Retrospective data analysis to determine the effectiveness of intravenous ketamine therapy on patients suffering from depression with suicidal ideation
Industrial Psychiatry Journal – January 01, 2023
Source: CrossRef
Summary
Intravenous ketamine therapy offers a promising, rapid intervention for severe depression accompanied by suicidal thoughts, serving as an alternative to ECT. A retrospective analysis of patient treatment records revealed significant improvements in both depression symptoms and suicidality across all assessment points following ketamine administration. This suggests ketamine is an effective option for individuals requiring urgent psychiatric care, particularly when ECT is declined due to stigma or perceived risks. The findings underscore its value in managing acute mental health crises.
Abstract
ABSTRACT Background: Depression is often a debilitating and recurrent psychiatric disorder. Depression with suicidal ideation, being a psychiatric emergency, often needs intensive intervention such as Electro-Convulsive Therapy (ECT). ECT may be refused because of stigma and perceived risk. Intravenous ketamine therapy, being an alternative to ECT for quick response compared to routine pharmaco-therapy, is analyzed to determine its effectiveness. Methods: Among patients suffering from depression with suicidal ideation, intravenous ketamine therapy is routinely offered as an alternative to ECT to the needy in the Department of Psychiatry affiliated with a teaching institute. There is a standard operative procedure laid down for ketamine therapy. Baseline and periodical assessment of depression by Hamilton Depression Rating Scale and suicidality by Columbia Suicide Severity Rating Scale is a part of it. Taking advantage of it, retrospective data analysis was done to determine the effectiveness of the therapy. Result: Significant improvement of depression and suicidality found at all the evaluation points after intravenous ketamine therapy. Conclusion: Intravenous ketamine therapy is an effective alternative to ECT among patients suffering from depression with suicidal ideation.