title: Suicidal ideation and self-harm following K2 use.
abstract: BACKGROUND
  There is emerging evidence of adverse effects associated with K2 and similar synthetic cannabinoid compounds marketed as herbal alternatives to marijuana. Few studies were identified regarding the psychiatric effects of K2, including suicidal ideation, and to our knowledge none have been written related to self-harm following use of K2.
  
  
  METHODS
  A healthy 20-year-old single Caucasian male with no previous psychiatric diagnoses or treatment was brought by police to the ED with acute agitation, confusion, suicidal ideation, and self-inflicted trauma after smoking K2. Evaluation in the ED was notable for agitation, significant abrasions, respiratory rate of 30, negative UDS, and sinus tachycardia on EKG. Once medically stabilized, he was transferred to the inpatient psychiatric unit for continued monitoring. Upon evaluation on the psychiatric unit the following day, his symptoms had completely resolved, he continued to deny any previous psychiatric history, and was discharged home.
  
  
  CONCLUSIONS
  K2 and other synthetic cannabinoids have been shown to have significant medical and psychiatric adverse effects and they are still readily available for purchase. Evidence is limited regarding the psychiatric effects; however, synthetic cannabinoid products may potentially lead to suicidal ideation and self-harm behaviors amongst many other psychiatric symptoms.The long-term risks are still unclear, but some studies suggest the possibility of inducing chronic psychotic symptoms and worsening underlying psychiatric illness. Continued research is needed regarding the effects of these substances as well as an increase in public awareness of the risks.
authors.affiliation: University of Oklahoma Health Sciences Center, Department of Psychiatry, Tulsa, Oklahoma 74135, USA. sthoma13@ouhsc.edu
authors.forename: Shannon
authors.initials: S
authors.lastname: Thomas
authors.forename: Sarah
authors.initials: S
authors.lastname: Bliss
authors.forename: Mohammed
authors.initials: M
authors.lastname: Malik
mesh_terms: D002186:Cannabinoids / Q000009:adverse effects*; D006801:Humans; D008297:Male; D016728:Self-Injurious Behavior / Q000139:chemically induced*; D059020:Suicidal Ideation; D055815:Young Adult
chemical_list: D002186:Cannabinoids; C569461:cannabinoid K2