A Double-blind, Randomized, Placebo Controlled Study to Evaluate the Efficacy and Safety of Intranasal Esketamine for the Rapid Reduction of the Symptoms of Major Depressive Disorder, Including Suicidal Ideation, in Subjects Who Are Assessed to be at Imminent Risk for Suicide

The purpose of this study is to evaluate the efficacy of intranasal esketamine 84 milligram
(mg) compared with intranasal placebo along with standard care treatment, in reducing the
symptoms of major depressive disorder (MDD) (an affective disorder manifested by either a
dysphoric mood or loss of interest or pleasure in usual activities, the mood disturbance is
prominent and relatively persistent), including the risk for suicide as assessed by the
Investigator, in participants who will be assessed to be at imminent risk for suicide.