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Antidepressants' Black-Box Warning — 10 Years Later
Open accessAbstract
In 2004, the FDA issued a black-box warning linking antidepressants to an increased risk of suicidal thinking, feeling, and behavior in young people. But some worrisome trends suggest that the warning may inadvertently discourage appropriate treatment of depression.
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“slight impairments in executive control 207,210 and memory 207 may remain”
From Major depressive disorder (2016) · cites this paper as [207]
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“One meta-analysis identified executive function, memory, and attention as the predominantly affected domains 207 .”
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“Although the cognitive deficits are more modest after remission (i.e. in euthymic patients with MDD)”
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“Moreover, the meta-analysis which lead to the black box warning in fact showed that rate of suicidal thinking or suicidal behavior was 4% among patients being prescribed an antidepressant, as compared with 2% among those being taken placebo.58”
From Addressing the Side Effects of Contemporary Antidepressant Drugs: A Comprehensive Review (2018) · cites this paper as [58]
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Metadata
- Authors
- Friedman, R. A.
- Affiliations
- Cornell University (US)
- Corresponding author
- Friedman, Richard A.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 2014-10-30
- Volume
- 371
- Issue
- 18
- Pages
- 1666-1668
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2006985105
- Cited by
- 171
- References
- 5
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 19 · 2023: 11 · 2022: 14 · 2021: 9 · 2020: 15 · 2019: 13 · 2018: 34 · 2017: 14 · 2016: 11 · 2015: 11 · 2014: 1
- FWCI
- 14.55
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- New England Journal of Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Keywords
- antidepressants, black box warning, suicide risk, FDA drug labeling, treatment underuse, depression treatment
- MeSH terms
- Suicide Prevention, Adolescent, Adult, Aged, Antidepressive Agents, Child, Depressive Disorder, Drug Labeling, Drug Utilization, Humans, Risk Factors, Suicide, United States, United States Food and Drug Administration, Government Regulation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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