Content area
Abstract
Among the psychopharmacological interventions, antidepressant drugs, which reduce depression and thereby also the suicidal ideation, may rarely induce agitation and suicidal ideation as an adverse effect;[10] this is more likely in pediatric subjects and young adults,[11],[12] and in all age groups, at the time of antidepressant initiation and antidepressant dose uptitration.[...]suicide risk is one context within a major depressive episode in which the use of ketamine has been specifically suggested.[21] These authors [21] searched electronic databases and other sources and identified five clinical trials (pooled n = 99) that assessed outcomes at or within 4 h after a single session of intravenous (iv) ketamine in patients with current suicidal ideation.[...]should subanesthetic dosing with ketamine enter mainstream psychiatry as an intervention for the emergency management of depression and suicidality, and for the management of refractory depression, then psychiatrists and postgraduate students in psychiatry will need to receive training and privileging for the administration of ketamine, much as they do with regard to ECT.