Acute Suicidal Ideation

Researchers performed a single-blind randomized trial with 665 patients with major depressive disorder. Participants received one of the three treatments: escitalopram plus placebo, bupropion sustained release plus escitalopram, or venlafaxine extended release (XR) plus mirtazapine. They used the Concise Health Risk Tracking Self-Report to measure suicidal ideation and behaviors. The researchers found that baseline ideation did not contribute to elevated suicide risks. They also found that the treatment group that was taking Bupropion-SR with escitalopram had the greatest effect in reducing suicide ideation. Although this study does not pertain to the adolescent population, it is useful because it demonstrates the most effective combination of antidepressants and its success in reducing suicide

There are different therapies that are used to help treat those who have suicidal ideation, behaviors, and attempts. For individuals to be successful in recovery one or more treatments may be necessary. Succession of recovery is a group effort and wiliness between individuals, family, friends, psychiatrists, and therapists. A traditional anti-depressive medication treatment is started to help reduce negative thoughts (Rovick, 2016). These medications increase serotonin levels in the brain to increase happier thoughts. However; depending on the individual, multiple medications are prescribed to target each symptom displayed. In some cases mood stabilizers or anti-psychotics are needed in correlation with the anti-depressants. Individuals with depression and PTSD are prescribed a SSRI and a medication to target the PTSD. Medications do not work quickly, the average time for depressive

Moreover, these drugs' intended effects can themselves have the unintended or undesired consequence of an increased individual risk and collective rate of suicidal behavior: Among the set of persons taking the medication, a subset feel bad enough to want to commit suicide (or to desire the perceived results of suicide) but are inhibited by depression-induced symptoms, such as lack of energy and motivation, from following through with an attempt. Among this subset, a "sub-subset" may find that the medication alleviates their physiological symptoms (such as lack of energy) and secondary psychological symptoms (e.g., lack of motivation) before or at lower doses than it alleviates their primary psychological symptom of depressed mood. Among this group of persons, the desire for suicide and/or its effects persists even as major obstacles to suicidal action are removed, with the effect that the incidences of suicide attempt and of completed suicide increase.[citation needed]

J.F. is a 42-year-old, Hispanic male who was transferred to the behavioral center for suicidal ideation, in which he planned to hang himself with cable wires. He has a history of mental illness in the family. The patient’s mother has a history of bipolar disorder, and passed away when the patient was 37 years old. The patient was emotionally and abused by a family member when he was around 8-10 years old. He had attempted suicide as a teenager by trying to overdose on pills. His medical history includes diabetes, pancreatitis, and methamphetamine use.

Individuals all over the world suffer with clinical depression, which affect their quality of life. Depression usually affects a person’s emotions, thoughts, behaviors and overall physical health. Symptoms include sadness, guilt, moodiness, loss of interest, with drawling from people, changes in sleep, decrease in sex drive, and thoughts of self-harm or suicide. The common antidepressants take at least a two-week period to take effect; that two-week period is a critical time where a patient can increase their symptoms and experience suicidal depression. The party drug, known as ketamine has recently made a big impression for neuroscientists trying to formulate a medication to help those who suffer from clinical depression in a rapid time frame. A key element in the advancement for faster medications is realizing how and why, ketamine works so quickly, in comparison to the other generic drugs that are prescribed. According to Newport, a dose of the nonselective N-methyl-D-aspartate receptor antagonist ketamine can produce a constant antidepressant effect within hours. With the amount of experiments being conducted to expand the knowledge of ketamine, the objective is to find a solution that can be used to relieve the patients who experience serious symptoms in the fastest time possible.

There are strong correlations between various factors affecting the youth of today and the suicide ideation and attempt rates among ethnic minority youth. The article “Latina Adolescent Suicide Ideations and Attempt: Association with Connectedness to Parents, Peers, and Teacher” uses various sources to collected data by organizations like the Center for Disease Control and Prevention which provide ample information about suicide ideation and attempt in Latinas compared to other non-Hispanic groups. Statistical data yields information about adolescents at a rate of 21% for suicide ideation and 14% for suicide attempts. These numbers reflect data for adolescent Latinas between 10 to 24 years of age in the United States. Among these statistics,

Mr. Morris is a 36 year old male who presented to the ED with Suicidal ideation without a plan. Before the assessment QP received a call from the patient's mother who informed QP her primary concern with her son is his substance abuse and recent thought of self harm. She reports he has expressed suicidal ideation the past few weeks since he has returned to her home. At the time of the assessment Mr. Morris denies suicidal ideation, history of attempts, homicidal ideation, and symptoms of psychosis. He does reports a history of PTSD from seeing his uncle get killed in 1999, however no mental health hospitalizations. Mr. Morris states, "No, Not really thinking about harming myself, just situational stuff." He continues to state, "I just don't see the point of living sometimes, with all the stuff been going with me these past few months, but I have 2 daughter to live for and the people who do care about me." He reports consuming alcohol most of the day and feelings of depression for the past 3 weeks. His

In the article “Club Drug Ketamine gains traction as a treatment for depression,” Jon Hamilton describes how Ketamine has a better effect on depression than most drugs or therapy methods available. Although ketamine is not approved by the FDA now, it was approved as an anesthetic back in the 1970 when it was discovered. Ketamine has been tested on patients with even the toughest depression and has shown results. In 2006, the National Institute of Mental Health conducted an experiment on patients with depression with a single intravenous dose of Ketamine and started seeing rapid antidepressant effects within a couple of hours. Dr. Feifel is one of many doctors that believe the future of psychiatry is going to include Ketamine or a derivation

There are many types of approaches when seeking help for children and teens that are suicidal . One approach is known as the humanistic approach that involve in helping clients to developed the highest potential. Humanistic approach focuses on the positive aspects of others ad self-grown including self-actualization rather than negative behaviors or past. There are theories to explore when using humanistic approach such as client-centered, gestalt, and existential

Therapeutic approaches used to treat millions of Americans with depression are failing due to the delay in the initial therapeutic effect of antidepressants after the first dose. Inverse-Frequency Analysis (IFA) of over 8 million adverse event reports from 2004 to 2016 in the FDA Adverse Effect Reporting System (FAERS) has provided new support for the antidepressant effect of the anesthetic drug ketamine. The results of the analysis revealed that patients who received ketamine simultaneously with other therapeutics had significantly lower frequency of reports of depression than patients who took any other combination of drugs for pain. The analysis also revealed that patients who were on ketamine had reduced pain and opioid induced side effects.

All articles support use of ketamine as an antidepressant but support ketamine 's scope to different lengths. Lee, Della Selva, Liu and Himelhoch (2005) state that in comparison to medications available, Ketamine is fast acting and effective. Furthermore, Szymkowicz, Finnegan, and Dale agree with this notion but to further expand, they state Ketamine as beneficial for suicidal patients. Lastly, Price, Iosifescu, Murrough, Chang, Al Jurdi, Iqbal, Soleimani, Charney, Foulkes and Mathew underline a necessary characteristic for positive results, that is, patients should be under 65 years of age.

Mrs. Delappe is a 61 year old female who presented to the ED with suicidal ideation with a plan to overdose. At the time of the assessment Mrs. Delappe denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reports relational issues with her mother yesterday and becoming overwhelmed. She reports fleeting suicidal ideation for several years. Mrs. Delappe reports a history of attempt 30 years ago. She reports a history of anxiety and depression. She reports when she gets around her mother it only takes 5 minutes before she gets anxious. Husband was present at the time of assessment. He confirms his wife does have fleeting suicidal ideation from time to time, however has never acted on them.

The patient is a 49 year old male who presented to the ED with Suicidal ideations and homicidal ideations. Patient reports increased depressive symptoms, financial issues, concerns with and individual in his was 13 years old.

According to statistics released by the United Nations Office on Drugs and Crime, (2011) majority of suicidal survivors are usually mentally ill. Such ailments affects the normal brain functioning and may include

Those who choose suicide, choose to give up on life. Many who make the decision to end his or her life is teenagers. It is no secret that the average teenager deals with a lot of emotions and difficulties. Certain situations come about that adults know will pass but to someone still in their adolescents years find to big too handle. The end of the world comes around frequently for someone between the ages of pre-teens and adulthood and sadly for them death is the only answer to the problems they are facing.