March 26 2017
Today’s online edition of the Daily Mail reported that, on January 22nd this year, 14-year-old Naika Venant (right) hanged herself in the bathroom of her foster home in Miami, Florida. She live-streamed the end of her life on Facebook.
From the age of six, Naika had lived in 14 different foster homes. A report published after her death found that Naika had suffered years of sexual abuse, and had been beaten and rejected by her mother.
In the 18 months prior to her death, Naika was prescribed medication for ADHD as well as Zoloft, known as Sertraline in the UK This is an SSRI antidepressant which authorities in both countries do not permit to be prescribed to children due to a heightened risk of suicide.
In December last year, a month before Naika died, a doctor decided to double the dosage of Zoloft.
Florida state officials said that Naika’s constant relocation to different foster homes placed her in situations where adult guardians were unable to monitor her consistently for any danger signs while she was on psychiatric medication.
March 23 2017
Yesterday, assistant Gloucestershire coroner Caroline Saunders delivered a verdict of suicide after the inquest of 18-year-old Courtney Davis at Gloucester Coroner’s Court (right).
On April 22nd last year, Courtney was found hanged in her bedroom after writing “to die would be an awfully big adventure” on the wall. The court was told that “she had support from a number of agencies”, although she did not always attend appointments.
In August 2015, Courtney was referred by her GP, Dr Christopher Morton, to the mental health services, mainly due to eating problems.
By November, clinical psychologist Dr Chloe Constable (left) had assessed that she was suffering from severe depression, although a psychiatrist who saw her two days later did not consider her suicidal. Neither did her GP when he saw her on April 6th last year, just two weeks before she took her life.
A post-mortem on Courtney found that she had been taking the medication prescribed to her. This included the sedative Zopiclone and the opioid Tramadol, as well as two SSRI antidepressants – Citalopram and Sertraline.
In one of the least justifiable comments by a coroner that I have ever seen reported, Mrs Saunders said: “I am satisfied neither medication nor alcohol contributed to her death.” The acknowledged risk of suicidal ideation that occurs when either Citalopram or Sertraline are prescribed is so serious that NICE does not countenance the use of either drug for anybody under the age of 18, or just a few months younger than Courtney was when she died. The prescription of both of these drugs to Courtney, alongside Tramadol and Zopiclone, proved to be a lethal combination.
March 20 2017
Last week, a landmark court case began in Chicago. The plaintiff, Wendy Dolin (right), alleges that the death of her husband Stewart in 2010 was induced by a generic version of GSK’s SSRI antidepressant Paroxetine, marketed as Paxil in the USA and Seroxat in the UK.
Stewart (left) consulted his physician about some work-based anxiety, and was prescribed a generic version of Paroxetine. After 6 days, during which akathisia began to set in, Stewart walked from his office to a nearby railway station, where he stepped in front of a train. The lawsuit claims that GSK failed to warn prescribers of the increased risk of suicidal behaviour in adults.
Although GSK’s opening argument maintained that “Paxil does not cause suicide”, testimony heard during the first week of the case showed conclusively that not only is that premise fallacious but that, for many years before Stewart’s death, GSK were well aware that they were peddling a lie.
The case is expected to continue for another few weeks. For those interested in its progress, UK patient advocate Bob Fiddaman will be publishing regular updates on his website.
March 1 2017
Alison had been in an abusive marriage, and was first treated for depression by her GP, Dr Emma Taylor, in May 2000.
Alison’s brother James told her inquest last week that Alison had filed for divorce from her husband in 2016 and moved from the family home “for her own safety.” Following that, her mental health deteriorated, and she went to see her GP.
Dr Taylor told the court: “She was struggling with the feelings of guilt and the trouble this would cause her family.” And when she returned to the surgery the week before her death, Dr Taylor said that she appeared very different, had lost weight, was tearful and kept apologising.
Dr Taylor doubled the dosage of her prescription for Fluoxetine and arranged for Alison to see mental health nurse David Millard the following week.
Mr Millard told the inquest that Alison did not display any risks of self-harm, but maintained good eye contact and did not appear significantly depressed.
On September 28th last year, the day after her appointment, Alison’s family found her hanging in the stables of her former home.
Neither Dr Taylor, nor Mr Millard, nor even coroner Jean Harkin made any mention of the heightened risk of suicidal ideation associated with a sudden change in the dosage of antidepressants.
Instead, as she delivered a verdict of suicide, the coroner described Alison as “an intelligent woman who fooled healthcare professionals into believing that she was not an immediate risk.”
February 21 2017
In 2012, 67-year-old Carolyn Brock (left) complained to her GP about stress after her retirement, and was given medication “to help with her depression.” Later that year, she stabbed herself with a kitchen knife.
In 2014, her son took his life, and it affected her mental wellbeing.
Last July, Carolyn was admitted into A&E in Southmead Hospital (right) after taking an overdose, and in August the crisis team took over her care. By this time Carolyn was taking drugs for anxiety and blood pressure as well as for depression.
She remained as a voluntary patient in Southmead (right) where, on August 21st , she told staff she was going out for a walk. However, she took a lift to the fifth floor, climbed the railings and jumped to her death in the hospital’s atrium.
During this week’s inquest, psychiatrist Jacek Kolsut told the inquest that: “There was a plan in place to keep her going.” He had rated her as being at “medium risk”, but added: “Some medication can cause unpleasant side effects.”
Delivering a verdict of suicide, coroner Maria Voisin (left) said that Mrs Brock was “a patient whose risk had increased, and required accompanied leave” and that there had been “a failure to communicate this to staff caring for her”.
She concluded: “This failure led to her inappropriately leaving on unaccompanied leave which results in her having an opportunity to take her own life.”
February 20 2017
A major BBC TV documentary, exploring the link between SSRI antidepressants and violence, is now in progress, and will feature stories from all over the world.
If you have ever become violent or had violent thoughts while on SSRIs, and would be willing to share your story, please contact film maker Katinka Blackford Newman (right) at firstname.lastname@example.org, 07885 153049 or via her website www.katinkanewman.com.
Katinka says: “Filming will take place in next few weeks; we will come to you.”
February 19 2017
Today, the UK Government’s Judiciary website published a Prevention of Future Deaths (PFD) report which had been submitted by Berkshire coroner Peter Bedford (left).
At an inquest held in Reading last month, Mr Bedford delivered a verdict of suicide after 76-year-old Charles Rendell was found hanged in his garage in September last year.
Five days earlier, Mr Rendell had undergone a prostate biopsy and was subsequently prescribed the anti-biotic drug Ciprofloxacin. He had no history of depression or mental health problems.
In his PFD report, Mr Bedford listed his concerns:
- Apart from the fact that Mr Rendell had undergone a diagnostic biopsy to test for the possibility of Prostate Cancer, the only change in his daily routine was the prescription of Ciprofloxacin medication.
- Ciprofloxacin carries warnings / precautions that, in rare cases, depression or psychosis can progress to suicidal ideations / thoughts culminating in attempted suicide or completed suicide. However, it is unclear how clearly this is made known to Ciprofloxacin users.
- The literature suggests that this type of side effect can occur even soon after commencing Ciprofloxacin at a comparatively low dose. As it is an antibiotic, there is no compelling reason why patients should expect to have this effect unless this fact, and potential symptoms, are brought clearly to their attention by prescribing clinicians.
- One of Mr Rendell’s family members is a general practitioner in New Zealand. At the Inquest, she advised that she had no knowledge of the potential effect of Ciprofloxacin and, in conversation with her colleagues, nor did they. I am therefore concerned that this potential risk has not been given sufficient emphasis and that consideration should be given to prescribing clinicians highlighting the symptoms and suggesting to patients that they are alert of the possibility and react appropriately.
Mr Bedford addressed the report to Bayer, the manufacturers of Ciprofloxacin.
February 18 2017
Today I received my copy of The Sedated Society: The Causes and Harms of our Psychiatric Prescribing Epidemic. The book is edited by James Davies, and is comprised of chapters written by some of the world’s greatest experts in the subject, including Peter Gøtzsche, Robert Whitaker, Peter Breggin, Joanna Moncrieff, Peter Kinderman and Sami Timimi.
The book also includes a chapter written by Luke Montagu (right), who tells how he suffered crippling withdrawal symptoms from medication that he should never have been prescribed in the first place.
Over 15% of the adult population in the UK takes a psychiatric medication on any given day, and the numbers are only set to increase. When these figures are set against data exposing the poor outcomes and harms that these medications often cause, it becomes apparent that their commercial success is not due to their therapeutic efficacy.
The book reveals how pharmaceutical sponsorship and marketing, diagnostic inflation, the manipulation and burying of negative clinical trials, lax medication regulation, and neo-liberal public health policies have all been implicated in ever-rising psychopharmaceutical consumption. As increasing sedation of society may be leading to a more disabled society, this book closes by calling for total reform.
The Sedated Society is available from Amazon and other retailers, at a price of approximately £20-£25.
February 10 2017
This week’s inquest in Warrington heard from Gareth’s mother Lorna, who said that Gareth had acted “out of character” in the week prior to his death. She said: “He had randomly jumped off a train he was on with his dad at Birkenhead Park Station the day before his death and ran away, only returning home late.”
The next day she called the doctors to make an appointment for him, but found that Gareth was not home.
She called him at around 8:30am. He told her he was out, and then Gareth spoke to his sister some minutes later. At about 9:30am, Gareth was seen to fall “in a single immediate motion” over the barrier on the bridge.
At his inquest, a toxicology report stated that a “low amount of antidepressants used therapeutically” was found in his system which “has no bearing on his death.”
Coroner Alan Moore (right) did not think to question why the toxicologist should be so convinced that drugs with an acknowledged link to suicide should be exonerated on this particular occasion, but concluded that: “Gareth showed some unusual behaviour, but I cannot give a result of suicide as I am not sure he meant to take his own life…Therefore I must return an open conclusion.”
February 1 2017
Yesterday, an inquest in Midleton, Co. Cork, heard that 53-year-old Michael Greaney fatally stabbed his wife Valerie (left). He then wounded his 23-year-old daughter Michelle, before taking his life with the same knife.
The only motive offered at the inquest was that Michael was depressed and in debt. A garda officer surmised: “Michael Greaney was feeling like life wasn’t worth living. He didn’t want the family to suffer pain.”
The tragedy happened at the family’s house in Cobh on December 28th 2014. What was not reported was evidence provided by friends after the incident, who told a journalist that Michael had gone home from a friend’s house where he had drunk a glass of wine. His friends “expressed fears that the glass of wine may have reacted with his medication to drastically alter his mood.”
January 21 2017
The GP prescribed a month’s supply of Propranolol and, 16 days later, Britney took a fatal overdose of the tablets at her home in Glasgow.
Britney’s mother Annette McKenzie decided to initiate a petition and, on Thursday, introduced “Britney’s Plea” to the Public Petitions Committee at the Scottish Parliament. She said that she had been completely unaware of the prescription, and had mistaken side-effects such as tiredness as her daughter being lazy.
At present, GPs do not need to seek parental consent to prescribe medication as long as the young person is deemed to be able to understand the nature of the treatment and potential consequences of the treatment.
Annette (left) told the committee that she wants the law to be changed so that under-18s cannot be prescribed medication to treat mental health issues without parental consent.
“My daughter didn’t understand at 16 years old the severity and strength of the medication she was given,” she said. “She went to the doctor that day to ask for help; she didn’t go expecting to be given pills.”
Annette said that the strength and effect of some mental health medications make it important that parents and guardians are “fully involved and aware of the circumstances, allowing them to support treatment” and safeguard their children by taking control of pills of dispensing them as required.
“We’re not just talking about my daughter being 16 here, we are talking about there being no age of consent,” she said. “If they deem you to be wise enough, they will send you away with medication.”
January 18 2017
On September 12th last year, the body of 30-year-old Ravi Ghowry (right) was discovered on scaffolding at Reading Hockey Club. Ravi, who lived in a flat at the ground, had played for the club and acted as the club’s official photographer.
Yesterday’s inquest heard that Ravi had sought help for depression by attending 31 weekly private counselling sessions between December 2015 and August 2016. He had been advised to take Sertraline, but wanted to avoid it because his mother Rita was concerned that it may make him feel suicidal.
Consultant psychiatrist Dr Wais Ravi said that Ravi had “promised” to consider taking medication but wanted to be sure there was nothing else that would help before beginning a course of antidepressants. A few weeks before his death Ravi agreed to start taking Sertraline.
Asking Dr Ravi about his treatment, Rita asked if Mirtazapine would have been a more suitable option. However, Dr Ravi said that Sertraline was the recommended medication in guidelines from the Royal College of Psychiatrists, as “it is a much milder antidepressant.”
When he concluded the inquest, I presume that coroner Peter Bedford (left) chose not to question this dubious statement by the psychiatrist. He certainly chose to ignore the acknowledged link between Sertraline and suicide, of which Ravi’s mother was well aware, when he stated that he believed Ravi “did act with the intention of ending his own life, but did so while suffering from depression.” He added that he did not believe that Ravi had been neglected by medical professionals.
January 17 2017
Sophy Stott (right) had an exceptional academic ability and was a talented musician and writer. The 20-year-old woman had been transitioning to become male, and preferred to be known as Sebastian. Sophy took her life at her home in Belfast on March 19th 2015.
When she was 16, Sophy told her mother that she had been raped. Sophy first received mental health treatment after starting university in England in 2013. She returned home to Belfast in July 2014 and, after attempting suicide on several occasions, Sophy was referred to psychiatrist Dr Iain McDougall, at the request of her mother Elizabeth.
Elizabeth (left) told last week’s inquest that: “After she met with Dr McDougall she said she was annoyed at him, as she felt he was focusing on matters she did not think were important.” She did not want to take part in the group therapy sessions suggested by the doctor, asking for one-on-one treatment instead, a service unavailable at the time.
On March 3rd, 16 days before her death, the doctor changed Sophy’s antidepressant prescription from Citalopram to Sertraline.
Some time after she started taking Sertraline, Elizabeth said that there was a “definite change” in her daughter’s mood. “Between March 10th and 16th she tried to take her life three times, but I was in the house each time and stopped her,” she said.
On March 16th, Sophy met with Dr McDougall for the last time. She did not reveal her recent suicide attempts, but discussed how the new antidepressants made her mood low.
On the day of Sophy’s death, her mother had left the house briefly to buy food. She returned home from the shop to find Sophy hanging on the stairs.
Coroner Joe McCrisken (right) said that it was possible that Sophy had not been aware her mother had left, and could not say that she definitely intended to take her own life. He told Elizabeth that, following Sophy’s death, a report recommended that health trusts implement the one-on-one service that she had wanted. He said he was pleased to inform Elizabeth that this had been accepted by the Belfast Trust and was now available for patients.
Speaking afterwards, Elizabeth said that, although not all her questions were answered, she was “pleased” at the change to mental health services. “That was really part of what I was hoping for from the inquest, that lessons are learnt and other lives may be saved,” she said, “It’s important the causes are addressed and not just the symptoms of mental health issues.”
January 12 2017
He went on trial in April 2014, and was given a sentence of 8 years in prison.
On September 1st 2014, the 45-year-old was found hanged in his cell at Northumberland Prison.
At this week’s inquest, the jury heard that Michael’s feelings of guilt had continued to haunt him in prison. He was, however, determined to address these feelings, along with his low self-esteem.
A psychiatric nurse who worked with Michael said that: “He was experiencing low mood and anxiety.” When asked whether Michael should have been on an Assessment Care in Custody and Teamwork programme (ACCT), which sees those at risk of self-harm receive additional help and hourly cell checks overnight, the nurse said that “this was not considered necessary while the prisoner continued to engage with the mental health team.”
In his summary, coroner Tony Brown referred to a report given by Michael’s GP: “Michael Mazzetti had told her he did not think life was worth living but that he wasn’t planning on doing anything about it. She continued a prescription of antidepressants and increased the dosage. She found he was in a low mood but her judgement was he did not need to be on an ACCT.”
The jury delivered a verdict of suicide, and the coroner concluded that: “There was insufficient evidence to suggest health care omissions and a failure to open an…ACCT…contributed to Mazzetti’s death.”
The coroner was, presumably, unaware of the advice of the prescribers’ handbook, the British National Formulary (BNF). This states that “the use of antidepressants has been linked with suicidal thoughts and behaviour. Where necessary patients should be monitored for suicidal behaviour, self-harm or hostility, particularly at the beginning of treatment or if the dose is changed”.
It would surely be prudent to initiate an ACCT each time any prisoner is prescribed antidepressants, or whenever the dosage is changed.
December 26 2016
The previous day, Jennifer had bought a Glock 9mm handgun at a local store before going to collect her sons from kindergarten class. Jennifer’s husband Ryan reported the three missing that night.
Last week, toxicology reports were released, and the Denver Post revealed that the two boys, 3-year-old Adam and 5-year-old Ethan (right), were both shot in the neck while in their car seats; they had been sedated with oxycodone and oxymorphone, along with the anti-histamine Benadryl which causes drowsiness.
Jennifer, who shot herself in the head, was found to have had therapeutic amounts of two antidepressants in her blood: Bupropion (aka Wellbutrin and Zyban) and Desmethylvenlafaxine (a variant of Effexor / Venlafaxine), as well as Lamotrigine, an anti-convulsant medication used to treat bipolar disorder and seizures.
December 21 2016
On October 31st 2015, 39-year-old Anne Barnsdale (left) died when she was struck by a train near her home in Godalming, Surrey. Two months earlier, Anne had returned to her job as a BBC World Service manager after having had a baby daughter in July 2014.
After some deterioration in her mental wellbeing, which included intrusive thoughts about the Jedi, Anne went to seek medical help. The court heard that, in the week before her suicide, Anne visited two GPs and was prescribed antidepressants to cope with her anxiety.
Dr Steven Simons (right) told last week’s inquest that she was not suffering from post-natal depression, and “attributed her stress to her busy job at the BBC.”
On the day of her death, Anne’s husband Jonathan Clarke said they decided to have a lazy day together. While checking on their daughter upstairs, Jonathan heard the door and knew Anne was going for a walk, which he added was not out of the ordinary. He grew concerned when he discovered that she had left without her phone and, an hour later, he contacted the police.
Jonathan, along with Anne’s sister Michelle, claimed that the doctors who saw Anne in the week leading up to her death should have done more to save her. Jonathan told the inquest: “We believe that the system failed her as she made three cries for help over her last five days. I will have to live with the fact that I could have done more to save her from killing herself and the doctors will have to live with that on their conscience as well. A baby girl has to go without a mother due to a lack of care, it now seems.”
However, delivering a verdict of suicide, Coroner Anna Loxton said: “Given the evidence before me by the GPs, I am satisfied with what they have done under the guidelines given.”
I am not sure to which guidelines the coroner is referring, but NICE Guideline CG90 recommends that antidepressants are not prescribed either for stress or anxiety, “because the risk-[of suicidal ideation]–benefit ratio is poor”.
December 18 2016
On February 13th this year, in an act which was described as “completely out of character”, 50-year-old Margaret MacDermott (left) went missing from her home in Fenham, in Newcastle. The following month, her body was recovered from the River Tyne.
Last week’s inquest heard from her GP practice that Margaret had taken tablets for anxiety and depression for about six years and that, two months before her death, she had been given a diagnosis of multiple sclerosis.
Subsequently, she was referred for more counselling sessions, and had her anti-depressants increased.
The report in the online version of the Evening Chronicle states that: “The inquest heard there is medical opinion suggesting such tablets can have a ‘paradoxical’ effect – increasing risk of suicidal behaviour – but only in under-25s.”
It is disgraceful that this “medical opinion” should be presented as evidence to the court, even though it is palpably untrue. It is also surprising that the statement went apparently unchallenged by Karen Dilks (right), a relatively experienced coroner, for whom this cannot have been the first case where a self-inflicted death may have been induced by antidepressants.
Mrs Dilks chose not to consider the possibility that the increase in dosage could possibly have had anything to do with Margaret’s death when she said that her mental health “was exacerbated by her multiple sclerosis which can be a very challenging and difficult disease to face.”
The coroner returned a narrative conclusion, saying: “Ms MacDermott died due to her own actions, in that she took herself to the bridge whilst suffering from anxiety and depression.”
December 16 2016
17-year-old Billy Plowman (left) was a gifted musician, who had been studying at the prestigious Academy of Contemporary Music in Guildford, Surrey. However, Billy had left the course because he found it stressful.
Billy did not reveal this to his father, whom he visited every other weekend after the break-up of his parents’ marriage.
Yesterday’s inquest heard that, on June 19th this year, Billy returned home to Oxted from such a visit, having removed a shotgun without his father being aware. Later that night, Billy left his mother’s home and drove in his car to an isolated spot where he shot himself in the head.
The court was told that “Billy had been treated for mental health problems as early as 2013 and had been diagnosed with ‘autism spectrum’ symptoms.” After an overdose 5 months before his death, he was seeing a psychologist from CAMHS.
A toxicology report revealed that Billy had been taking antidepressants.
December 13 2016
Today’s inquest in Newport on the Isle of Wight was told that, on June 1st this year, 6-year-old Keziah (right) was drowned in the bath by her father Darren Flux-Edmonds (44).
Afterwards, she was placed on a bed along with her two terrier dogs, which had also been drowned.
Darren then sent a text to his estranged wife Nikki, who was at work. The long message began with “Congratulations” and ended with: “You have left me with nothing, I’ll leave you with only memories.”
Nikki immediately called the police and made her way to her home in East Cowes. Police officers found Darren (left) hanging from the rafters in the loft and then found Keziah lying in bed with her arms around the dogs. She was rushed to hospital but died later that day.
Darren, who had been staying with his mother, had separated from his wife Nikki earlier in the year as he thought she was having an affair, which she was not.
Coroner Caroline Sumeray (right) read from a therapist’s report from May 11 which said: “Patient has had nightmares about murdering his wife and daughter. He said this is something he would never actually do. He loved them enormously and had never hurt someone in the past.”
The inquest was also told that Darren was taking antidepressant medication.
The coroner concluded that Keziah’s death was an unlawful killing and that Darren had killed himself.
December 9 2016
57-year-old Tim Masling (left) worked at GCHQ, the UK’s intelligence base in Cheltenham. On June 16th this year, he was arrested by police and suspended from his job after an allegation that was never proven.
Tim was released after questioning, and tried unsuccessfully to arrange a meeting with his employers.
On June 19th, Tim went to work, but found that his pass wasn’t working and was told by a guard that he had been banned from the site.
The next morning, Tim phoned GCHQ, who were “very apologetic”, leaving Tim confident that everything would be sorted out. Later, a colleague phoned him to say that she had been told that he had been put on “gardening leave”.
Tim then went to see his GP and was signed off sick for eight weeks. He was prescribed antidepressants.
On July 1st, Tim’s wife Deborah (right) returned home and found a suicide note on his computer. She phoned her father who lived nearby and he came straight round. He went into the garage and found her husband hanged.
At yesterday’s inquest in Gloucester, Tim was described as “a well respected, popular and thoughtful member of the community and a loving husband, father and friend.”
Coroner Katy Skerrett recorded a conclusion of suicide.
Last month, Ms Skerrett presided over the inquest of Tomas Bleszynski (28), who was himself suspended from GCHQ (left) in 2011. As a result, he suffered anxiety and depression and “sought help from a psychiatrist”, by which it’s probably safe to assume that he was given psychiatric medication.
Tomas was later re-instated, but then left his GCHQ employment during 2012. He remained unemployed until April of this year, when he was found drowned in his bath by his worried parents who had not been able to contact him.
On this occasion, Ms Skerrett delivered an open verdict.
December 8 2016
On July 26th this year, 17-year-old Beth Gleave (right) was found hanging from a tree in Moel Famau country park in North Wales.
She added: “Twelve months later she felt like she needed help again. Her GP prescribed her antidepressants and she was better for a while but told me she needed to increase her medication.
“She was very upset recently following the break-up of a relationship. I did not think there was a trigger. I just think she was deeply depressed.
“We miss her greatly. She was loved by her family and friends.”
A pathologist reported that there was no alcohol in her system but that there was a “great and therapeutic level of antidepressants” and a “high level of MDMA”, also known as ecstasy.
Recording a verdict of suicide, coroner John Gittins (left) told the family: “Some people make good decisions, some people back bad ones, but you were there for her throughout.”
As an experienced coroner, Mr Gittins should know that antidepressant-induced akathisia destroys completely the ability to make rational decisions.
December 1 2016
On July 31st this year, retired bank manager Kirkpatrick Macmillan was found by his wife Pauline hanged at their home in St Margaret’s Bay, near Dover.
A report from his psychiatrist was read to the court, which said: “In July 2016, Mr Macmillan requested to see me urgently. He told me that he had gradually come off the drugs in late 2012 and had been fine until a month ago.
“He said he was suffering from a totally different breakdown. This time he felt unwell and said he was anxious about the Brexit vote. He had insomnia and was losing weight due to the anxiety and his concentration was very poor. He had no thoughts of self harm, saying it was something he would ‘never do’.”
Kirkpatrick made another appointment with his psychiatrist and, once more, “sought treatment from the Priory.”
Coroner Christopher Morris (right) ignored the fact that Kirkpatrick appeared to have resumed taking drugs linked to suicidal ideation when he said: “He had suffered from anxiety earlier in his life. He sought help and it seems to have been in good effect. But in the summer of 2016 he became low in mood again. His anxiety seem to be based around the particular situation arising from the EU referendum result…
“Due to the evidence about his battle with anxiety and the manner in which he was found, my conclusion is one of suicide.”
December 1 2016
David’s GP had been treating him since he was first diagnosed with depression in 1994, and over the years had tried different sorts of medication and treatments to try and help him, with the help of psychiatrists and community mental health teams.
In June this year, David went to his doctor telling him that his “head was not working” and that he planned to drown himself.
The court heard that, in the weeks before his death, he had lost weight and had been depressed and withdrawn, and that “changes to his medication only served to make him more anxious and agitated.”
Coroner Tony Williams recorded a verdict of death by drowning, adding that David had intentionally taken his own life.
November 23 2016
In the early hours of September 20th 2015, fire crews and police officers attended a blazing house (right) in Riddings, Derbyshire, where there had been an explosion. Inside the house, they found the severely burned bodies of 50-year-old Simon Saxton-Cooper and his wife Shelley (45). They had been together for 25 years, and had recently returned from a week-long holiday in Norfolk to celebrate their wedding anniversary.
Further investigations found that Shelley had 18 stab wounds, and had died before the blaze started. Simon was found with a single stab wound and had died after the fire was started in the bedroom.
Yesterday’s inquest heard that, three weeks before the incident, Simon had bought a petrol can and filled it with petrol. It was the ignition of the petrol fumes that caused the explosion.
Shelley’s mother told the inquest that Simon and Shelley “loved being around each other,” and spent a lot of time walking their dog and visiting garden centres. Simon’s father said that they seemed happy and never argued, although Simon had recently “become more reclusive.”
Coroner James Newman (left) delivered verdicts that Shelley was unlawfully killed and that Simon died by suicide. He concluded the inquest by ignoring the medication and saying: “I don’t think we are ever going to know what happened.”
November 18 2016
This morning’s Daily Mail reported that American film and TV actress Lisa Masters (right) took her life on Tuesday. While on a modelling trip to Peru, 52-year-old Lisa hanged herself with her skirt in her hotel room in Lima.
Authorities in Lima said that they had found antidepressants and Diazepam in Lisa’s hotel room.
Lisa’s agent Christopher D. Silveri confirmed her death, saying: “In these darkening days, we hope those who have had the pleasure of knowing her will see how brightly she shined and will find that light within themselves and continue to share it with others – just as she would have.”
November 17 2016
For the second time in two days, Oxfordshire coroner Darren Salter presided over an inquest where a self-inflicted death had been preceded by the prescription of antidepressants.
Yesterday’s inquest dealt with the death of 48-year-old Sara McDonald (left), who hanged herself in Shotover Park in Headington on July 12.
Sara was an ambulance worker who, as one friend said, “had a really big heart, she would do anything for anybody, sometimes to the detriment of herself.”
Another friend said that Sara was worried that she was suffering from post-traumatic stress disorder due to having flashbacks and nightmares.
The court heard that Sara had been in contact with mental health services since 1989 for issues including depression, and had been “treated with a range of antidepressants.”
For the second day running, Mr Salter chose to ignore the possible effects of psychiatric medication. Instead, he suggested that this experienced ambulance worker may have been upset by dealing with the recent deaths of two elderly people.
November 16 2016
In June this year, 18-year-old Alex Daniel (right) should have retuned to school after the half-term holidays. However, he spent most of the day in his bedroom until, later in the evening, he decided to take the family dog for a walk in the countryside around Deddington, Oxfordshire.
After a while, his parents went to look for him, and found him hanging from a tree.
Alex, who was dyslexic, was studying for A-levels at Chipping Norton School, to where he had transferred two years earlier after disappointing GCSE results at his previous school.
Chipping Norton School was concerned about his low mood. He was prescribed antidepressants, and his attendance at school became increasingly sporadic.
Alex was speaking regularly to mental health support workers, and six months before his death he told them that he had unsuccessfully tried to hang himself. At this point, the support workers told the family to remove potential ligature points.
At yesterday’s inquest in Oxford, coroner Darren Salter said: “There were texts or messages in emails which, although they did not say explicitly that he intended to take his own life, they talk about being fed up with life.” The coroner was satisfied that Alex intended to take his own life.
November 10 2016
Around 2am, Tobias was driving the Vauxhall Astra at about 70 mph (110 kph) along a nearby residential street when he crashed into the back of a parked camper van.
Harley was rushed to hospital, where he died the following day.
At yesterday’s inquest, questions were raised about Harley’s mental health care.
Dr Prema Raman, a consultant child psychiatrist, said that in March 2013 Harley had been referred to the Child and Adolescent Mental Health Service (CAMHS), because of ADHD and anxiety problems.
There was no follow-up until Harley was then re-referred by his GP after suffering further problems, including not being able to sleep, in January 2015. In the months before his death, following the re-referral, Dr Raman prescribed medication “to ease the symptoms of ADHD, and help Harley sleep at night.”
Coroner Geoffrey Sullivan did not appear to consider what effect Harley’s medication regime may have had on his state of mind that night, but determined that Harley died of a traumatic brain injury, following a road traffic collision, and recorded the fact that the teenager’s organs had been donated to help others.
November 4 2016
Last September, 36-year-old nursery assistant Lucy Teuton (left) gave birth to her daughter Ayla. On November 12th, just seven weeks later, she was reported missing from her home in Redruth, Cornwall. Two days later, her body was found in water at the foot of cliffs at nearby Portreath.
Lucy was taking prescribed psychiatric medication when she contacted Cornwall Partnership NHS Foundation Trust, two days before she died, after suffering a psychotic experience when she thought she saw her grandmother in her daughter’s eyes.
Yesterday’s inquest heard that a member of staff deemed it inappropriate to involve the home treatment team. Instead, the inquest was told, the member of staff increased her medication and arranged to make contact after the weekend. Lucy’s body was found on the Saturday
Consultant psychiatrist Darren Mackintosh told the court how Lucy was not considered to be at high risk of another psychotic relapse. He said: “Lucy agreed to the increase in medication and had her family around her and an emergency contact number to call, so the clinical decision was made not to involve the home treatment team.”
A community psychiatric nurse revealed how the mental health team was undermanned, and said: “Increased work pressures impacted on our ability to maintain regular contact with clients,” and that she had no gaps in her diary to meet Lucy after the preceding psychotic incident.
Lucy’s sister said: “Lucy was loving, kind, warm and beautiful and always cared for others before herself. She was in love with her daughter and the most loyal friend you could ever meet.”
Coroner Barrie van den Berg, recorded an open verdict, saying there was no evidence that Lucy intended to take her life, and that he could not rule out an accident or psychotic episode.
Lucy’s husband Andrew had instructed medical negligence law firm Irwin Mitchell to investigate the care of his wife. Perhaps they should look at the fateful decision to increase Lucy’s medication, after a psychotic episode that could well have been caused by the medication itself.
October 18 2016
On July 3rd last year, 17-year-old student Jay Cheshire (right) hanged himself from a tree in a park near his home in Southampton. Five months earlier he had been prescribed antidepressants for “a low mood”, in total contravention of NICE Clinical Guideline 28. In May, he was questioned by police over allegations that were, in fact, withdrawn two weeks later.
At his inquest, coroner Grahame Short (left) commented that Jay had possibly taken his life because “he found it difficult to cope with the police investigation.” It is far more likely that Jay found it difficult to cope with the mind-altering drugs that he should never have been prescribed.
Today, the same coroner presided over the inquest of Jay’s mother Karin, who hanged herself at her home on July 18th this year, just over a year after the death of her son.
Karin Cheshire (right), who was 55, was so devastated by the death of her son that she kept his room the same and slept in his bed.
In the months following Jay’s death, Karen suffered a breakdown. She was given antidepressants and anti-psychotic medication, and was then in and out of care for a while. She fell into debt, and faced having to move out of the family home.
At the time of Karin’s death, her family said that “she could not see a future without Jay,” and “fell into a deep depression.”
Karin’s brother Simon said that he last saw his sister looking “vacant” and “zombie-like” four days before the anniversary of Jay’s death.
Delivering a verdict of suicide, Mr Short ignored the possible effects of taking simultaneously two mind-altering drugs.
Instead, he pronounced: “There’s no doubt whatsoever in my mind that Karin was profoundly affected by the sudden loss of Jay, and the consequences of his death. One of those consequences was her mental health condition, which deteriorated drastically. And I think because of that she started doing strange things, like overspending with money she didn’t have. By the time of her own death, she was facing the consequence of having to move away from her family home.”
October 14 2016
Two days ago, in Belfast, an inquest came to an end after eight days of evidence. The jury found that Frances McKeown (left), a 23-year-old mother of two children, took her life in Hydebank Prison on May 4th 2011.
Factors that were said to have contributed to her death included: “use of an unprescribed antidepressant drug, Trazodone, in combination with two prescribed drugs, the antidepressant Fluoxetine and the anti-psychotic Risperidone.” This was called a “disastrous” combination.
Frances had been sent to prison in October 2010 following a charge of hijacking a taxi. She was taking “various medications, including Risperidone” before she went into Hydebank.
In November, Frances was referred to a prison psychiatrist, but she didn’t see one until the following April, just weeks before her death.
On February 14th, a medication spot check was carried out and Frances was found not to have any of her prescribed medication in her possession. As a result, the prison doctor stopped her medication, pending a mental health assessment. Frances was not seen by a mental health nurse until March 4th 2011 and was not put back on her medication until the following day. She was, therefore, without anti-psychotic and antidepressant medication for 19 days. This was described as “not appropriate” by a consultant forensic psychiatrist.
After the inquest, Frances’s parents said: “Frances was a victim of suicide. She was not a perfect person, but she was our daughter, and she was a very precious, very vulnerable young woman. She struggled with her mental health difficulties, as we her family struggled for support and good mental health care for our daughter.”
October 11 2016
According to a report in today’s edition of Pharma Business International, the first ever review of clinical trials of antidepressants given to healthy adults with no signs of a mental disorder has established that antidepressants double the harms related to suicide and violence.
The analysis, published by the Journal of the Royal Society of Medicine, was undertaken because the harms of antidepressants, including the risk of suicide, are often explained away as if they are disease symptoms or only a problem in children.
Researchers from the Nordic Cochrane Centre and the University of Copenhagen believe that their review actually underestimates the harms of antidepressants, since they were given access to data for only 11 of the 13 trials, rather than being able to analyse the full data held by the drug companies.
Lead author Professor Peter Gøtzsche (left) of the Nordic Cochrane Centre, said: “While it is now generally accepted that antidepressants increase the risk of suicide and violence in children and adolescents, most people believe that these drugs are not dangerous for adults. This is a potentially lethal misconception.”
He added: “The reporting of harms in drug trials is generally poor. Our review established that the trials did not report much about their methodology and that the reporting of adverse events was generally inadequate.
“It is well documented that drug companies under-report seriously the harms of antidepressants related to suicide and violence, either by simply omitting them from reports, by calling them something else or by committing scientific misconduct.”
October 2 2016
Today, in the Daily Record, Britney’s mother Annette told how her daughter took an overdose of “anti-anxiety medication” after being bullied at school and on social media.
Annette said: “She had gone to bed happy. We had no clue she was feeling depressed, far less suicidal.”
Because Britney was 16, her doctor didn’t need to tell her family about the pills.
“I have to be strong for my two other children. A mother has no choice, she has to go on no matter how hard it is. I only ask that bullying is taken seriously before some other parent loses a dearly loved child.”
September 27 2016
Last Friday, 20-year-old Arcan Cetin (right) parked his car by a shopping mall in Burlington, WA. He walked into Macy’s department store and, within the space of a minute, he shot dead one man, three women and a 16-year-old girl.
Arcan then placed the rifle that he used on top of the cosmetics counter, left the store, got into his car and drove off. He was described as “zombie-like” when police stopped him later while he was driving his car about a block from his home, and took him into custody.
Yesterday, Arcan’s stepfather David Marshall told reporters: “Arcan has had mental health issues that we have been trying to work on him with.”
Last year, Arcan was charged with assaulting his stepfather after he was caught smoking marijuana inside the house. Court records showed that Arcan had been diagnosed with anxiety and depression, for which he had taken “unspecified medications”.
September 27 2016
An inquest last November revealed that Kyle had been living with a foster family in Brighton but, on November 27th the previous year, he re-located to Bedfordshire to be with his biological father in Bedfordshire. Prior to this, Kyle had been receiving death threats on Facebook.
Kyle’s father agreed to help look after his son, but Kyle ended up staying with a neighbour because there was no room for him at his father’s house. Having worked with his father on his first day in Bedfordshire, he was due to do the same again three days later, but was found hanged from a stairwell after deciding not to work on December 1st.
Coroner Tom Osborne (right) delivered an open verdict, and criticised the LSCB. He said that there had been “a complete lack of preparation” ahead of Kyle’s move to be near his father. Kyle’s father added that it appeared that his son had dictated to social services where he should live, rather than the authorities telling him what was best for him.
The SCR revealed that, in the month before he left for Bedfordshire, Kyle “approached his GP asking for anti-depressant medication for anxiety and depression.”
September 13 2016
Helen Nicoll (left), described as a “millionaire dentist”, hanged herself at her home in Cambridgeshire in June last year at the age of 53.
Four months earlier, Helen had become anxious when a patient of 20 years began trying to sue her. She began seeing a psychologist and was prescribed Diazepam and Citalopram.
Yesterday’s inquest heard that her behaviour became “increasingly erratic”, and she began to drink heavily.
Helen’s husband Stephen (right) told the inquest that, on the night of her death, Helen had been drinking wine and instigated a violent argument with him. She accused him of talking about her to one of their two daughters. She threw his golf clubs over a fence, and attacked him physically.
Stephen said that the assaults continued throughout the night as he drifted in and out of sleep. At some point in the early hours of the morning she came in and turned some classical music on the radio. When he woke up and went downstairs at around 6 o’clock, he found his wife hanging in the hallway.
Toxicology reports revealed that Helen was 1½ times the drink-drive limit and had therapeutic levels of “prescription medication”.
Coroner Simon Milburn (left) delivered a narrative verdict, recording that Helen “died as a result of a self inflicted act, that is the tying of the ligature, but the evidence of her intent why she did that remains unclear.” He did not mention the heightened risk of suicide that occurs when an SSRI is prescribed alongside a benzodiazepine, nor that the risk is increased even further when alcohol is added to the mix.
September 12 2016
In 2013, Lyndsey Shipstone and her 7-year-old daughter Mary (right) moved to a house in Northiam, a village in East Sussex. They believed that the address was not known to Lyndsey’s estranged husband Yasser Alromisse (46), who was barred from seeing his daughter.
However, a Serious Case Review (SCR) which was published today revealed that Yasser was accidentally sent their address by Lyndsey’s divorce lawyers.
An inquest, held last year, heard that on September 11th 2014, Yasser (left) hid in a car outside the house. When Mary returned home from school with her mother, Yasser shot her and drove off. Mary was taken to hospital, but later died of her injuries. A police search for Yasser ended when he was found dead in the back of the car. He had shot himself in the head.
The SCR mentioned that Yasser had been “prescribed medication for anxiety and depression.”
September 9 2016
Yesterday’s Independent reported that a study of almost 360,000 patients in Wales, aged from 6 to 18, found that there had been a 28% rise in antidepressants given out by GPs. While the number of prescriptions per child, per year went up, the number of diagnoses of depression fell, raising fears of the “medicalisation” of unhappiness and the ordinary emotional turmoil experienced by teenagers.
The increase in prescribing was most pronounced among older teenagers. Girls were 3 times more likely than boys to be given antidepressants, and children from the most deprived areas were twice as likely as those in the least deprived areas to be given antidepressants.
Dr Ann John (left), who led the research at Swansea University Medical School, said: “The main issue is whether they being prescribed with enough cause…There’s lots of debate about ‘are we medicalising unhappiness?’. Some of these feelings are part of the normal human experience – things that are just part of growing up.”
One problem thrown up by the research was that doctors were still prescribing Citalopram to treat depression in young people, despite official guidance not to do this. “Citalopram has a known toxicity in overdose and there were warnings given about it in 2011,” said Dr John.
August 29 2016
At the conclusion of the march, 25-year-old ex-soldier Micah Johnson (right) took up a sniper’s position and shot dead five police officers with an assault rifle. Some hours later, authorities used a bomb-carrying robot to kill him.
According to documents obtained last week by the Associated Press under the Freedom of Information Act, Micah had sought treatment for anxiety, depression and hallucinations, telling doctors that he experienced nightmares after witnessing fellow soldiers in Afghanistan getting blown in half. He also said he heard voices and mortars exploding. He told his care provider: “I try to block those out, but it is kinda hard to forget.”
After a series of appointments, doctors decided in August 2014 that Micah was “not felt to be psychotic by presentation or by observation,” and was “not acutely at risk for harm to self or others.” He was prescribed antidepressants, as well as a muscle relaxant and anti-anxiety and sleep medication.
A month later. Micah saw a psychiatrist who noted that his mood was “better.”
Following the tragedy, Micah’s mother said in an interview that he “began to behave like a hermit” after his discharge from the army.
Micah’s father said: “I don’t know what to say to anybody to make anything better. I didn’t see it coming. I love my son with all my heart. I hate what he did.”
August 27 2016
At the time of his death, 69-year-old Anthony Fortescue (left) was High Sheriff of Cornwall.
The Office of High Sheriff is an independent, non-political Royal appointment for a single year. Its origins go back more than 1000 years, when the ‘Shire Reeve’ was responsible to the king for the maintenance of law and order within the shire, or county, and for the collection and return of taxes due to the Crown. Whilst the duties of the role have evolved over time, supporting the Crown and the judiciary remain central elements of the role today.
Anthony lived with his wife at Boconnoc House (right), a 200-year-old house set in a 7500-acre estate. On November 9th last year, Anthony’s body was found in a utility room by a carer. He had shot himself in the face with a shotgun.
A psychiatrist’s report, read at this week’s inquest in Truro, stated that Anthony suffered from bouts of depression. He had experienced feelings of worthlessness in the preceding months, as well as a loss of motivation and loss of interest in activity.
Anthony had previously been admitted to the Priory hospital in London., and he was taking antidepressants and anti-psychotic medication.
Coroner Barrie van den Berg recorded an open verdict, citing a lack of evidence for a verdict of suicide.
Ignoring the fact that Anthony was taking a combination of psychiatric drugs which are known to exacerbate the risk of suicide, the coroner said: “There’s nothing I have heard in the evidence which indicates any suicidal ideation at all. I cannot exclude the possibility of some sort of accident from some sort of thing that went wrong.”
August 19 2016
At about 8 pm, Tommy left the house with one of those friends, 48-year-old Darren Gordon. As they were walking across a footbridge, they were joined by a woman called Sara who knew them.
At yesterday’s inquest, Sara said: “We had got to the fifth step from the top of the footbridge and Darren grabbed Tommy from behind and dragged him down the stairs…I saw Darren stab Tommy. He grabbed a knife out of his top and started stabbing him. I screamed for my partner, I didn’t know what to do. I didn’t want to leave Tommy. It was completely unprovoked, I will never forget what happened.”
After stabbing his friend sixteen times, Darren (right) fled the scene. The following morning he was found by a dog walker, hanged from a tree near the Humber Bridge.
Friends who had been at the house said that there had been no dispute or arguments between the pair earlier that day, but that Darren was very quiet and hardly spoke to anyone.
One of the men told the inquest that Darren was trying to get a job on the fishing boats. He went on to say that Darren had been on antidepressants which he said were making him mad and suicidal.
Coroner Paul Marks returned a conclusion of unlawful killing, telling Tommy’s family: “I cannot begin to think what anguish you as a family have gone through in this terribly sad case. The motives behind this attack will never be known. The person who perpetrated this terrible deed is already dead.”
August 9 2016
In the UK Parliament, the Health Committee has decided to undertake an inquiry into the action which is necessary to improve suicide prevention in England. The Committee is seeking to examine what further action should be taken to prevent suicide, and is inviting members of the public to send submissions on the following points:
- The factors influencing the increase in suicide rates, with a focus on particularly at-risk groups
- The social and economic costs of suicide and attempted suicide
- The measures necessary to tackle increasing suicide rates, and the barriers to doing so – in particular the Committee will consider the role of:
- Local authorities and partner organisations, including police, transport police, the rail industry, fire services, schools, youth services, and drug and alcohol services
- Mental health services and other parts of secondary care, including A&E and psychiatric liaison services
- Primary care services
- Referrals from non-statutory services – local support groups, faith groups, carers, friends and family
- Examples of best practice, including those from other countries
- Media reporting of suicide, the effectiveness of guidelines for the reporting of suicide, and the role of social media and suicidal content online
- The value of data collection for suicide prevention, and the action necessary to improve the collection of data on suicide.
Those making submissions to the Committee are welcome to address any or all of the above points. The Committee would also welcome any other comments on or information about suicide and suicide prevention work which stakeholders may wish to bring to its attention.
Submissions should not exceed 3000 words, and should reach the Committee by Friday September 9th.
August 9 2016
Today’s Washington Post reported that 44-year-old Keith Sluder (right) from Maryland was found not criminally responsible for injuring his wife by shooting her in the neck because he was found to be suffering from “involuntary intoxication” caused by Chantix, the trade name for the anti-smoking drug Varenicline.
In November 2014, according to the Carroll County Times, Keith awoke his wife and told her they had to go to his mother’s house. When she followed him up the stairs, he shot her once and tried to shoot her again, but the gun malfunctioned. When a sheriff’s deputy arrived and pointed his gun at Sluder, police said he tried to grab the deputy’s gun. The deputy did not shoot him.
Keith’s lawyer argued that Chantix caused him to have a “chemical imbalance.” This was not contested by the prosecution, indicating that their mental health expert examined Keith and came to the same conclusion. The judge decided that Keith should be released from custody.
A spokesman for Pfizer, who manufacture the drug, stated: “There is no reliable scientific evidence that Chantix causes serious neuropsychiatric events.” However, it was reported in 2014 that more than 2000 people had joined in lawsuits against Pfizer for various psychiatric problems, including suicide and suicidal thoughts. Pfizer settled most of them for an estimated total of at least $299 million.
Chantix is marketed in the UK as Champix. In 2010, 33-year-old Andrew Case (right), from Hampshire, fatally stabbed his wife, smothered their 2 daughters, then hanged himself, after having been taking Champix for four weeks.
August 1 2016
In Massachusetts on July 13th 2014, 18-year-old Conrad Roy (left) took his life by deliberately ingesting carbon monoxide while in his truck. After his death, police came across long text conversations which had taken place intermittently over the last few weeks of Conrad’s life. The dialogue was with his girlfriend Michelle Carter, who was 17 at the time.
At one point, Michelle (right) tells Conrad that his parents “will understand and accept” his suicide and “will be sad for a while but they will get over it and move on.” Another message, allegedly sent in the days leading up to his death, read: “You have to just do it. . . . Tonight is the night. It’s now or never.”
Michelle was arrested and charged with involuntary manslaughter.
At a pre-trial hearing last Friday it emerged that both Conrad and Michelle had been prescribed Celexa (aka Citalopram). Michelle’s attorney, Joseph Cataldo (right), filed a motion requesting documentary evidence about the drug, noting that the antidepressants may increase the risk of suicidal thinking, especially in adolescents and young adults.
“The defense needs to have these studies reviewed by its expert as to how this drug may have played into the defendant’s thinking and conduct during the calendar year of 2014 and how it might affect her thought process and behavior,” Mr Cataldo wrote in another motion asking for funds for a forensic pharmacology and toxicology expert.
Michelle’s trial is expected to take place later this year.
July 29 2016
Congratulations to the FACS (Foetal Anti Convulsant Syndrome) Association, who, after years of campaigning, have persuaded the authorities that medication for epilepsy should carry a clear warning on the outside of each box. The warning on packets of Epilim (right) reads:
WARNING FOR WOMEN AND GIRLS – This medicine can seriously harm an unborn baby. Always use effective contraception during treatment. If you are thinking about becoming pregnant, or if you become pregnant, talk to your doctor straight away.
Prominent members of the campaign include Emma Murphy, as well as Janet Williams (left) who hopes that the warnings will help protect “many thousands” of mothers and their unborn children today and in the future.
Janet added that their battle is far from over, explaining that toolkits for GPs that give more detailed warnings have still not been properly rolled out. She said that while the delays in publishing the warnings were put down to fears that they could discourage women from protecting themselves, she suspects that the prospect of losing profits was the real reason.
July 26 2016
An alarming report in today’s Daily Record stated that, in Scotland, 1123 children under the age of 14 were prescribed antidepressants last year.
Altogether, 23,974 people under 21 were given antidepressants, an increase of more than 10,000 since 2009, and more than 3000 in the last year alone.
Scottish Conservative mental health spokesman, Miles Briggs MSP (right), said: “I am especially alarmed at the rise in the number of children taking antidepressants. We have always said that there is a role for medication in treating mild-to-moderate depression. But we want to see a new focus on the provision of social prescribing and swift access to talking therapies, with anti-depressant medication as a last resort.”
As a spokesman for mental health, Mr Briggs should really be more familiar with NICE CG90, which does not recommend antidepressants for mild-to-moderate depression, even for adults, “because the risk–benefit ratio is poor”. “Risk” being the risk of adverse reactions, including suicide.
And, where children are concerned, the conditions laid down in NICE CG28 are so stringent that, if they were adhered to by prescribers, hardly any young people would be prescribed antidepressants.
Mr Briggs also demanded that the SNP Government ensure the NHS “have the systems in place to support our young people to come off antidepressants and not just park them on pills as a long-term solution”.
The response from an unnamed, self-congratulatory Scottish Government spokesman was even more appalling. He said: “We are keen that people receive the treatment they need for mental health problems including where this means receiving medication – just as someone would receive medication for a physical illness.
“We have seen more people being prescribed antidepressants as a result of better identification of those requiring treatment, better diagnosis and a reduction in the stigma attached to mental health. In addition, waiting times have decreased significantly despite a rise in the number of people seeking help.”
The Scottish Government is due to publish a new mental health strategy later this year. The country is certainly in need of one, before more of its children suffer permanent harm through the reckless mis-prescribing of antidepressants.
July 22 2016
66-year-old Michael Geldard (left) had been a successful and popular teacher. He taught computing studies at The Blue School in Wells, Somerset, where on the Rate my Teachers website, one of his ex-pupils wrote: “Possibly one of the best teachers I ever had at The Blue School.”
After his retirement, Michael remained very active, taking part in endurance challenges, until he damaged his knee in an accident on his mountain bike.
For the resultant pain, Michael’s GP prescribed Tramadol, and also Amitriptyline, which is a tricyclic antidepressant, a drug that often induces depression when prescribed off-label for pain relief.
At his inquest yesterday, Michael’s ex-wife, Helena Smith, gave a statement to the coroner saying that Michael had asked repeatedly for help from the doctors and she felt they had failed to prevent his death. She said that she was concerned about the over-prescription of pain relief, as he had been prescribed three lots of Amitriptyline, which he had asked not to be prescribed any more.
Eventually, after frequent visits to the Wells City Practice, Michael’s prescription was changed to a large dosage of codeine.
On January 8th, Michael told his doctor that he was having problems reducing his intake of codeine, and was frustrated and anxious. His doctor prescribed Citalopram to help with his symptoms, as well as Diazepam as a short term solution. He returned the following day and told them he had some suicidal thoughts – even telling the doctor about his ‘suicide’ plan.
Michael hanged himself in his garage on January 19th.
Helena told the inquest that Michael had reported his suicidal feelings to the doctor and asked if he could stop taking Citalopram. She asked the coroner, Tony Williams, if it was possible that he had taken his life while in a drug-induced psychotic state.
Instead of giving an affirmative response, the coroner recorded a narrative verdict, saying that Michael had intentionally taken his own life at a time when he was seeking to reduce his use of codeine, and had been prescribed Citalopram eleven days prior to his death.
July 21 2016
A year later she met her boyfriend Lee. They had a son, who was born with a serious liver condition and has spent much of his life in hospital.
Emma had to devote so much time looking after her baby son that, last November, social services put the two older children, by now aged five and nine, in the temporary care of her ex-boyfriend in Blackpool.
Some weeks later, Emma was told that her ex-boyfriend would be given permanent custody of the children and, “to help her cope”, she was prescribed antidepressants.
As Emma’s problems mounted, she reportedly told social service staff: “I feel like jumping from a bridge.”
In March this year, by which time her young son was one-year-old and she was 28, Lee found her hanged in the back garden of her home.
At her inquest earlier this week, coroner Matthew Cox delivered a verdict of suicide, saying that it was clear that troubles with all three of her children had impacted upon her.
After the hearing, Emma’s sister Donna said: “We all loved her. She was a great mum to her three kids. We all miss her.”
July 7 2016
Before she went into hospital, Laura spent a lot of her time doing volunteer work for a Dog’s Trust organisation.
Three days before she died, Laura was found with a ligature around her neck, saying she “wanted to die and be with her friend”. This meant that she was placed on high-level observations inside Broadoak, until the day before the tragedy.
On the day she died, Laura had to be soothed after an episode of head banging. Staff said she was put to bed and “appeared calmer.”
The jury was told that Laura, who had been diagnosed with a personality disorder, should have been closely monitored. She should also have had access to psychological therapy that was not available on the ward.
Laura had been prescribed Tramadol and paracetamol, to treat lower back pain. She had also been prescribed the antidepressant Citalopram, although it appears that coroner Andre Rebello (right) did not make the jury aware of the possibility that an adverse reaction to the drug may well have been contributed to Laura’s state of mind before her death.
The jury returned a narrative verdict, concluding that “her intentions were unclear.”
After the inquest, Laura’s father Joe paid tribute to his “wonderful, kind, happy, generous” daughter. He continued: “Laura was a vulnerable young woman in crisis and it is difficult for us to understand why she was not better protected.”