Karolinska University Hospital in Huddinge, M59, Stockholm S-14186, Sweden.
Br J Psychiatry. 2010 Jun;196(6):429-33. doi: 10.1192/bjp.bp.109.076166.
Numerous ecological studies have shown an inverse association between antidepressant use and suicide rates and a smaller number of individual-based studies have shown an association between current antidepressant use and reduced suicide risk. Such evidence is often cited in support of the notion that antidepressants prevent suicide. However, more recently, the premises underlying this proposition, namely that suicide is caused by depression and that antidepressants relieve depression, have been challenged and the potential harm caused by antidepressants has been highlighted. In this article, Goran Isacsson and Charles Rich debate with Jon Jureidini and Melissa Raven the motion that the increased use of antidepressants has contributed to the worldwide reduction in suicide rates.
许多生态研究表明,抗抑郁药的使用与自杀率呈反比关系,而少数基于个体的研究表明,当前抗抑郁药的使用与降低自杀风险之间存在关联。这种证据经常被引用,以支持抗抑郁药预防自杀的观点。然而,最近,这一主张的前提,即自杀是由抑郁症引起的,而抗抑郁药可以缓解抑郁症,已经受到了挑战,抗抑郁药可能造成的危害也已经被强调。在这篇文章中,Goran Isacsson 和 Charles Rich 与 Jon Jureidini 和 Melissa Raven 就“抗抑郁药的广泛使用有助于降低全球自杀率”这一说法展开辩论。