Are psychiatrists just idiots in Ireland or is it a global phenomenon?

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Here is two ‘Irish College of Psychiatry’ statements regarding SSRIs and Shane’s inquest in the summer 2010 newsletter. Naturally the statements deny that suicide or homicide can be a side effect of antidepressants. Protecting their medical model once again! Keep dishing out mind altering drugs; what’s a few dead people when pills = money?

Now I know everyone is entitled to their own opinion, but surely “best practice” for doctors who have spent years studying medicine is not to bury their heads in the sand and ignore all the evidence. This is not me trying to justify what happened to Shane. This is about letting people know about the side effects of this medication (SSRIs).

I cannot tell you why psychiatry Ireland are trying so hard to suppress the mounting evidence of suicide/homicidal events relating to SSRIs but I can give you the evidence as I see it.

Summer 2010

College of psychiatry Ireland Newsletter.

 

“As communicated recently to our members, the college did not issue a detailed statement during two recent inquests where evidence linking antidepressant use with self-inflicted death and the death or injury of others was presented. We have now issued a full statement to all print and broadcast media outlining clearly our position and disquiet on the speculative nature of this evidence.

The statement is available on our website (www.irishpsychiatry.ie) and was emailed to all members. Thank you to all those involved in the whole process to compile this important piece.”

DR. Justin Brophy, President.

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CLARIFICATION ON ANTIDEPRESSANT MEDICATION.

“In the past month there has been considerable discussion in Ireland  of suicidality and homicidality as potential adverse effects of selective serotonin reuptake inhibitors (SSRI) antidepressant medication. Much of this discussion has been speculative.

Clearly, suicide and homicide are events of the utmost gravity and any possible role of any  treatment  in precipitating such tragedies warrants the most thorough investigation. However, discussion of the risks involved must be based on evidence rather than conjecture or unfound opinion.

Untreated depression can have a fatal outcome. Those experiencing moderate-to-severe depression frequently describe having thoughts of self-harm.  Antidepressants are effective in the treatment of depression. The effective treatment of depression is an important means of reducing suicide rates.

A high volume of research in recent years has failed to establish a causal link between antidepressant use and suicide. At an individual level, the period early in treatment may be a time of relatively high risk, as treatment tends to start when the person’s depression is severe and treatment takes some weeks to work. As treatment takes effect and energy and motivation return, people who have recently commenced antidepressant treatment may be more able to act on suicidal thoughts that are inherent to their condition. That the early recovery period is potentially a period of increased risk for suicidality is something of which all doctors should be aware. The college of psychiatry of Ireland, in unison with the Irish medicines board, recommend close monitoring of all individuals commenced on antidepressant therapy.

There is no evidence of a link between antidepressant use and homicide.

A more detailed statement articulating the issues is attached and available on the website of the college of psychiatry of Ireland,  http://irishpsychiatry.ie”

These are the actual facts..

1. Ssri’s with homicidal ideation  listed as an adverse reaction on patient information leaflet- paxil (canada), zoloft (canada), effexor and luvox.

2. Listed side effects on Irish patient information leaflet for cipramil.. agression, depersonalisation,hallucination, mania and reports of “thoughts of harming or killing yourself”.

3.  The FDA officially extended the age group for the black box warning about antidepressant inducing suicidal thinking and behavior from 18 to 24.

4. Irish medicines board..Informaton from clinical trials has shown an increased risk of suicidal behaviour in adults aged less than 25 years with psychiatric conditions who were treated with an antidepressant.

5. Lundbeck letter states reports of self harm and harm to others with cipramil.

6. Irish medicines board..Under 18’s suicide related behaviours ( suicide attempt and suicidal thoughts) and hostility ( predominantly agression, oppositional behaviour).

7. The European Medicines Agency’s scientific committee concluded that all SSRI and SNRI antidepressants were associated with increased suicide-related behavior and hostility in young people.

8. The Commission of the European Communities issued the strongest warning yet against child antidepressant use as the drugs caused suicidal behaviour including suicide attempts and suicidal ideation, aggression, hostility (predominantly aggression, oppositional behavior and anger) and/or related behavior.

9.  Japan’s National Health Ministry directed pharmacy companies to revise labeling to warn that antidepressants could cause suicide.

10. Wikipedia..In the United States, citalopram, like other antidepressants, carries a black box warning stating that it may increase suicidal thinking and behaviour  in those  under age 24.

11. A recent publication of the top 31 drugs that are disproportionately linked with violent behavior.  5 in the top 10 were antidepressants.

Surprise, Surprise –11 of the 31 were antidepressants!     Cipramil (celexa) came 16th.

 

 

E-MAIL TODAY..

Excerpts from the minister for mental health’s e-mail to me today. Surprise surprise, he’s far too busy to meet up with me but I suppose I should be thankful that he finally got around to replying to my numerous e-mails!

Dear Ms Fennell

9th February 2011

“John Moloney, Minister for Disability and Mental Health has asked me to thank you for your email dated 6th January, 2011. Unfortunately, due to diary commitments, the Minister is unable to meet with you in the near future.

The letter also referred to the IMB’s Drug Safety Newsletter in late 2008, which stated that a review was undertaken at EU and US level to assess the risk of suicidality in adults treated with antidepressants. The review concluded that young adults may be at an increased risk of suicidal behaviour when treated with antidepressants.

As a result of this review, it was agreed at EU level that the product information for all antidepressants should be further updated to more fully reflect the current evidence regarding the potential risk of suicidal behaviour with antidepressants.”


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