The sole prevention of suicide lies with the long term treatment of its associated disorders. Peds will likely see mild or moderate severity ranges of depression. By driving out peds, by denying access to care for the mildly severe patients, delays in treatment ensue.
The longer the patient stays sick, the longer the toxic effects of the illness impact the brain. Such patients are harder to treat, more treatment resistant, take longer to recover. Suicide is only one fatal outcome of depression. The other is increased risk for heart disease and for sudden death.
The irresponsible FDA black box warning, by causing delays in the treatment of mild patients may result in greater chronicity of depression, and its associated medical consequences, including sudden death rate. The increase in sudden death may turn out to exceed the increase in the suicide rate.
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