- A P Fletcher
- International medical director IMS International, London NW1 6JB
EDITOR,--Susan S Jick and colleagues' study on the use of antidepressants, based on data from the VAMP database, and rates of suicide may result in more confusion than elucidation.1 It is not clear whether the initial hypothesis was that observed suicide rates were evidence of failure to control depression, with consequent suicide, or that the agents were themselves a causative factor. The distinction is important since one case deals with inefficacy and the other with an adverse reaction. No data are provided on the suicide …
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