He lives with a lodger and wants to come to work for financial reasons and says staying at home will affect his health more.
> He has a meeting with GP today and wants to return to work on Monday. He works in an abattoir.
> I with his consent contacted his GP as concerned he was going to be at home without support. I was advised that it would be discussed at todays appointment otherwise for me to contact the Crisis Team. I contacted the crisis team and they advised me they were only asked to do a few tel calls to the man and to discuss with the CPN. I could not locate the CPN. He confirmed that he did not  have thoughts of suicide. 
> My plan is for him to remain away from work until I have a full mental health history and I am trying to arrange a meeting with his CPN to obtain this. However HR are fully aware of all the details as they were present and they are horrified. Thankfully I am away for the next 2 weeks but when I come back I have important decisions to make. I will have limited use of email but will read any advice on my return so please offer what you can! He has said that he is being honest and test I have not kept him in work and that he has a mortgage to pay. I am concerned I do not know the full facts and that he continues to be a rsk not only to himself but others. I am also concerned that he will deny the thoughts in future in order to return to work. I am a stand alone practitioner with very very apprehensive HR team at the moment!!
> 
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