Posted by linkadge on December 14, 2005, at 23:48:14
In reply to Re: What! » linkadge, posted by Larry Hoover on December 14, 2005, at 22:55:52
I see no significant relationship.
I quote from a study in the Archives of General Psychiatry of all U.S. suicides between 96-98.
http://archpsyc.ama-assn.org/cgi/content/abstract/62/2/165
"The overall relationship between antidepressant medication prescription and suicide rate was not significant."
Most psychiatrists agree that the only agents that have demonstrated a clear effect on suicidiality are lithium and clozapine.
>It's been argued, but from smaller samples. Type >1 error is the biggest issue for scientists to >manage.
I don't see anything conclusive here.
Many of the Brittish records show an increased rate of suicide for during start up, but then little to no effect aftarwards.
>True. But when large studies were done, as were >just recently published, there is no such >signal. You have to consider Type 1 error.
No, I am referring to the whole course of the illness. Ie, how without antidepressants, most people recover from depression 8mos to a year. Some studies show that with treatement, it actually becomes a more chronic disorder.
>What is this frontal lobe syndrome?
http://www.antidepressantsfacts.com/frontal-lobe-syndrome.htm
>That's where I disagree absolutely. >Antidepressants are tools. When those tools are >not properly managed, I would focus on the >mismanagement. The idea that a potentially >suicidal depressed patient is written a >prescription for one of these drugs, and told to >come back in three months (or whatever), is >where the problem lies. Proper medical >management requires much more than that. E.g. >explicit warnings to the patient, to immediately >report certain specific adverse effects; >frequent reassessments by trained medical >personnel; involvement of the family or close >friends of the patient, for monitoring purposes; >brief prescriptions initially, until the >patient's response can be assessed.....so much >more can be done, to make the use of these drugs >safe.Even when the tools are used properly, bad things can happen. I am an example. I used the drugs properly.
>The medications in question are powerful, >complicated, and somewhat unpredictable. The >treated patients are not inherently stable at >the time of treatment. Complacency in management >of these medications is the primary flaw, IMHO.No arguments.
poster:linkadge
thread:587690
URL: http://www.dr-bob.org/babble/20051211/msgs/589218.html