DMT for a suicidal person?

[azgaza]

Really short answer: No absolutely not!

Slightly longer one: If she's on medication, please do NOT do ayahuasca or any preperation with harmala or another MAOi in it and please do not take her off her medication. If you múst give her DMT (and she herself really wants it) then go for smoked or vaporised DMT of some kind or maybe another oral tryptamine that works on its own. I still advise against it however.

Maybe the DMT would be benificial to her but you never know and a suicidal person is obviously at more risk for a mind shattering bad experience and I doubt that is something she can handle in such a state of mind. Atleast don't take her off her medication though and please do not feed her ayahuasca you don't want to risk her physical health upon her mental health right?

I would explore ketamine before dmt, ketamine is being used for short term treatment of depression and she will be able to take the meds she is on while taking k

Even though I don't really like to advise anyone to take any drug in any situation (although I have done so with personal friends at times, I know those people through and through and even then it's never a good thing to talk someone into doing something, doing so to a stranger on a messsage board would probably be an even worse idea); ketamine ís being used for treatment against depression so if you want to explore drugs with her that might indeed be a better option then DMT.

Short reminder: Do not take her off her medication; even if they might not seem to be helping much, the instability caused to her when she would suddently quit them could potentially make everything a lot worse, so if you do choose to do DMT with her take it in a way that does not require MAOi's, such as smoked DMT.



From some wikipedia page (not the most reliable source I know but first one I fouhnd and it does support what I thought, so please once again, no ayahuasca with SSRi's, and don't interupt her medication for some drug trip!)

MAOIs should not be combined with other psychoactive substances (antidepressants, painkillers, stimulants, both legal and illegal etc.) except under expert care. Certain combinations can cause lethal reactions, common examples including SSRIs, tricyclics, MDMA, meperidine,[13] tramadol, and dextromethorphan[citation needed]. Agents with actions on epinephrine, norepinephrine or dopamine must be administered at much lower doses due to potentiation and prolonged effect.

 

[crOOk]

yes, but be aware this could backfire. unlikely, but it could. very unlikely, but it could.

 

[SpecialK_]

I don't recommend it, just for that risk. But if they were up for it maybe consider letting them try smoking. That short time in hyperspace can be enough to bring the beauty back in life for someone, along with the amazing afterglow of eternal 'peace' (fuckin hippies!). From then, move on to oral dosing if they are confident it will be beneficial.

But make sure you have your kit for a bad trip as it is oral DMT. This has worked for people in the past, but it has also probably went extremely wrong in some cases.

 

[Ismene]

I'd try mushrooms before DMT - simply because oral DMT will cause some pretty serious vomiting. Oral DMT will be a lot more forgiving than smoking - it comes on gentler and you have time to think and comprehend what's happening.

To be honest I wouldn't bother with smoking - toking on burning plastic smelling smoke with no guarantee you'll actually get any effects other than threshold will probably make her even more suicidal.

 

[psood0nym]

Regarding the vaporized vs. oral/slower acting psychedelic debate, while also acknowledging that the OP has already moved on and that we're not giving advice to anyone but only speaking hypothetically about a person who is highly likely to commit suicide soon and who has not responded to exhaustive professional efforts (as suggested by the OP): The reason I suggested vaporized DMT over ayahuasca (or any slower acting psychedelic like LSD) is exactly because the mind does not have time to process the trip. It's true that things can still go bad with vaporized DMT, but when they do they're less likely to have clear connections with what's going on in one's life, whereas with something like LSD there is time to emotionally transition set and setting and interpret the goings on of the trip from the lens of the experiences preceding it (granted that one gets a full dose rather than threshold as Ismene suggested).

To my thinking, if what's going on prior to a trip amounts to determined thoughts of suicide, then, despite its unpredictability, it's better to severe that psychological thread totally with a psychedlic blast rather than to risk weaving it into something larger and more elaborate. Even if it's a bad trip, at least it's so wild that it's less likely to be integrated as further reason for continuing the same line of thinking that leads to suicide. It's sort of like how shock treatment is still used in severe cases of depression that aren't responding to anything else. At that point hitting the reset button is all that's left to do. Maybe if the "system start up" goes well and things seem a little more stable then one can think about about refining the psyche with a more contemplative experience like LSD.

Granted, the "reset" metaphor only goes so far. Arguably salvia is a "reset" blast kind of psychedelic like DMT too, but due to the nature of the trip I'd say it's less likely to be the "right kind of reset" than something like vaporized DMT in a desperate situation (see the controversial story behind Deleware's "Brett's Law").

 

[Mitchi]

I don't think one should start with DMT. Why not start out with some MDMA, then move from there to other kind of psychedelics. Let it be a process. I know your looking for the magic bullet, but be careful and go slowly forward.

 

[psood0nym]

^I know what you're saying but the OP suggested they only have access to ayahuasca ingredients and yopo (and indicated they might be able to get LSD or mushrooms). Then, even if it goes well with an empathogen, there's the "suicide Tuesdays" to contend with. In my opinion MDMA is a better choice for a person who is struggling emotionally but is not at the point of suicidal ideation (as in it's use with PTSD and end of life care).

 

[Mitchi]

Ohh, I see. My bad.
I'm sure though that OP could keep her away from suicide the following days, if they made an agreement about it.

What kind of treatment has she gotten? If it's only a bottle of pills, then maybe there is other, more "mainstream" possibilities still available. To my knowledge there is 2 different kinds of treatment. 1 where you make in depth healing with various methods, and 2 where you are told to accept your situation and then get some pills. The last one is offcourse very cheap, and is therefore being used in the hospitals etc.