There is a frequent use of psychotropics and psychiatric care among suicides; however, few used antidepressants and complied. Many suicides are still misdiagnosed and are not adequately treated.

Refers to the following text of the Journal: 2005;31(1):0

The use of antidepressants has been low in Jämtland County for many years, while the suicide rate has been among the highest in Sweden. A continuous outpatient prescription recording system has been in operation in Jämtland since 1970. Through this system we traced the prescription pattern of 80 individuals who committed suicide from 1970 to 1984. Suicide patients obtained 1.5 times more prescription drugs than 80 matched controls, mainly psychotropics and vitamins. During the 3 months prior to the suicide, half of the patients had received medical attention and 73% of the women and 40% of the men had obtained prescription drugs, in one-third from the psychiatric department. While 53% and 29%, respectively, obtained psychotropic drugs, only 13% and 9% respectively were prescribed antidepressants, often in low doses. People who will commit suicide often seek medical help. The low rate of antidepressant prescription in patients committing suicide probably reflects insufficient diagnosis and treatment of depressive disorders. It is urgent--for the individual as well as for society--that diagnostic and pharmacotherapeutic routines be improved.

No abstract

This study provides evidence that the main use of SSRIs in 1995 is the treatment of depression. The study implies that SSRIs have a more favourable outcome in "real life" than TCAs.

Underreporting of OC use among non-cases would usually introduce little or no bias (as compared to pharmacy records) for this kind of interview and women. However, it may be preferable to use interviews for current OC use, and pharmacy records for specific kinds of OC used in the past.

Antidepressants appear to be under-used in the population. Only one in four of the depressed individuals was treated with antidepressant medication. Those who had antidepressant medication without being currently depressed had, with few exceptions, either continuation treatment for depression in remission or treatment on other approved indications.

The reported high use of anti‐asthmatic drugs in cross‐country skiers prompted a study to assess the prevalence of self‐reported asthma, asthma‐associated symptoms and the use of anti‐asthmatic medication among cross‐country skiers. A self‐administered questionnaire based on the Medical Research Council questionnaire was answered by cross‐country skiers in the Swedish national ski team, in upper secondary school ski‐classes and in the Swedish army (n=305). Controls (n=141) were pupils from regular classes in the same upper secondary schools. Skiers more often gave posi‐ tive answers to all questions on asthma and asthma‐associated symptoms. The cumulative prevalence of asthma was 15% in skiers and 6% in controls. We conclude that the common use of anti‐asthmatic drugs among cross‐country skiers reflects a high prevalence of self‐reported asthma and asthma‐associated symptoms. The causes of these differences are un‐known.