Depression, Suicide Ideation
Conditions
Keywords
depression, suicide ideation, emergency department, ketamine
Brief summary
The investigators hope to see if a commonly used drug such as ketamine could help depressed ER patients feel better and improve their mood quickly.
Detailed description
Rapid-onset antidepressants could have important clinical impact if their benefits extended to Emergency Department (ED) patients. We hope to explore the preliminary feasibility, tolerability and efficacy of single-dose, intravenous (IV) ketamine in depressed ED patients who presented with suicide ideation (SI). The manuscript (article) for this study has been retracted because Yale University conducted an investigation that determined that the description of the research was not accurate. The article misrepresents both the protocol-specified doses and the actual delivered doses of ketamine.
Interventions
intravenous ketamine(0.2 mg/kg) over 1-2 minutes IV
Sponsors
Study design
Eligibility
Inclusion criteria
* adults (\>18yrs) presenting to the Emergency department with symptoms of depression and/or suicide ideation (MADRS\>30) with ability to give informed consent. * medically stable
Exclusion criteria
* psychosis, bipolar, or other significant physical or mental illness * pregnancy * non-voluntary status * urine drug screen positive for drugs of abuse
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Montgomery Asberg Depression Rating Scale (MADRS) | 40, 80, 120, 240 minutes after administration of drug | The MADRS measures mood (depression) and item 10 measures suicide ideation. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| recruitment success and retention of subjects in the ER | initial recruitment of eligible subjects in the ER and for two weeks after administration of drug | All patient subjects are admitted and we will follow them in the hospital and for 2 weeks after hospital discharge. |
Countries
United States