melvin-whenshouldgps-2004.pdf (139.42 kB)
When should GPs prescribe SSRIs for adolescent depression?
journal contribution
posted on 2004-12-01, 00:00 authored by L Rowe, B Tonge, Glenn MelvinGlenn MelvinBackground Depression is a common disorder, increasing in prevalence in all ages. Research on the effective treatment of adolescent depression is lacking. Concern is growing about the recent increase in general practitioner prescribing of antidepressants and reports that selective serotonin reuptake inhibitors (SSRIs) may precipitate suicidal behaviour in adolescents. Objective This article discusses the importance of recognising and treating adolescent depression, methodological issues in research and recommendations for SSRI prescribing by Australian GPs. Discussion The lack of access to the mental health services and harmful effects of untreated adolescent depression are a cause for concern. On the balance of current information, the only SSRI Australian GPs may prescribe for the treatment of depression in adolescents is fluoxetine, and then only where cognitive behavioural therapy has failed or the depression is life threatening. The key to successful antidepressant drug treatment in adolescents is frequent review to monitor response, compliance and side effects.
History
Journal
Australian family physicianVolume
33Issue
12Pagination
1005 - 1008Publisher
Royal Australian College of General Practitioners (RACGP)Location
East Melbourne, Vic.Link to full text
ISSN
0300-8495Language
engPublication classification
C1.1 Refereed article in a scholarly journalCopyright notice
2004, Australian Family PhysicianUsage metrics
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