The phone rings, early on a Sunday morning. I’m excited, as it is a childhood friend whom I’m really looking forward to reconnecting with; only she asks me to let my parents know that her brother committed suicide the night before.
No words can describe the pain heard and felt. Of course, as outsiders, as onlookers, our first unspoken questions are “How did this happen?” “How did he do it?”
The toughest speech I have ever given in my life – and candidly to the most important audience – was not to a room of politicians or colleagues.
Those speeches seem so easy now in retrospect. My toughest public-speaking moment was delivering the eulogy of my son’s very best friend, Adam.
Everyone knows what a first aid kit is. We’ve all seen them. We’ve all used them. Convenient boxes containing the basic tools needed to treat medical emergencies: bandages and antibiotic ointments for cuts, cold compresses for burns, aspirin for headaches and inflammation.
But what if someone were to have a psychiatric emergency? Would others even know it was happening? Would anyone know what to do? Are there ‘tools’ to help someone in psychiatric distress?
It turns out that almost everything I was taught about suicide during my clinical training is not true.
Contrary to what most clinicians are taught, there is clinical protocol we can follow to prevent suicide attempts – apart from locking people up. Very little of this new knowledge about detecting and treating suicidality has translated into practice.
In the news: Recent publication of the almost immediate resolution of treatment-resistant depression (TRD) following Ketamine infusion has sparked tremendous interest within the fields of clinical psychiatry and psychotropic drug development. It has also sparked the entrepreneurial development of specialized ketamine clinics, despite the lack of Federal Drug Administration (FDA) approval of ketamine for this purpose. And, of course, third-party payers are being asked to cover these services. Should they? After all, there is replicated evidence for ketamine’s rapid antidepressant effects.[i] Background: Ketamine was FDA-approved as an anesthetic agent in 1964 and was widely used for soldiers injured in the Vietnam War.[ii] Its legitimate role has expanded over the years to include pain management and veterinary surgery. Ketamine was also…