Resolution of Severe Suicidality With a Single Electroconvulsive TherapyKobeissi, Jamal MD; Aloysi, Amy MD; Tobias, Kristen BA, MD; Popeo, Dennis MD; Kellner, Charles H. MDJournal of ECT: March 2011 - Volume 27 - Issue 1 - pp 86-88 doi: 10.1097/YCT.0b013e3181da842a Case Reports Abstract Author Information Electroconvulsive therapy is a rapid and effective treatment of severe depression that has been shown to quickly decrease or eliminate suicidal thoughts and behaviors. We describe the case of an 88-year-old man hospitalized for a carefully premeditated suicide attempt with highly lethal means. He was treated with a single electroconvulsive therapy (ECT) and improved markedly. His suicidal ideation remitted, and the patient was still free of suicidal ideation at 5 months of follow-up. We discuss the effect of ECT on suicidal ideation, the benefit of minimizing the number of total ECT treatments, and the possible biological markers of change after a single treatment in an ECT-naive patient. From the Mount Sinai School of Medicine, New York. Received for publication November 13, 2009; accepted February 4, 2010. Reprints: Charles H. Kellner, MD, The Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1230, New York, NY 10029 (e-mail: firstname.lastname@example.org). © 2011 Lippincott Williams & Wilkins, Inc.