Table of Contents
Overview of Psychiatric Disorders
Overview of Clinical Context of Spontaneous Reports
Suicide: A Multi-Factorial Event - Adult
Incidence of Suicide
Suicide: Clinical Features
Profile of the Suicides in the Accutane Medwatch Reports
Definitional Issues - Suicidal Behavior
Overview of Suicidal Behavior
Depression: Epidemiology
Depression: The Illness Versus Depressive Symptoms - (The Blues)
The Issue of Medications and “Depression”
Adolescent Depression - Clinical Features
Why Adolescent Depression Is Undiagnosed
Adolescent Depression - Relationship to Stressful Events
Suicide Rates for All Persons and Persons Aged 15 to 24, U.S., 1900-1995
Suicide: A Multi-Factorial Event - Adolescent
No Apparent Psychopathology
Clinical Analysis of Spontaneous Reports
Questions Addressed
Categories of Suicides in Medwatch Reports
Suicide: On/Off Accutane
Case Example: Relationship to Accutane
“Depression” Occurring While On Accutane
Case Example – Concealment of Symptoms
Prior Psychiatric History Related to On/Off Accutane
Reports With Prior Psychiatric History That Represent “Controls”
Case Example – No Apparent Psychopathology
Case of Murder-Suicide
Case Example – Substance Abuse/Impulsive Behavior
Summary of Clinical Analysis
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