Suicidality

Article

Suicidality and SSRI’s: An Update

Topics: SSRIs | Suicidality

Just when we thought we could finally dismiss the notion that SSRIs cause suicidal ideation, along came the Brits! On June 10, 2003, the British counterpart of our FDA (in Britain, this is the MHRA--Medicines and Healthcare Products Regulatory Agency) issued a "Dear Colleague" letter announcing that Seroxat (the British version of Paxil) should not be u

Read More
Research Update

Update: Is Watching 13 Reasons Why Bad for Teens?

Topics: Bullying | Contagion | Media | Prevention | Research Update | Risk | Suicidality | Suicide | teens

Review of: Niederkrotenthaler T et al, JAMA Psychiatry 2019. doi: 10.1001/jamapsychiatry.2019.0922 Several studies have examined whether Netflix’s 13 Reasons Why is good or bad for teens. Results have been mixed. In the CCPR March/April 2019 issue, we reported a study finding that most suicidal ideation decreased after watching the first season of

Read More
Research Update

Varenicline and Bupropion: Soaring Again With EAGLES?

Topics: Addiction | Addiction Treatment | Bupropion | Chantix | Co-occurring disorders | Dual diagnosis | FDA Warnings | Medication | Pharmacology | Research | Research Update | Side Effects | Smoking Cessation | Smoking Cessation Agents | Substance Use | Substance use disorders | Suicidality | Suicide | Tobacco | Varenicline | Wellbutrin

Review of: Anthenelli RM et al, Lancet 2016;387(10037):2507–2520 Varenicline (Chantix) and bupropion (Zyban and others) are effective treatments for tobacco use disorder, but their use (and sales) took a big hit in 2009 when the FDA slapped both with black box warnings linking them to psychiatric complications, including suicidal ideation. Although

Read More
Research Update

Another Black Eye for Prazosin in PTSD?

Topics: Hypnotics | Insomnia | Nightmares | Prazosin | PTSD | Research | Research Update | Sleep | Suicidality

Review of: McCall W et al, J Clin Psychopharmacol 2018;38(6):618–621 Study Type: Randomized single-blind controlled trial (pilot study) Prazosin has become a mainstay in the pharmacologic treatment of PTSD. A selective antagonist of the noradrenergic alpha-1 receptor, it has modest benefits in sleep and nightmares that are supported by around ha

Read More
Article

Ask the Editor: Should You Prescribe Lithium to Suicidal Patients?

Topics: Lithium | Pharmacology | Suicidality

Dear Dr. Aiken: You recommended lithium for suicidal patients in the TCPR 2018 summer issue, but isn’t there a risk of overdose with this strategy? Dr. Aiken: From firearms to bridges, the suicide rate goes down when we erect barriers to the means. Barriers work because suicidal impulses are brief, lasting only 1–2 hours on average. It

Read More
Article

Bullying and Suicidality: Some Practical Tips

Topics: Bullying | Depression | Free Articles | Suicidality

What can you do when one of your patients reports being bullied? Research has shown that being bullied increases the risk of depression, anxiety, and suicidality in children. In this article, we’ll give you some tips for how to ask about bullying, how to assess its impact, and how to help your patients and their families deal with the problem. How

Read More