Pre existing suicidal ideation or behavior may be a

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pandora earrings For example, one New York Times headline stated “FDA links drugs to being suicidal,”11 and another in the Washington Post reported “FDA confirms antidepressants raise children’s suicide risk.”12Suicide among young people is a devastating but preventable tragedy. In the United States in 2007, suicide was the third leading cause of death among people aged 15 to 24.13 Nearly 8% of high school students reported attempting suicide in 2011 and 2.4% made an attempt that required medical attention.14 There has been considerable concern that suicidal behavior is a potential adverse outcome of prescription drug use, including antidepressant and anticonvulsant agents.15Treating depression in young people with antidepressants can improve mood.16 17 18 However, the relation between antidepressant use and suicidal behavior is complex, and studies using different methods yield apparently contradictory results. Pre existing suicidal ideation or behavior may be a precipitant for initiating antidepressant treatment.7 While treatment with antidepressants may reduce that pre existing risk of suicidal ideation, this finding may not hold in young people.18 In adolescents and young adults, initiation of antidepressant treatment may precipitate short term increases in suicidal ideation and behavior.4 19 20 Given this complexity, warnings about the safety of antidepressant drugs could have unpredictable effects on drug use and suicidal behavior.7Previous studies of the FDA warnings have found substantial reductions in antidepressant treatment in children and adolescents after the warnings.21 22 23 24 The reduction even spilled over to adults, who were never a target of the warnings.25 The warnings were also associated with declines in depression diagnoses in children and adults.21 22 25 Studies reported no increase in use of treatment alternatives (for example, psychotherapy pandora jewellery, atypical antipsychotics) among young people,21 22 24 and no increase in the monitoring of patients despite an explicit call for this in the boxed warning.23 26We investigated if the warnings and related media coverage were associated with changes in antidepressant use and suicidal behavior. pandora earrings

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