Selective serotonin reuptake inhibitors and violent crime: do SSRI’s kill or cure?

Introduction SSRI’s are consistently associated with violent events in the adult population. However, the causality between SSRI use and violent behaviour was never found. Several recent studies draw the attention to this hypothesis while they were inspired by several mass murderers in the United S...

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Main Authors: S. Sneep, S. Petrykiv
Format: Article
Language:English
Published: Cambridge University Press 2022-06-01
Series:European Psychiatry
Subjects:
Online Access:https://www.cambridge.org/core/product/identifier/S0924933822008926/type/journal_article
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author S. Sneep
S. Petrykiv
author_facet S. Sneep
S. Petrykiv
author_sort S. Sneep
collection DOAJ
description Introduction SSRI’s are consistently associated with violent events in the adult population. However, the causality between SSRI use and violent behaviour was never found. Several recent studies draw the attention to this hypothesis while they were inspired by several mass murderers in the United States. Objectives A literature research on studies exploring the association between SSRI use and violent behaviour. Methods The authors performed a literature search (1966–2020) using PubMed and Embase to review studies where a possible link between SSRI’s and violent behaviour in adults was assessed. Results 94 studies were identified, of which 6 studies were included. There is no association between the use of SSRI’s and violent behaviour in the general population. However, an increased hazard of violent behaviour was observed in young man and those with a history of violent crime. Conclusions Overall, SSRI treatment is safe in the general population. Certain subgroups can, however, be vulnerable to aggressive flare-ups, especially during on-treatment period and the first 12 weeks after drug discontinuation. Therefore, careful monitoring throughout these critical periods is strongly recommended. Disclosure No significant relationships.
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spelling doaj.art-3cda3f4030d24f8082d2cb7ffc4fda232023-11-17T05:05:57ZengCambridge University PressEuropean Psychiatry0924-93381778-35852022-06-0165S351S35110.1192/j.eurpsy.2022.892Selective serotonin reuptake inhibitors and violent crime: do SSRI’s kill or cure?S. Sneep0S. Petrykiv1GGZ Westelijk Noord Brabant, Psychiatry, Halsteren, NetherlandsGGZWNB, Psychiatry, Halsteren, Netherlands Introduction SSRI’s are consistently associated with violent events in the adult population. However, the causality between SSRI use and violent behaviour was never found. Several recent studies draw the attention to this hypothesis while they were inspired by several mass murderers in the United States. Objectives A literature research on studies exploring the association between SSRI use and violent behaviour. Methods The authors performed a literature search (1966–2020) using PubMed and Embase to review studies where a possible link between SSRI’s and violent behaviour in adults was assessed. Results 94 studies were identified, of which 6 studies were included. There is no association between the use of SSRI’s and violent behaviour in the general population. However, an increased hazard of violent behaviour was observed in young man and those with a history of violent crime. Conclusions Overall, SSRI treatment is safe in the general population. Certain subgroups can, however, be vulnerable to aggressive flare-ups, especially during on-treatment period and the first 12 weeks after drug discontinuation. Therefore, careful monitoring throughout these critical periods is strongly recommended. Disclosure No significant relationships. https://www.cambridge.org/core/product/identifier/S0924933822008926/type/journal_articleSSRIviolent behaviour
spellingShingle S. Sneep
S. Petrykiv
Selective serotonin reuptake inhibitors and violent crime: do SSRI’s kill or cure?
European Psychiatry
SSRI
violent behaviour
title Selective serotonin reuptake inhibitors and violent crime: do SSRI’s kill or cure?
title_full Selective serotonin reuptake inhibitors and violent crime: do SSRI’s kill or cure?
title_fullStr Selective serotonin reuptake inhibitors and violent crime: do SSRI’s kill or cure?
title_full_unstemmed Selective serotonin reuptake inhibitors and violent crime: do SSRI’s kill or cure?
title_short Selective serotonin reuptake inhibitors and violent crime: do SSRI’s kill or cure?
title_sort selective serotonin reuptake inhibitors and violent crime do ssri s kill or cure
topic SSRI
violent behaviour
url https://www.cambridge.org/core/product/identifier/S0924933822008926/type/journal_article
work_keys_str_mv AT ssneep selectiveserotoninreuptakeinhibitorsandviolentcrimedossriskillorcure
AT spetrykiv selectiveserotoninreuptakeinhibitorsandviolentcrimedossriskillorcure