cross-posted from: https://lemmy.world/post/8180477

Why this is significant: There is no currently known treatment to stop suicidal thoughts when they happen. Antidepressants take 4-6 weeks to start working, and they don’t work for everyone. Therapy also takes time. Our best option for acutely suicidal people is to lock them up in a psychiatric facility until they are no longer a threat to themselves.

Intravenous ketamine offers a glimpse of hope. A single dose appears able to alleviate suicidal ideation immediately after administration and for up to a week afterwards.

  • @[email protected]
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    -211 months ago

    A single dose of IV ketamine is generally quite expensive.

    If the effects last a week, might not be worth it

      • Chozo
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        1011 months ago

        Unfortunately, those are the options most Americans have. Either pay more than you can afford to fix it or let it kill you.

        • 👁️👄👁️
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          -511 months ago

          Uh there are a lot of anti depressants out there. I pay $15/mo for mine. This is just misinfo and xenophobia.

            • 👁️👄👁️
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              210 months ago

              Anything that isn’t “any health care = bankrupt” disrupts their circle jerk lol. They don’t actually know how reality works here.

    • @ickplantOP
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      1011 months ago

      Note that this is simply because this study looked at differences for up to a week. Other studies suggest there is a more sustained effect, although it’s not permanent. Antidepressants aren’t permanent either. The argument is to get insurance to cover ketamine since it is a promising treatment for suicidal ideation (and some are starting to cover it).

      • @[email protected]
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        210 months ago

        I have read, from ketamine infusion recipients, that it was amazing at first but then their depression got worse after the initial period of relief.

        That’s the reason I haven’t done it myself. People who have enough money to keep getting the infusions swear by it. But people who don’t have some very disturbing stories to tell.

        • @ickplantOP
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          110 months ago

          That’s interesting, I’ve also heard the opposite, and I think this just shows we need way more research - and of course way more coverage by insurance. I also wonder if people who got worse had just depression or depression and PTSD. I have a personal pet theory about that (basically, I’m curious whether, if you have PTSD the infusions will make you better short-term, but you still need therapy to process the trauma to receive long-term relief - no actual research support for this yet).

      • @Tolstoshev
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        711 months ago

        About $300 per session. The ketamine itself is cheap, the doctor’s time is what you’re paying for.

        • @[email protected]
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          411 months ago

          Was gonna say, I don’t remember ket being that expensive through the, err, unregular channels. Then again I’m not in America this would just be free here.

            • @[email protected]
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              210 months ago

              Not sure what you mean with infusion, I assumed IV meant intra-venous, which, yeah some folks do that unfortunately, though now that I think about it I think it would mostly be done intra-muscular (in a muscle rather than a vein).

              • @[email protected]
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                210 months ago

                You’re saying it would be free in your country. I’m saying that this is already a practice so my question is do people already do it there and is it already free there?

                • @[email protected]
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                  110 months ago

                  Oh right, gotcha. No I have no idea if it’s done sorry, I only have information about the illegal use of it…