Suicidality
Conditions
Brief summary
Anecdotal evidence and several clinical studies found the mixed opioid agonist-antagonist Nopan to be an effective antidepressant with a rapid onset of action. It is therefore hypothesized that Nopan may be a novel and quick-acting treatment for acute suicidality. Depression, suicidality, and overall functioning will be assessed before, during and after a four-week Nopan/placebo trial. It is hypothesized that subjects who receive the active drug will show rapid improvements in objective and subjective measures of these variables.
Interventions
Nopan(0.2-1.6 mg/day, starting dose=0.2 mg/day, N=40)
Placebo in a manner similar to the active comparator
Sponsors
Study design
Eligibility
Inclusion criteria
* suicidal behavior or ideation (BSI\>6)
Exclusion criteria
* ECT history within the last month * psychotic features within the last 3 months * history of schizophrenia, substance or alcohol abuse within the last two years * benzodiazepine dependence within the last two years * any significant systemic illness or unstable medical condition which does not permit inclusion, according to the research physician * pregnant women * patients who currently suffer from severe impairment or severe dysfunction of liver, kidney, adrenal, gall, closed brain injury, urinary retention or respiratory system.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction in Suicidality as expressed by the score on the BSI | 4 weeks |
Secondary
| Measure | Time frame |
|---|---|
| Reduction in depression as measured by the BDI | 4 weeks |
Countries
Israel