Indian Journal of Psychological Medicine
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Year : 2011  |  Volume : 33  |  Issue : 1  |  Page : 74-76

Intense suicidal thoughts and self-harm following escitalopram treatment

1 Department of Older Adults Psychiatry, South Staffordshire and Shropshire NHS Foundation Trust and Staffordshire University, United Kingdom
2 Department for General Adult Psychiatry, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, United Kingdom

Correspondence Address:
Farooq Khan
Specialist Registrar in Old Age Psychiatry, South Staffordshire and Shropshire Healthcare NHS Foundation Trust Hon Lecturer in Old age Psychiatry, Centre for Ageing and Mental Health, Staffordshire University, BL 167 Blackheath Lane Stafford, ST18 0AD
United Kingdom
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0253-7176.85400

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In a minority of depressed patients, treatment with an antidepressant drug appears to initiate intense suicidal thoughts and actions. We describe this phenomenon in a 52-year-old woman treated with escitalopram. She did not experience this when treated with six other antidepressants, which were not Selective Serotonin Reuptake Inhibitors. Clinicians need to warn patients and their relatives of the risk that intense suicidal thoughts may develop after an antidepressant drug is started and encourage them to seek help immediately should this occur.

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