Citation

Yang JW, Jung SW, Lee H. Asian J. Psychiatry 2022; 73: e103113.

Copyright

(Copyright © 2022, Elsevier Publishing)

DOI

10.1016/j.ajp.2022.103113

PMID

35468479

Abstract

Non-suicidal self-injury (NSSI) is a challenging issue in clinical settings. In the present case series, we report two female adolescents with recurrent depression and NSSI. Numerous approaches, such as anti-depressants, anti-psychotics, and even electroconvulsive therapy, were not effective. Clozapine has been implemented in a broad spectrum of psychiatric disorders, particularly refractory depression, impulse control problems, suicidal ideation, and NSSI. With a low dose (12.5-25 mg) of clozapine, the depressive symptoms and NSSI remarkably improved, and the improvement was sustained over four months after discharge. Low-dose clozapine monotherapy may be a treatment option with refractory depression and NSSI.

Language: en

Keywords

Adolescents; Depression; Clozapine; Non-suicidal self-injury; Suicidal ideation