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    Antidepressants in children and adolescents: Meta-review of efficacy, tolerability and suicidality in acute treatment

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    Author
    Cortese, Samuele
    Keyword
    Antidepressive agents
    Suicide
    Patient care planning
    Attention deficit disorder with hyperactivity
    Anxiety disorders
    Autism spectrum disorder
    Major depressive disorder
    Obsessive-compulsive disorder
    Post-traumatic stress disorders
    Date
    2020
    
    Metadata
    Show full item record
    DOI
    10.3389/fpsyt.2020.00717
    Publisher's URL
    https://www.frontiersin.org/articles/10.3389/fpsyt.2020.00717/full
    Citation
    Boaden, K., Tomlinson, A., Cortese, S. & Cipriani, A. (2020). Antidepressants in children and adolescents: Meta-review of efficacy, tolerability and suicidality in acute treatment. Frontiers in Psychiatry, 11, pp.717.
    Type
    Article
    URI
    http://hdl.handle.net/20.500.12904/6220
    Collections
    Medicines Management

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    Related items

    Showing items related by title, author, creator and subject.

    • Thumbnail

      Personality disorder

      Milligan, Andrea; Mountain, Cholena (2018)
    • Thumbnail

      Re-offending in forensic patients released from secure care: The role of antisocial/borderline personality disorder co-morbidity, substance dependence and severe childhood conduct disorder

      Howard, Richard C.; McCarthy, Lucy; Huband, Nick; Duggan, Conor (2013)
      Background Research suggests that a particular externalising phenotype, manifested in a developmental trajectory from severe childhood conduct disorder through early-onset substance abuse to adult antisocial/borderline personality disorder co-morbidity, may increase risk of antisocial behaviour in general and criminal recidivism in particular. Aim This study aims to test the hypothesis that antisocial/borderline co-morbidity together with the triad of substance dependence, severe conduct disorder and borderline pathology would result in an increased risk of criminal recidivism. Methods Fifty-three men who had been assessed and treated in a secure hospital unit were followed up after they had returned to the community. They were assessed for severity of the following: (i) antisocial personality disorder; (ii) borderline personality disorder; (iii) drug/alcohol dependence; and (iv) high Psychopathy Checklist Revised scores (factors 1 and 2). Results Patients with antisocial/borderline co-morbidity took significantly less time to re-offend compared with those without such co-morbidity. Both Psychopathy Checklist Revised factor 2 and the tripartite risk measure significantly predicted time to re-offence; the former largely accounted for the predictive accuracy of the latter. Conclusion Risk of criminal recidivism can be adequately assessed without recourse to the pejorative term psychopath'. It is sufficient to assess the presence of the three elements of our risk measure: borderline and antisocial personality disorders in the context of drug/alcohol dependence and severe childhood conduct disorder. Practical implications of the study are as follows. (i) Sound assessment of personality, inclusive of a detailed history of childhood conduct disorder as well as adolescent and adult substance misuse, yields good enough information about risk of recidivism without recourse to the pejorative concept of psychopathy'. (ii) Given the high risk of alcohol-related violence in individuals with antisocial/borderline co-morbidity, there is a need for specific alcohol-directed interventions to help such men retain control of their substance use. Copyright (c) 2013 John Wiley & Sons, Ltd.
    • Thumbnail

      Re-offending in forensic patients released from secure care: The role of antisocial/borderline personality disorder co-morbidity, substance dependence and severe childhood conduct disorder

      Howard, Richard C.; McCarthy, Lucy; Huband, Nick; Duggan, Conor (2013)
      Background Research suggests that a particular externalising phenotype, manifested in a developmental trajectory from severe childhood conduct disorder through early-onset substance abuse to adult antisocial/borderline personality disorder co-morbidity, may increase risk of antisocial behaviour in general and criminal recidivism in particular. Aim This study aims to test the hypothesis that antisocial/borderline co-morbidity together with the triad of substance dependence, severe conduct disorder and borderline pathology would result in an increased risk of criminal recidivism. Methods Fifty-three men who had been assessed and treated in a secure hospital unit were followed up after they had returned to the community. They were assessed for severity of the following: (i) antisocial personality disorder; (ii) borderline personality disorder; (iii) drug/alcohol dependence; and (iv) high Psychopathy Checklist Revised scores (factors 1 and 2). Results Patients with antisocial/borderline co-morbidity took significantly less time to re-offend compared with those without such co-morbidity. Both Psychopathy Checklist Revised factor 2 and the tripartite risk measure significantly predicted time to re-offence; the former largely accounted for the predictive accuracy of the latter. Conclusion Risk of criminal recidivism can be adequately assessed without recourse to the pejorative term psychopath'. It is sufficient to assess the presence of the three elements of our risk measure: borderline and antisocial personality disorders in the context of drug/alcohol dependence and severe childhood conduct disorder. Practical implications of the study are as follows. (i) Sound assessment of personality, inclusive of a detailed history of childhood conduct disorder as well as adolescent and adult substance misuse, yields good enough information about risk of recidivism without recourse to the pejorative concept of psychopathy'. (ii) Given the high risk of alcohol-related violence in individuals with antisocial/borderline co-morbidity, there is a need for specific alcohol-directed interventions to help such men retain control of their substance use. Copyright (c) 2013 John Wiley & Sons, Ltd.
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