Careful monitoring required for paroxetine (seroxat) and suicide risk in young adults with depression

Interesting article from May of this year (2011) which further confirms the propensity of Seroxat to cause suicide… as if more proof was needed!!!..

What is particularly interesting is the idea of “careful monitoring” of those on Seroxat. This “careful monitoring” idea is really a red herring argument. Very few doctors whom prescribe Seroxat, or other SSRI drugs, monitor their patients, never mind about monitoring carefully. It would surely be a more careful option not to prescribe an anti-depressant with such a notoriously well established risk of increasing the likelihood of suicide? Surely it defeats the purpose of depression treatment to prescribe a drug which makes users more suicidal? Seroxat should never have been an option in the first place…

Careful monitoring required for paroxetine (seroxat) and suicide risk in young adults with depression
Posted by The Mental Elf at 8:47 amAdd comments


The debate about antidepressant use and suicide in young people rages on. A new meta-analysis of placebo-controlled paroxetine trials has been published in the Journal of Clinical Psychiatry by a research team at GlaxoSmithKline (the company who make the drug also known as Aropax, Paxil and Seroxat) in Pennsylvania.

This kind of drug company conducted meta-analysis always raises alarm bells, but it’s interesting to read on when the study findings are not wholly positive, as they are not in this case.

The meta-analysis uses data from the GlaxoSmithKline paroxetine clinical trial database, including all double-blind, randomized, placebo-controlled, parallel-group studies of paroxetine therapy in adults (14,911 patients in total from 61 trials).

The study found:

no significant differences between paroxetine and placebo for overall suicidality (suicidal behavior or ideation: n/n = 83/8,958 [0.93%] vs n/n = 65/5,953 [1.09%], respectively; OR = 0.9 [95% CI, 0.7-1.3]; P = .649)
no difference for suicidal behavior specifically (n/n = 50/8,958 [0.56%] vs n/n = 40/5,953 [0.67%], respectively; OR = 1.2 [95% CI, 0.8-1.9]; P = .483).
a greater incidence of suicidal behavior occurred in paroxetine-treated patients with depression than in placebo-treated patients (n/n = 11/3,455 [0.32%] vs n/n = 1/1,978 [0.05%], respectively; OR = 6.7 [95% CI, 1.1-149.4]; P = .058).
a higher incidence of suicidal behavior occurred in paroxetine-treated versus placebo-treated adults aged 18 to 24 years (n/n = 17/776 [2.19%] vs n/n = 5/542 [0.92%], respectively; OR = 2.4 [95% CI, 0.9-7.3]).
no increase in suicidality was observed in older people.
The authors concluded:

Across all disorders, overall suicidality incidence was similar between paroxetine and placebo. However, a higher frequency of suicidal behavior occurred with paroxetine in major depressive disorder, which was largely explained by the higher incidence in young adults.

These data support the efficacy of paroxetine therapy; however, they also highlight the need for careful monitoring of suicidality during antidepressant therapy, particularly in younger adults.

Carpenter DJ, Fong R, Kraus JE, Davies JT, Moore C, Thase ME. Meta-analysis of efficacy and treatment-emergent suicidality in adults by psychiatric indication and age subgroup following initiation of paroxetine therapy: a complete set of randomized placebo-controlled trials. J Clin Psychiatry. 2011 Feb 22. [Epub ahead of print] [PubMed abstract].


One comment

  1. anthony

    i tries to kill myself 3 times on this drug.2 overdoses of paracetamol and then fianly driving my car at 90 mph rolling it 3 times into a feild [i didnt want to hurt anyone].this drug SHOULD be basnned full stop.oh i do not take it anmore and i dont try or want to kill myself anymore either

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