
Suicidal Risk in Antidepressant Drug Trials
Arch Gen Psychiatry. 2006;63:246-248.
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Suicide is the third leading cause of death in the United States at ages 10 through 24 years.1 Major depressive disorder and depressive phases of bipolar I and II disorders are associated with most suicides. Among patients with these disorders, suicide rates are 20-times or more higher than the international general population rate of about 0.015% per year.2-3 In addition, a lower ratio of attempted-to-completed suicide (approximately 5:1) than in the general population (approximately 25:1) suggests greater lethality of intent or methods of attempts among patients with mood disorder.2, 4-5
The major public health significance of suicide and its strong association with depressive disorders encourage consideration of effects of psychiatric treatments on suicidal risk. Only clozapine has a Food and Drug Administrationapproved indication for reducing risk of suicidal behavior in patients with schizophrenia, based on evidence that includes a controlled comparison with olanzapine treatment.6-8 There is also evidence for major reduction . . . [Full Text of this Article] AUTHOR INFORMATION
Ross J. Baldessarini, MD;
Maurizio Pompili, MD;
Leonardo Tondo, MD
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