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Ketamine Use for Suicidal Ideation in the General Hospital

Case Report and Short Review

VULSER, HÉLÈNE, MD, PhD; VULSER, CLAIRE, MD; RIEUTORD, MARION, MD; PASSERON, AMÉLIE, MD; LEFEBVRE, DIDIER, MD; BAUP, EMILIE, MD; SEIGNEURIE, ANNE-SOPHIE, MD; THAUVIN, ISABELLE, MD; LIMOSIN, FRÉDÉRIC, MD, PhD; LEMOGNE, CÉDRIC, MD, PhD

Journal of Psychiatric Practice®: January 2018 - Volume 24 - Issue 1 - p 56–59
doi: 10.1097/PRA.0000000000000282
CLINICAL CASE DISCUSSIONS
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Low-dose infusion of ketamine may have rapid antisuicide properties. Such a treatment may therefore be useful in the general hospital to prevent suicide in an environment that cannot be made safe enough. We report on the use of ketamine as an efficient, well-tolerated treatment for persistent suicidal ideation in a patient hospitalized in a general hospital after a severe suicide attempt. Based on data in the literature, we suggest that the benefit-risk ratio for ketamine use in such a context is highly favorable.

H. VULSER, LIMOSIN, and LEMOGNE: Service de Psychiatrie de l’adulte et du sujet âgé, AP-HP, Hôpitaux Universitaires Paris Ouest; Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine; and Inserm, U894, Centre Psychiatrie et Neurosciences, Paris, France

C. VULSER, LEFEBVRE: Service d'Anesthésie Réanimation, AP-HP, Hôpitaux Universitaires Paris Ouest, Paris, France

RIEUTORD, BAUP, SEIGNEURIE, and THAUVIN: Service de Psychiatrie de l’adulte et du sujet âgé, AP-HP, Hôpitaux Universitaires Paris Ouest

PASSERON: Service de Médecine Interne, AP-HP, Hôpitaux Universitaires Paris Ouest, Paris, France

The authors declare no conflicts of interest.

Please send correspondence to: Hélène Vulser, MD, PhD, Unité de Psychologie et Psychiatrie de liaison et d’urgence, Hôpital Européen Georges Pompidou, 20 rue Leblanc, 75908 Paris Cedex 15, France (e-mail: helene.vulser@aphp.fr).

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