Resolution of severe suicidality with a single electroconvulsive therapy

Jamal Kobeissi, Amy Aloysi, Kristen Tobias, Dennis Popeo, Charles H. Kellner

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)86-88
Number of pages3
JournalJournal of ECT
Volume27
Issue number1
DOIs
StatePublished - Mar 2011

Keywords

  • ECT
  • depression
  • psychotic depression
  • remission
  • single ECT
  • speed of response
  • suicide

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