This patient is suffering from labile mood and acute agitation for 1 week with possible delusion of jealousy, precipitated by long-term partner relational problem dating back from 4/2010. Suicide & homicide ideations are noted, without specific plan. Deterioration of interpersonal, occupational, and self-care functions is present. Please admit him to the psychiatric ward for acute crisis intervention and emergency electroconvulsion therapy. Thank you very much!!!