Antiepileptic drugs and suicidality

The current study is a systematic review of the literature concerning the possible relationship of antiepileptics and suicide-related clinical features and behaviours. A MEDLINE search returned 863 papers but only five were chosen as relevant. A critical analysis of the Food and Drug Administration...

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Veröffentlicht in:Journal of psychopharmacology (Oxford) 2012-11, Vol.26 (11), p.1401-1407
Hauptverfasser: Fountoulakis, Konstantinos N, Gonda, Xenia, Samara, Myrto, Siapera, Marianna, Karavelas, Vaggelis, Ristic, Dragana I, Iacovides, Apostolos
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container_end_page 1407
container_issue 11
container_start_page 1401
container_title Journal of psychopharmacology (Oxford)
container_volume 26
creator Fountoulakis, Konstantinos N
Gonda, Xenia
Samara, Myrto
Siapera, Marianna
Karavelas, Vaggelis
Ristic, Dragana I
Iacovides, Apostolos
description The current study is a systematic review of the literature concerning the possible relationship of antiepileptics and suicide-related clinical features and behaviours. A MEDLINE search returned 863 papers but only five were chosen as relevant. A critical analysis of the Food and Drug Administration report is also included. Overall, the current review suggests there are no convincing data concerning a ‘class effect’ of antiepileptics in inducing any type of suicide-related behaviours. Further research is needed concerning topiramate, lamotrigine and maybe leviracetam. Clinicians are expected to inform patients and their families on the possible increased risk but it is important not to overemphasise the issue, since stopping or refusing to start antiepileptics may result in serious harm, including death of the patient. Future randomised controlled trials should specifically focus on issues concerning depression and suicidal thoughts in patients with epilepsy.
doi_str_mv 10.1177/0269881112440514
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subjects Anticonvulsants - adverse effects
Clinical trials
Depression - epidemiology
Drugs
Epilepsy
Humans
Indexing in process
Psychopharmacology
Risk
Suicidal Ideation
Suicide - statistics & numerical data
Suicide, Attempted - statistics & numerical data
Suicides & suicide attempts
Systematic review
United States
United States Food and Drug Administration
title Antiepileptic drugs and suicidality
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