Research Article
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Abstract
Background
Antidepressant (AD) medications increase suicidality for some, or all, age groups. Some, or all, types of ADs, are frequently used in suicides involving overdoses.
Methods
The article examines a previously unanalyzed data set summarizing 7,829 media reports of Coroners’ inquests in England and Wales that mention ADs, between 2003 and 2020.
Results
The most frequently cited ADs were SSRIs (48.9%) and tricyclics (24.6%). The specific drugs cited most often were the SSRI drug citalopram (19.8%) and the tricyclic drug amitriptyline (17.5%). Of 2,329 cases of death by overdose, 933 (40.1%) were overdoses of ADs, 512 of which (54.9%) did not involve other substances. The ADs most frequently named were amitriptyline (186), and citalopram (86). A further 929 were overdoses of unnamed medicines, a proportion of which may have been ADs.
Limitations
The data set, which relies primarily on archives of local newspapers, is incomplete and therefore underestimates the total numbers involved. The accuracy of coroners’ verdicts is not perfect.
Conclusions
If preventing suicide is a primary reason for prescribing ADs, this data set includes several thousand people for whom the drugs clearly did not work. Furthermore, about 1,000 people used the drugs that were supposed to alleviate their depression to kill themselves. Systematic analyses of all inquests would be more informative. Meanwhile, reducing the overprescribing of these relatively ineffective and, for some, lethally dangerous substances is suggested, to reduce suicides.
Period | Abstract | Full | Total | |
---|---|---|---|---|
Apr 2024 | 79 | 0 | 0 | 79 |
Mar 2024 | 82 | 0 | 0 | 82 |
Feb 2024 | 153 | 0 | 0 | 153 |
Jan 2024 | 143 | 0 | 0 | 143 |
Dec 2023 | 109 | 0 | 0 | 109 |
Nov 2023 | 74 | 0 | 2 | 76 |
Oct 2023 | 112 | 1 | 1 | 114 |
Sep 2023 | 151 | 0 | 0 | 151 |
Aug 2023 | 173 | 46 | 16 | 235 |
Jul 2023 | 170 | 31 | 5 | 206 |
Jun 2023 | 682 | 38 | 12 | 732 |
May 2023 | 255 | 50 | 49 | 354 |
Apr 2023 | 860 | 117 | 32 | 1009 |
Mar 2023 | 25 | 0 | 1 | 26 |