Reply to Warning: take the warnings about SSRI with teens seriously

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I know you mean well and I'm very sorry for what you've been through with your DD but I hate it when people like you post these anecdotal stories.  You don't know that it was the SSRI that worsened your DDs depression and led her to attempt suicide.  As you stated, your DD was on an SSRI for a reason and she already had a history of self-harming. Every person with anxiety/depression, especially one like your DD, is at increased risk for suicide and the risk increases if not treated.  All your 'warning' is doing is reinforcing the idea that SSRIs are too dangerous and make people less likely to accept that medication is an effective treatment for anxiety/depression.

Nothing is without risk including ibuprofen (heart attack/stroke), acetaminophen (liver damage/kidney disease/heart attack/stroke) and every other thing that enters the body. Whether your DD was on an SSRI or not, she was at increased risk of suicide and you should have been watching her.  While shocking, this should not have been a surprise.

I say this as someone whose father and two brothers killed themselves and they were not on SSRIs.  I also have 2 boys that have been on SSRIs since ES and my DH has taken them for 20 years.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3353604/
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2799109/[/quote]

Mean we’ll? I think op is providing valuable information that I would like to know even if the risk is tiny . And yes this is a real risk . It is in the drug label. [/quote]

I hate to be pick on this, but as a scientist, risk of suicide in a group of depressed individuals is a well-known risk/characteristic of that diagnosis. The meta analysis that lead to the black box warning was very flawed - it is not considered a reliable way to conduct a "study," but the FDA likes to be overly cautious. Drug labeling has to do with things patients experienced during the clinical trial and isn't evidence / admission that the drug causes the 'side effect.'

Based on OP's story line the drug didn't cause the suicide attempt. The drug was well tolerated for a long time. An adverse event is more like, you get on a drug and immediately attempt suicide. Even then, it would be a case-by-case basis to determine whether the suicidal thoughts were there before treatment.

https://www.ncbi.nlm.nih.gov/pubmed/28445632
[/quote]

I am an OP.  I am also a scientist.  In hindsight I see the causality in the change in her attitude.  I missed it in realtime.  I think the SSRI can take away the fear of action (anxiety) without taking away the root depression.  Given the impulsive nature of teens, they do not realize the down cycle is not permanent and they are more inclined to take action.[/quote]

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