Scales and questionnaires using the Beck Scale for Suicidal Ideation. The Beck Scale is a self-report questionnaire. The items on this scale identify the presence and severity of suicidal ideation. Beck Scale for Suicidal Ideation has 19 items,preceded by a 5 item screener. Each item is rated on a 3 point scale from 0 to 2. Scores range from 0 to 48. Total scoreScores of 0 - 16 indicate low risk for suicide; scores of 16 or greater indicate higher risk for suicide.
Treatment of Suicidal Ideation With Intravenous Ketamine Infusion
Brief Summary
This study is dedicated to achieving better treatments for suicidal thoughts. Specifically, the investigators are studying the effect of a medication called ketamine to quickly treat suicidal thoughts and depression.
Intervention / Treatment
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Ketamine (DRUG)single dose IV 0.2 mg/kg ketamine
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Placebo (DRUG)saline infusion
Condition or Disease
- Depression
- Suicidal Ideation
Phase
Study Design
| Study type: | INTERVENTIONAL |
|---|---|
| Status: | Completed |
| Study results: | No Results Available |
| Age: | 19 Years and older (Adult, Older Adult) |
| Enrollment: | 18 (ACTUAL) |
| Funded by: | Other |
| Allocation: | Randomized |
| Primary Purpose: | Treatment |
MaskingQUADRUPLE:
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Clinical Trial Dates
| Start date: | May 01, 2012 | ACTUAL |
|---|---|---|
| Primary Completion: | Jan 01, 2014 | ACTUAL |
| Completion Date: | Jan 01, 2014 | ACTUAL |
| Study First Posted: | Jun 27, 2013 | ESTIMATED |
| Results First Posted: | Jul 09, 2015 | ESTIMATED |
| Last Updated: | Apr 07, 2017 |
Sponsors / Collaborators
Lead Sponsor:
University of Alabama at Birmingham
Responsible Party:
N/A
Location
This study is dedicated to achieving better treatments for suicidal thoughts. Specifically, we are studying the effect of a medication called ketamine to quickly treat suicidal thoughts and depression. Patients will be asked to participate in a research study to study how the use of a medication, ketamine, decreases your suicidal thoughts and improves their symptoms of depression. Ketamine is approved by FDA for use at higher doses in anesthesia, and recent clinical research suggests that it might benefit patients with major depressive disorder and suicidal thoughts. During clinical trials with over 10,000 patients, ketamine was proved to be safe as an anesthetic and studies with hundreds of patients with depression have demonstrated safety and lack of lasting side effects. This is a pilot study to test a new use of ketamine: treatment of suicidal thoughts. The study medication will be given in addition to usual psychiatric care.
Participant Groups
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suicidal ideation and depression (no substance use disorder) 0.2 mg/kg IV ketamine administered as a one time dose
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Suicidal ideation and depression (no substance use disorder) comparable amount of placebo (saline)
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suicidal ideation,depression, opioid use disorder 0.2 mg/kg IV ketamine one time dose
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Patients with suicidal ideation and depression with opioid use disorder who are given comparable amount of placebo (saline) as would have been used with the Ketamine arm
Eligibility Criteria
| Sex: | All |
|---|---|
| Minimum Age: | 19 |
| Age Groups: | Adult / Older Adult |
| Healthy Volunteers: | Yes |
Inclusion Criteria:
1. Age : 19-64
2. Significant suicidality score on the Columbia Suicide Severity Rating Scale (C-SSRS)
3. Willing and able to provide informed consent.
4. Individuals with current substance abuse are allowed
Exclusion Criteria:
1. Pregnant or lactating; women of reproductive potential must have a negative urine pregnancy test (urine dipstick method)
2. Post-Partum state : defined as being within 2 months of delivery or miscarriage
3. Homicide risk as determined by clinical interview
4. Treatment with any medication known to specifically target the glutamate-NMDA receptor system (ie lamotrigine, acamprosate, memantine, riluzole or lithium)
5. Any known hypersensitivity or serious adverse effect associated with ketamine treatment.
6. Any clinically significant medical condition or therapy that would preclude treatment with ketamine, to include recent myocardial infarction or unstable angina
7. Medically unstable, including acute withdrawal from alcohol or benzodiazepines requiring the use of benzodiazepine treatment.
8. Any of the following DSM-IV diagnoses or categories:
* Any current psychosis or history of a non-mood psychotic disorder (e.g., schizophrenia)
* Currently in a manic or mixed episode
* Current use (defined by urine dipstick test) or abuse of hallucinogenic drugs (except marijuana) such as phencyclidine
* Any dissociative disorder
* Any pervasive developmental disorder (e.g., autism)
* A cognitive disorder (e.g., Alzheimer's Disease)
* Cluster A personality disorder (e.g., schizoid or schizotypal); note that cluster B and C personality disorders may be included
* Any eating disorder
1. Age : 19-64
2. Significant suicidality score on the Columbia Suicide Severity Rating Scale (C-SSRS)
3. Willing and able to provide informed consent.
4. Individuals with current substance abuse are allowed
Exclusion Criteria:
1. Pregnant or lactating; women of reproductive potential must have a negative urine pregnancy test (urine dipstick method)
2. Post-Partum state : defined as being within 2 months of delivery or miscarriage
3. Homicide risk as determined by clinical interview
4. Treatment with any medication known to specifically target the glutamate-NMDA receptor system (ie lamotrigine, acamprosate, memantine, riluzole or lithium)
5. Any known hypersensitivity or serious adverse effect associated with ketamine treatment.
6. Any clinically significant medical condition or therapy that would preclude treatment with ketamine, to include recent myocardial infarction or unstable angina
7. Medically unstable, including acute withdrawal from alcohol or benzodiazepines requiring the use of benzodiazepine treatment.
8. Any of the following DSM-IV diagnoses or categories:
* Any current psychosis or history of a non-mood psychotic disorder (e.g., schizophrenia)
* Currently in a manic or mixed episode
* Current use (defined by urine dipstick test) or abuse of hallucinogenic drugs (except marijuana) such as phencyclidine
* Any dissociative disorder
* Any pervasive developmental disorder (e.g., autism)
* A cognitive disorder (e.g., Alzheimer's Disease)
* Cluster A personality disorder (e.g., schizoid or schizotypal); note that cluster B and C personality disorders may be included
* Any eating disorder
Primary Outcomes
Secondary Outcomes
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Scales and Questionnaire using the MADRS (Montgomery-Asberg Depression Rating Scale) . This is a ten item diagnostic questionnaire used to measure the severity of depressive episodes in patients with mood disorders. the scale: 0 - 6 (normal/symptom absent), 7 - 19 (mild depression), 20 - 34 (moderate depression), and \> 34 (severe depression).The overall score ranges from 0 to 60
More Details
| NCT Number: | NCT01887990 |
|---|---|
| Other IDs: | F120307001 |
| Study URL: | https://clinicaltrials.gov/study/NCT01887990 |
Last updated: Sep 29, 2023