TY - JOUR PY - 2011// TI - Suicidal risk and suicide attempts in people treated with antiepileptic drugs for epilepsy JO - Seizure A1 - Machado, René Andrade A1 - Espinosa, Arlety Garcia A1 - Melendrez, Daliván A1 - González, Yamila Remón A1 - García, Víctor Frades A1 - Rodríguez, Yaima Quintana SP - 280 EP - 284 VL - 20 IS - 4 N2 - OBJECTIVE: To determine whether antiepileptic drugs constitute in themselves an independent risk factor for suicidality in patients with epilepsy. METHODS: One hundred and thirty one patients with epilepsy were recruited and followed-up during 5 years. A detailed medical history, neurological examination, EEGs, Mini-International Neuropsychiatric Interview, executive function, and MRI were assessed. Systematically collected data were used to assess suicidality. Multiple regression analysis was carried out to examine predictive associations between clinical variables, psychiatric disorders, antiepileptic drugs and suicidality. RESULTS: We identified two AEDs related with suicide attempts (PHB and LTG) and four with suicidal risk: PHB, PRM, PHT and LTG, but the increased of risk diminished or disappeared when psychiatric comorbidity and other well established risk factors for suicidality were analyzed. We found a significant proportion of patients with depressive episodes associated with Topiramate, Phenitoin, Phenobarbital and Lamotrigine. CONCLUSION: Antiepileptic drugs probably do not have an impact on suicidality.

Language: en

LA - en SN - 1059-1311 UR - http://dx.doi.org/10.1016/j.seizure.2010.12.010 ID - ref1 ER -