Patient presents with suspected intentional overdose.  Presenting complaints include [specific symptoms e.g., altered mental status, nausea, vomiting, respiratory depression, pinpoint pupils].  History obtained from [source e.g., patient, EMS, family] indicates ingestion of [substance ingested e.g., unknown amount of acetaminophen, approximately 10 tablets of unknown medication] at [time of ingestion] with intent of self-harm.  Patient denies suicidal ideation currently but reports recent stressors including [list stressors].  Past medical history includes [relevant medical history e.g., depression, anxiety, previous suicide attempts].  Current medications include [list current medications].  Allergies include [list allergies].  Physical examination reveals [objective findings e.g., blood pressure X/Y, heart rate Z, respiratory rate W, Glasgow Coma Scale score of A].  Initial laboratory results show [list pertinent labs e.g., serum acetaminophen level pending, electrolytes within normal limits].  Toxicology screen ordered.  ECG shows [ECG findings e.g., normal sinus rhythm].  Differential diagnosis includes intentional drug overdose, accidental overdose, adverse drug reaction.  Assessment: Intentional overdose, likely secondary to [substance].  Patient placed on continuous cardiac monitoring and pulse oximetry.  Treatment initiated with [treatment given e.g., activated charcoal, IV fluids, naloxone].  Psychiatric consult requested for evaluation of suicidal ideation and safety planning.  Patient's condition will be closely monitored for potential complications, including [potential complications e.g., respiratory failure, hepatic failure, seizures].  Plan for ongoing medical and psychiatric care will be developed.  Discharge disposition pending psychiatric evaluation and medical stability.  ICD-10 code: T36.0X5A (initial encounter for intentional self-poisoning by unspecified drug, assault).