Summary
Taking both the likelihood of alternate explanations into account and their consistency with the medical records and considering the details I have of the events surrounding Mr Clancy s death a case can be made that citalopram induced at least a partial alienation of reason in him such that he neither destroyed himself nor killed Sebastian Creane in a manner that would warrant verdicts of suicide or of murder.
Mr Clancy was not without his problems prior to the events that led to his death but he is just the kind of person who was recruited to clinical trials of the SSRI group of drugs in which despite whatever suicidal ideation they had before treatment and despite the hardship of their social circumstances there was a 2 times greater rate of suicides suicidal acts and acts of violence on active treatment than there was on placebo.
Given the materials available to me I would support an open verdict in this case.
Yours sincerely
Professor David Healy MD FRCPsych
read in full here - http://www.nicepear.tw/gt/view/cps-13/id-28181
Taking both the likelihood of alternate explanations into account and their consistency with the medical records and considering the details I have of the events surrounding Mr Clancy s death a case can be made that citalopram induced at least a partial alienation of reason in him such that he neither destroyed himself nor killed Sebastian Creane in a manner that would warrant verdicts of suicide or of murder.
Mr Clancy was not without his problems prior to the events that led to his death but he is just the kind of person who was recruited to clinical trials of the SSRI group of drugs in which despite whatever suicidal ideation they had before treatment and despite the hardship of their social circumstances there was a 2 times greater rate of suicides suicidal acts and acts of violence on active treatment than there was on placebo.
Given the materials available to me I would support an open verdict in this case.
Yours sincerely
Professor David Healy MD FRCPsych
read in full here - http://www.nicepear.tw/gt/view/cps-13/id-28181
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