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“The issues of antidepressant-associated suicide has become front-page news, the result of an analysis suggesting a link between medication use and suicidal ideation among children, adolescents, a link between medication use and suicidal ideation among children, adolescents, and adults up to age 24 in short term (4 to 16 weeks), placebo-controlled trials of nine newer antidepressant drugs. The data from trials involving more than 4.4(K) patients suggested that the average risk of suicidal thinking or behavior (suicidality) during the first few months of treatment in those receiving antidepressants was 4 percent, twice the placebo risk of 2 percent. No suicides occured in these trials. The analysis also showed no increase in suicide risk among the 25 to 65 age group. Antidepressants reduced suicidality among those over age 65. Following public hearings on the subject, in October 2004, the FDA requested the addition of “black box” warnings—the most serious warning placed on the labeling of a prescription medication—to all antidepressant drugs, old and new.”

Quote by Benjamin James Sadock

Book:Kaplan & Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry
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Kaplan & Sadock's Synopsis of Psychiatry: Behavioral Sciences/Clinical Psychiatry

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Benjamin James Sadock

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“I sniffed as a few tears escaped, lifting my hands to wipe them away. It was then that I caught the only clues I’d been given by whoever had left me here. On one wrist someone had written You are Kahlen. The other said He is Akinli. I flipped my hands over and searched up and down my arms, hoping there was more. “Look,” I begged, holding out my arms. “Pretty handwriting,” Ben commented. Julie hit him, but in a way that seemed playful. “Seriously?” “That’s all you have?” Akinli asked. “Apparently. So, all I know is who I am and who you are.” I looked into his eyes, the glowing blue, and sensed that was all that mattered.”

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“I don’t want to make a big deal about this or anything, but I think it’s kind of cool how you do everything you do.” I squinted at him. “I mean, you use sign language, and it’s hard to communicate. But you’re into art and you can seriously cook and, for goodness’ sakes, you can even jitterbug. By the way, I told my mom, and she wants a video. Totally doesn’t believe me. But, yeah, I think it’s nice that you don’t let a little hitch in life slow you down. I admire that.” I smiled. For a minute, I admired myself, too. He didn’t know how deep my problems ran, but he was right all the same. It was no small thing to try, to find out what you cared about in life. Even this moment, with this wonderful, temporary boy beside me, was a tiny miracle. I ought to give myself some credit.”

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“I got the groceries and lugged them all the way to Akinli’s dorm, running slightly behind because I couldn’t get into the building on my own. The university required ID cards to get into the dorms after six, and since I wasn’t an actual student, I had to wait for someone else to come along and scan his so I could piggyback in. “You need some help?” the boy asked, his eyes lingering on my mouth. I shook my head no. “Aww, come on. That’s way too heavy for you.” He came closer, and again I cursed our natural appeal. I wasn’t in danger exactly, and I knew that, but it didn’t make these encounters any less uncomfortable. I shook my head again. “No, really, which floor are you on? I can—” “Hey, Kahlen!” I looked up to see Akinli walking down the hall. His button-up was open over the gray shirt beneath it, but I was thrilled to see that he’d at least put one on. “I was starting to worry. Hey, Sam.” “Hey.” The boy gave Akinli a look and headed toward the stairwell, his displeasure at Akinli’s arrival clear. In the meantime, I felt my mood lift significantly. I was now officially on my first date.”

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“When we’d all settled down from that first night, Julie found a bag on the porch, which we thought must have been left by the same three girls who had brought me to them. Just like the clues on my skin, I’d only been left with two worldly possessions. The first was a wad of cash that I immediately handed to Ben and Julie as compensation for giving me a home. Most of it went to pay for Akinli’s medical bills, which was fine with me. I didn’t know if there was a word bigger than soul mates, something that meant the feeling of being so connected that it was hard to tell where one person ended and the other began. If there was, that word belonged to Akinli and me. The second thing was a bottle of water. It was so peculiar, this water, a blue that was both dark and brilliant, too thick to see through but still carrying light. No matter the season, it was always cold, and there were tiny shells in it that never settled. Sometimes I slept with it, even though it was cold enough to wake me up if I rolled on it the wrong way. It was the only clue I had to tell me who I had been before the night I was left on the porch, and I loved it second only to Akinli. Somehow, I knew that this love was important, as if treasuring the water meant I treasured myself. And I did. I loved my recovering body, I loved my blue-eyed soul mate, I loved my adopted family. I held the water to my chest, and I loved.”

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