Article Related content Article metrics Rapid responses Response Rapid Response: Re: GP training in mental health needs urgent reform Suicides and self-harm traumatisms are the sixth leading cause of death, but GPs could not reduce them [1], probably because recent evidence reveals that administered antidepressants actually increase suicide risks by 2-5 times. [2][3][4][5][6] A recent meta-analysis, level I evidence, clearly demonstrated that SSRIs double the risk of suicide and violence in adults. [4] Another meta-analysis published in the British Journal of Psychiatry has found that even patients with the most severe depression can expect to get as much benefit from cognitive behavioural therapy (CBT) as those with less severe symptoms. [7] Even Behavioural Activation effectively decreases depressive symptoms. [8] References [1] http://www.bmj.com/content/355/bmj.i6761 [2] http://journals.sagepub.com/doi/pdf/10.1177/0141076816666805 [3] http://www.bmj.com/content/348/bmj.g3510 [4] http://www.bmj.com/content/352/bmj.i65 [5] http://nordic.cochrane.org/sites/nordic.cochrane.org/files/public/upload... [6] http://www.bmj.com/content/355/bmj.i6103 [7] http://bjp.rcpsych.org/content/210/3/190.long [8] http://www.bmj.com/content/356/bmj.j914 Competing interests: No competing interests 20 March 2017 Stavros Saripanidis Consultant in Obstetrics and Gynaecology Thessaloniki, Greece
Rapid Response:
Re: GP training in mental health needs urgent reform
Suicides and self-harm traumatisms are the sixth leading cause of death, but GPs could not reduce them [1], probably because recent evidence reveals that administered antidepressants actually increase suicide risks by 2-5 times. [2][3][4][5][6]
A recent meta-analysis, level I evidence, clearly demonstrated that SSRIs double the risk of suicide and violence in adults. [4]
Another meta-analysis published in the British Journal of Psychiatry has found that even patients with the most severe depression can expect to get as much benefit from cognitive behavioural therapy (CBT) as those with less severe symptoms. [7]
Even Behavioural Activation effectively decreases depressive symptoms. [8]
References
[1] http://www.bmj.com/content/355/bmj.i6761
[2] http://journals.sagepub.com/doi/pdf/10.1177/0141076816666805
[3] http://www.bmj.com/content/348/bmj.g3510
[4] http://www.bmj.com/content/352/bmj.i65
[5] http://nordic.cochrane.org/sites/nordic.cochrane.org/files/public/upload...
[6] http://www.bmj.com/content/355/bmj.i6103
[7] http://bjp.rcpsych.org/content/210/3/190.long
[8] http://www.bmj.com/content/356/bmj.j914
Competing interests: No competing interests