Stellate Ganglion Block For Suicidal Ideation

The Albany Clinic • Sep 04, 2022

More than 53 million people live with mental illness in the United States. One of the most common complications associated with mental illness is suicidal ideation. Suicide is a serious public health problem concern and a leading cause of death in the US, with an estimated 45,000 people dying of suicide every year.

While there are many effective treatments for mental illness, including medication and therapy, some people do not respond to these treatments. For these individuals, alternative treatments like a stellate ganglion block need to be explored.

What is a Stellate Ganglion Block?

A stellate ganglion block (SGB) is a type of anesthetic injection used to relieve pain in the head, neck, and upper extremities. It can also be used to treat conditions like migraines, cluster headaches, complex regional pain syndrome (CRPS), and sympathetically maintained pain.

An SGB injection targets the stellate ganglion, a cluster of nerve cells in the neck. This bundle of nerves is responsible for sending signals to the brain that control functions like blood pressure, heart rate, and sweating.

By targeting the stellate ganglion block using a specialized anesthetic, the communication between the sympathetic nervous system is temporarily inhibited. This can provide relief from pain and improve circulation in the upper body.

SGB for Suicidal Ideation

One of the most promising applications for stellate ganglion block is the treatment of severe PTSD symptoms, including suicidal ideation . Suicidal ideation is defined as any thoughts, feelings, or behaviors related to suicide. This can range from having suicidal thoughts to making a plan to attempt suicide.

While the research into stellate ganglion block as a potential long-term treatment for PTSD and suicidal ideation is still superficial, and no definitive evidence exists to support its efficacy, early studies have shown promising results. Additionally, most individuals who undergo SGB treatment report experiencing improved mental wellbeing .

Other Treatments for Suicidal Ideations

It is important to note that a stellate ganglion block is not a first-line treatment for suicidal ideation. If you or someone you know is experiencing suicidal thoughts, working with a doctor and developing a personalized treatment plan is vital. There are many treatments available for suicidal ideation, including traditional medications like antidepressants and mood stabilizers, psychotherapy, and self-help coping techniques. 

Ketamine infusion therapy is another emerging off-label treatment that has shown great promise in providing rapid relief from severe suicidal thoughts. Unlike stellate ganglion block, research into the safety and efficacy of ketamine infusion therapy for treating chronic mental illnesses is further along, and the results have been nothing short of remarkable.

Final Thoughts

 

If you or someone you know is struggling to find an effective long-term treatment for suicidal ideations, a stellate ganglion block may be worth a try. While SGB is not a cure-all, it may provide the relief you or your loved one needs to get back on the road to recovery. 

 

Still, more research is needed to determine the long-term efficacy of stellate ganglion block in managing suicidal ideations and other symptoms of mental illness.

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