Cyclical Neuroactive Steroid Changes, Arousal, and Proximal Suicide Risk: An Experimental Approach
Summary
Female suicide attempts occur more often in the weeks before and after menses onset, and have been linked to ovarian hormone withdrawal. The proposed project will use a two-week intervention to stabilize hormones in females with recent suicidal thoughts; this paradigm is a safe way to learn how cyclical changes in hormones and their metabolites influence short-term risk of suicide. The data acquired will contribute to our understanding of the biology of acute suicide risk and advance efforts to develop safe and effective treatments that eliminate predictable monthly worsening of suicide risk in reproductive-age females.
Timeline
- Start
- 2020-09-15
- Primary completion
- 2024-08-01
- Completion
- 2024-08-01
Outcome
Met primary endpoint
registry analysis (superiority test); Placebo Patch + Pills vs Transdermal Estradiol + Oral Micronized Progesterone; p <.001 NCT04112368 ↗
registry analysis (superiority test); Transdermal Estradiol + Oral Micronized Progesterone vs Placebo Patch + Placebo Pills; p = .026 NCT04112368 ↗
Drugs
| Evaluation | Drug | Modality | Dose | Route |
|---|---|---|---|---|
| Subject | Estradiol | Other / unclassified | 0.1 mg | Other |
| Subject | Progesterone | Other / unclassified | 200 mg | Oral |
Indications
No indication recorded.