Classics in ECT: "EST FOLLOWING A SELF-INFLICTED SKULL AND DURAL LESION": LTE From The American Journal of Psychiatry, 1964

 "Classics in ECT" (or in this case, "EST") brings you this LTE from the Green Journal in 1964:

EST FOLLOWING A SELF-INFLICTED SKULL AND DURAL LESION.

SELIG JW Jr.Am J Psychiatry. 1964 Nov;121:503. doi: 10.1176/ajp.121.5.503.PMID: 14218409
The letter is here:

Here's a quick classic read about risk-benefit calculations with ECT in patients with "complicating physical problems." The assessment of the lethality of the the suicide attempt by gunshot wound to the head ("It was felt that her suicidal attempt was genuine") is so laconic, it is dryly humorous. The consultation with a neurosurgeon shows collaborative care, and the patient recovered from her severe depression with ECT.

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