While I'm ranting, it's also quite often that people with obsessive suicidal ideation get too depressed to make an attempt. It is counter-intuitive, but when you feel like you will fail at everything, and don't have motivation or energy to make an attempt, Major Depression can be self-limiting in self destruction that way. And they will correctly, not incorrectly; not in a delusional way, guess that their chances at succeeding are extremely low, especially without use of a firearm. I personally believe this is
the issue with antidepressants, especially SSRIs, and certainly in my experience with Prozac- the patient suddenly gets more energy and motivation, but the thoughts, the suicidal ideation, still goes through their head, they are still thinking about the act and now can take steps. Ketamine (and analogues) is starkly different in that it addresses the suicidal impulse right away, No slow lift of symptoms all together, mostly starting two weeks of daily treatment.
so bad i don't think anything would of saved those people from committing suicide
Damn, that's fairly heartless, dude. Firstly, that case is extremely rare, because, at least in the US, no one receives ketamine treatment unless they are actively receiving counselling, on another antidepressant regimen, and have a variety of other evidence-based treatment going on. That with the addition of "survival instincts" that can kick in at that last minute (for example, its not unusual for jumpers to suddenly get vertigo, when they never had before a suicide attempt) and certain measures taken by friends and family, like taking away firearms, providing contacts and hone numbe end ketamine treatment by saying there will always be exceptions in any attempt to address suicide, but when you have the numbers and statistics, you understand that this is such a rare situation, that there's no need to be an apologist.
OTOH, for years, years after my own suicide attempt, doctors were defending the high rates of suicide after SSRIs with similar reasoning, is that the SSRIs are going to be prescribed to a number of people who were going to commit suicide anyways because they were depressed. It was ten years after my attempt that doctors started admitting that my one and only suicide attempt
may have been instigated, caused, at least in part, by Prozac. rather than only saying it was only my antidepressants prescribed afterwards that were preventing me from further attempts. Can you imagine? The mindfuck of realizing it may have been the first antidepressant being a cause, rather than a cure? After being immersed in nearly every aspect of mental health care for a decade? It's not an exaggeration to say it's fucked up my life pretty extensively. Oh well. Have a Nice Day. (y)