Kids on Anti-depressants Flashcards
What has the FDA required of drug makers?
BBW: Suicide risk in adolescents
What do studies actually show about SSRI prescriptions and suicide?
Less likely to commit suicide but more likely to have suicidal thoughts.
Why did people use to think that kids couldn’t have depression?
Immature personality structures
What is the mood of most depressed youth?
Extreme irritability
When should you listen to the parent’s concern?
Younger kids
Family history related to childhood depression? 3
- One parent: 2X likely
- Two parents: 4X likely
- Positive history: earlier onset
Duration of depressive episode in a kid?
9 months
Fraction of treated depressed kids who recur?
half
Where does suicide rank in terms of teen deaths?
Third
What fraction of kids have suicidal thoughts once during adolescence?
1/4
Is suicide rate in teens increasing or decreasing?
Decreasing
Which combination in the TADS study had the greatest improvement in depressed kids?
Followed by
Fluoxetine + CBT
Fluox
CBT
Placebo
In TADS study did suicide decrease or increase across the treatment groups?
Decreased across all
What did happen more in fluoxetine kids?
Which group had this less?
Harm-related adverse events
CBT
What is role of physician in kids being treated with anti-depressants?
Children and adolescents who are taking antidepressant medication should be monitored closely especially early in the course of treatment, or when medications are being changed or dosages adjusted
