Letters SSRIs and congenital defects

Spontaneous publishing and academic miscarriages (SPAM)

BMJ 2009; 339 doi: https://doi.org/10.1136/bmj.b4293 (Published 21 October 2009) Cite this as: BMJ 2009;339:b4293
  1. David Healy, professor1
  1. 1Department of Psychiatry, Cardiff University
  1. HealyD{at}cardiff.ac.uk

    In 1991, in the week that the Food and Drug Administration held regulatory hearings on fluoxetine and suicide, the BMJ published an article by Lilly employees exonerating fluoxetine, although the article showed a clear increase in risk with treatment and included under the heading of placebo a suicide that had not happened in the randomised phase of the trials.1 2 This likely played a part in the way academics worldwide …

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