Intended for healthcare professionals


Depression in adults: campaigners and doctors demand full revision of NICE guidance

BMJ 2018; 361 doi: (Published 20 June 2018) Cite this as: BMJ 2018;361:k2681
  1. Jacqui Thornton
  1. London

A coalition of mental health organisations and individual clinicians has described the latest draft guidelines on adult depression by the National Institute for Health and Care Excellence (NICE) as misleading, invalid, and not fit for purpose, saying that they could harm patients.

Fourteen organisations including the Royal College of Psychiatrists and six leading doctors including Simon Wessely, former president of the college, and Clare Gerada, former president of the Royal College of General Practitioners, have signed a position statement sent to NICE.1

It says that the draft revision of NICE’s guideline on depression in adults2 is based on wide ranging and fundamental methodological flaws for establishing effective treatment and falls short of acceptable scientific standards. The guideline development group favours medical trials over psychological trials and particular psychological treatments over others, the statement says, adding that it relies too much on …

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