Silence and Suicide By Angela Bischoff June 6, 2004
Health Canada finally admitted it. Anti-depressants may
cause anxiety, agitation and suicidal thoughts. But Health
Canada's recent warning comes too late for Tooker Gomberg.
Tooker suffered from depression, an illness that made it
difficult for him to reach out. He suffered because there
are few resources for those with modest incomes. He
suffered because society fails to accept and deal with
mental illness.
But Tooker died, I believe, because he reacted adversely to
his anti-depressant medication. Two bouts of severe
depression paralyzed Tooker's vital forces, leaving him in a
bleak, desperate state. He became hopeless and anxious,
suffocated by pain.
Creative people, and those who do well socially and
academically are particularly vulnerable to the spectre
of mental disintegration and the fear of becoming a
chronic patient.
It is known that a small percentage of people taking anti-
depressant drugs suffer adverse reactions, including
suicidal thoughts. Tooker began taking an antidepressant in
January 2004. In the ensuing weeks his anxiety, agitation,
and hopelessness spun out of control. I learned later that
these are the leading predictors of suicidal behaviour.
Patients put on such drugs must be monitored for suicidal
tendencies. Two weeks into his drug therapy, Tooker began to
have suicidal thoughts - for the first time in his life. His
doctor did not question him. Imagine taking a drug, and as
your symptoms worsen, your doctor advises you to double the
dosage! Just four weeks after beginning the medication and
increasing the dosage twice, Tooker took his own life. He
wrote that that he could not bear the agony.
A public inquiry held by the US FDA (Food and Drug
Administration) heard testimonials from people who had lost
loved ones to suicide. On March 22, 2004, the FDA released a
public health advisory stating that anti-depressants,
including the drug prescribed to Tooker, may increase risk
of suicide. It ordered manufacturers of ten big-selling
drugs to declare this on warning labels.
Health Canada responded by setting up a scientific advisory
panel. This resulted in dear-doctor letters going out to all
physicians in the country linking anti-depressants with
increased agitation and suicidal thoughts in some patients.
On June 3rd, three months to the day after Tooker took his
life, Health Canada advised the public of the deadly
correlation.
Although the drug/suicide connection has been established
for some time, Tooker's psychiatrist never mentioned it. The
drug fact sheet from the pharmacist included no information
about suicide. The monograph inside the package contained no
warning of suicidal ideation. Health Canada's website
offered no information on the topic. Any one of these
interventions may have saved Tooker's life.
Suicide is largely preventable. Yet it is epidemic, having
tripled over the past 45 years. At the same time,
pharmaceutical use has increased dramatically.
Around the world, between one and four percent of adults
claim that they have attempted suicide at some point in
their lives. Studies in 1993, 1995, and 1997 concluded that
one in five high school students seriously considered
suicide in the preceding 12-month period, and one in ten
actually attempted it.
It is a myth that talking about suicide will induce it. The
psychiatric community knows that talking saves lives. So
why the media blackout? Why the lack of information? Why
the taboo?
Society is under the illusion that suicide is rare. Medical
professionals and government agencies are not supposed to
subscribe to societal illusions. Their responsibility is to
act on proven risks and statistical truths. When they fail,
the public is put at risk.
Tooker died needlessly. His death is an unspeakable loss. No
one else should be allowed to die this way. Given what we
know today about the potential side effects of anti-
depressants, there can be no excuse.
Doctors prescribing anti-depressants should be required to
conduct suicide risk assessments with all patients, and warn
them of the known risks. Otherwise, every prescription puts
a life at risk. Isn't that life worth a few questions?
Now that Health Canada claims that product labels and
monographs will include warnings about increased risk of
suicide, our regulatory agency must go further. Health
Canada must research, review and publish all data on anti-
depressants and suicidal behaviour; it must track the deaths
and adverse reactions of children and adults on these drugs;
it must hold public hearings on the effects of psychiatric
drugs; and it must encourage consumers and physicians to
report adverse reactions.
The public has a right to know. Tell the truth and
save lives.
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For more info: hc-hc-Open ↗
sc.gc.ca/english/protection/warnings/2004/2004_31.htm
breggin.combreggin.comOpen ↗ ahrp.orgahrp.orgOpen ↗
greenspiration.orggreenspiration.orgOpen ↗