Posted by SLS on December 22, 2013, at 9:06:20
In reply to Re: A way out?, posted by bleauberry on December 21, 2013, at 14:22:19
Hi.
I honestly don't know what would be a reasonable first step in treating a suicidal patient immediately upon his intake into a hospital. I don't have much experience in this setting.
I would want to relieve the patient of suicidal component of his depression within 48 hours if possible. Still, I wouldn't know where to start. I bet Ed_uk would have a better idea.
From what little I have been exposed to, I would consider starting Zyprexa, lithium, or Xanax as an emergency measure. Even d-amphetamine might help give immediate relief. I would then screen for bipolalr disorder and decide whether an antidepressant would be indicated or if a regime of mood stabilizers would be best.
What is the first intervention you would employ?
- ScottSome see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1056552
URL: http://www.dr-bob.org/babble/20131209/msgs/1056758.html