Healy David, Le Noury Joanna, Jureidini Jon
Department of Psychiatry, Hergest Unit, Bangor, Wales, UK.
Department of Psychiatry, Bangor, Wales, UK.
Int J Risk Saf Med. 2019;30(1):1-7. doi: 10.3233/JRS-180746.
The data supporting the use of "antidepressants" in children and adolescents is largely unavailable. Academic publications give a different picture as regards benefits and harms to publications from regulatory other sources. Despite disagreements about the data driving use of these medicines, in practice "antidepressants" may now be the most commonly used drugs by adolescent girls, and children's mental health services are attracting increasing attention.This paper reviews the difficulties surrounding the data. It outlines a case for benefits (as well as risks) that would require physicians to exert a greater degree of professional autonomy than service managers might wish.
支持在儿童和青少年中使用“抗抑郁药”的数据大多难以获取。学术出版物在这些药物的益处和危害方面呈现出与监管机构等其他来源的出版物不同的情况。尽管对于推动这些药物使用的数据存在分歧,但实际上“抗抑郁药”现在可能是青春期女孩最常用的药物,并且儿童心理健康服务正受到越来越多的关注。本文回顾了围绕这些数据的困难。它概述了这些药物存在益处(以及风险)的情况,而这将要求医生行使比服务管理者所期望的更大程度的专业自主权。