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Risk Management and Treatment » Pharmacologic and other Somatic Treatments
15: Repetitive Transcranial Magnetic Stimulation (rTMS)

There is insufficient evidence to recommend for or against repetitive transcranial magnetic stimulation to reduce the risk of suicide or suicide attempts.

Strength:

Neither for or against

Category:

ReviewedNew-added

Recommendation Resources

Repetitive transcranial magnetic stimulation (rTMS) is a procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of major depressive disorder (MDD). During a rTMS session, an electromagnetic coil is placed against the scalp of the patient’s head. The coil delivers magnetic pulses that stimulate nerve cells in the region of the brain involved in mood. While rTMS is effective in improving symptoms for patients with MDD who had partial or no response to two or more medication treatment trials, there is much less evidence assessing the impact of rTMS on suicide attempts or suicide deaths.

Training and Clinical Resources

This section includes recommended trainings and/or clinical resources about repetitive transcranial magnetic stimulation.

VA rTMS Resources
Somatic Treatment Community of Practice SharePoint (requires access to VA networks)
Transcranial Magnetic Stimulation (TMS) SharePoint (requires access to VA networks)
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Videos

This section includes recommended videos about repetitive transcranial magnetic stimulation.

video thumbnail Repetitive Transcranial Magnetic Stimulation for Suicide Prevention Presented by Dr. Nolan Williams
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Webinars

This section includes recommended webinars about repetitive transcranial magnetic stimulation.

Webinar icon Clinical Use of Transcranial Magnetic Stimulation for Suicide Prevention Presented by Dr. Nolan Williams
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Articles

This section includes recommended articles about repetitive transcranial magnetic stimulation.

Cole, E. J., Phillips, A. L., Bentzley, B. S., Stimpson, K. H., Nejad, R., Barmak, F., Veerapal, C., Khan, N., Cherian, K., Felber, E., Brown, R., Choi, E., King, S., Pankow, H., Bishop, J. H., Azeez, A., Coetzee, J., Rapier, R., Odenwald, N., Carreon, D., … Williams, N. R. (2022). Stanford Neuromodulation Therapy (SNT): A Double-Blind Randomized Controlled Trial. The American journal of psychiatry, 179(2). 132–141. https://doi.org/10.1176/appi.ajp.2021.20101429
Cole, E. J., Stimpson, K. H., Bentzley, B. S., Gulser, M., Cherian, K., Tischler, C., Nejad, R., Pankow, H., Choi, E., Aaron, H., Espil, F. M., Pannu, J., Xiao, X., Duvio, D., Solvason, H. B., Hawkins, J., Guerra, A., Jo, B., Raj, K. S., Phillips, A. L., … Williams, N. R. (2020). Stanford Accelerated Intelligent Neuromodulation Therapy for Treatment-Resistant Depression. The American journal of psychiatry, 177(8). 716–726. https://doi.org/10.1176/appi.ajp.2019.19070720
Hines, C. E., Mooney, S., Watson, N. L., Looney, S. W., & Wilkie, D. J. (2022). Repetitive Transcranial Magnetic Stimulation Promotes Rapid Psychiatric Stabilization in Acutely Suicidal Military Service Members. The journal of ECT, 38(2). 103–109. https://doi.org/10.1097/YCT.0000000000000810
McQuaid, J. R., Buelt, A., Capaldi, V., Fuller, M., Issa, F., Lang, A. E., Hoge, C., Oslin, D. W., Sall, J., Wiechers, I. R., & Williams, S. (2022). The Management of Major Depressive Disorder: Synopsis of the 2022 U. . Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline. Annals of internal medicine, 175(10). 1440–1451. https://doi.org/10.7326/M22-1603
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