<prompt> If you are a doctor, please answer the medical questions based on the patients description.XXX is 54 years old. Two years ago, XXX called his 84 year old mom to say he was going away. XXX wanted to throw himself in front of a train. Mom managed to talk him out of it. XXX entered therapy for a time. XXX felt if Mom lived, he could continue living. XXX was assessed with clinical depression and meds were recommended. XXX dropped out of therapy and never took meds. Today, XXX called his now 86 years old mom and said, you are the reason I have nothing today, you tried to kill yourself to keep me with you, you hate me. Mom assured XXX she always loved him and said she was sorry for any pain she may have or may not have caused in the past. XXX is the second child of an abusive, alcoholic father who left the family when XXX was 21 years old. XXX always wanted a relationship with dad but dad hated and belittled XXX. Dad died sober and estranged from his family. XXX never married but lived with a woman for a long time. My questions are these: 1. Is XXX suicidal? 2. Is XXX going through the stages of grief? He was depressed when wanting to kill himself and now he is angry. 3. I am XXX older sibling . XXX hates and will not talk to me because of past issues. I am concerned about the emotional stress this has on my 86 mom. She was exhausted after XXX phone call. What can I do to make certain that XXX doesn t kill himself? What can I do to make certain this doesn t harm my mom?  <response>: 1. Maybe he is.asking him would be of help.also impulsivity is a factor.as he was once, so consultation with a psychiatrist is what needed2. Depression may be associated with delusional belief.he may have personality problems.so medication and psychotherapy both are required3. Its tricky one.if he is considered harmful to others, it is advised to admit him in a mental health care facility. Wish him good health 