Electroconvulsive therapy in the management of suicidal risk
DOI:
https://doi.org/10.34024/rnc.2022.v30.14294Keywords:
Electroconvulsive Therapy, Suicide, DepressionAbstract
Introduction. Electroconvulsive therapy (ECT) is a treatment capable of promoting rapid improvement in a variety of mental disorders. Objective. Since suicide is the leading cause of death associated with psychiatric disorders, this review aims to analyze the risk/benefit ratio of ECT in the management of suicidal risk. Method. A systematic search was performed for articles published in PubMed between 2015 and 2020, with the descriptors “electroconvulsive therapy” and “suicide”. Exclusion criteria - repeated, unavailable, unpublished, unrelated to the topic, review articles, letters and comments - were applied to the 143 articles found. Result: 19 studies were selected, mostly observational. The use of ECT was evaluated in several psychiatric disorders, with a predominance of depressive disorders (47.36%). The reduction of the suicidal risk was direct or secondary to the improvement of the clinical picture from the treatment with ECT in 89.47% of the articles. As for the adverse effects of ECT, the transient impairment of anterograde memory was highlighted. Conclusion. ECT presents itself as a potent therapeutic strategy in the management of suicidal risk, but the follow-up and health care must be continuous, because, especially in the first year after the remission of symptoms, there is the risk of relapses.
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Copyright (c) 2022 Gabriela Garcia de Carvalho Laguna, Lorena Sousa de Carvalho, Katiene Rodrigues Menezes de Azevedo
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Accepted 2022-11-09
Published 2022-11-25
