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RecruitingHealthy VolunteersDepression

Neurobiology of Suicide

Eligible age

18–70 yrs

Accepts

All genders

Locations

1 state

Healthy volunteers

Yes

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About this study

Background: There are no good treatments for people considering suicide. Researchers want to study suicide with questions, blood tests, brain imaging, and sleep studies. They hope to better understand suicide, so they can help suicidal people. Objective: To understand what happens in the brain when someone has thought about or attempted suicide. Eligibility: Group 1: Adults ages 18 70 who have thought about or attempted suicide recently Group 2: Adults ages 18 70 who have thought about or attempted suicide in the past Group 3: Adults ages 18 70 who have depression or anxiety, but have never thought about suicide Group 4: Healthy volunteers the same ages. Design: Participants will be screened in another protocol. Adults who have recently thought about or attempted suicide must be referred by a doctor. They may do up to 3 phases of this study. Groups 2, 3 and 4 will do only Phase 1 and will not get ketamine. Phase 1: 1 week in hospital. Participants will have: Physical exam. Questions about thoughts and feelings. Thinking and memory tests and simple tasks. Blood and urine tests. Two MRI scans. Participants will lie on a table that slides into a metal cylinder that takes pictures. They will have a coil over their head and earplugs and do a computer task. Sleep test. Disks and bands will be placed on the body to monitor it during sleep. Magnetic detectors on their head while they perform tasks. A wrist monitor for activity and sleep. Lumbar puncture (optional). A needle will collect fluid from the back. Shock experiments (optional). Participants will observe pictures and sounds and feel a small shock on the hand. Phase 2: 4 days in hospital. A thin plastic tube will be placed in each arm, one for blood draws, the other to get the drug ketamine once. Participants will repeat most of the Phase 1 tests. Phase 3: up to 4 more ketamine doses over 2 weeks. Participants will have follow-up calls or visits at 6 months and then maybe yearly for 5 years.

Sponsor: National Institute of Mental Health (NIMH)

You may not qualify if…

  • ✕ Phase I: Groups 1-3 and 5 (Patients)
  • ✕ 1. Current psychotic features or cognitive impairment that would preclude understanding of the consenting process or tests/examinations.
  • ✕ 2. Current drug or alcohol dependence
  • ✕ 3. Currently intoxicated or under the acute effects of an illicit substance will not be consented into the study.
  • ✕ 4. Pregnant or nursing individuals or those who plan to become pregnant.
  • ✕ 5. Serious, unstable medical conditions/problems including hepatic, renal, gastroenterologic, respiratory, cardiovascular (including blood pressure, ischemic heart disease), endocrinologic, neurologic, immunologic, or hematologic disease.
  • ✕ 6. Clinically significant abnormal laboratory tests.
  • ✕ 7. Positive HIV test

Where it's recruiting

Maryland

Bethesda

Source: ClinicalTrials.gov · NCT02543983 · last updated 2026-09-09

Neurobiology of Suicide · TrialPath