Antidepressant Dose, Age, and the Risk of Deliberate Self-harm
Author(s) -
Matthew Miller,
Sonja A. Swanson,
Deborah Azrael,
Virginia Pate,
Til Stürmer
Publication year - 2014
Publication title -
jama internal medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 5.14
H-Index - 342
eISSN - 2168-6114
pISSN - 2168-6106
DOI - 10.1001/jamainternmed.2014.1053
Subject(s) - medicine , hazard ratio , antidepressant , depression (economics) , poison control , absolute risk reduction , randomized controlled trial , population , number needed to harm , injury prevention , placebo , psychiatry , relative risk , number needed to treat , emergency medicine , confidence interval , alternative medicine , environmental health , pathology , hippocampus , economics , macroeconomics
A comprehensive meta-analysis of randomized trial data suggests that suicidal behavior is twice as likely when children and young adults are randomized to antidepressants compared with when they are randomized to placebo. Drug-related risk was not elevated for adults older than 24 years. To our knowledge, no study to date has examined whether the risk of suicidal behavior is related to antidepressant dose, and if so, whether risk depends on a patient's age.
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