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KMID : 1007420140120030180
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Mood and Emotion
2014 Volume.12 No. 3 p.180 ~ p.185
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Korean Pharmacological Treatment Guideline for Child-Adolescent Depression : Antidepressant Treatment and Suicidal Risk
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Song Hoo-Rim
Lee Young-Hwa
Yang Su-Jin
Lee Ji-Young
Jang Jeong-Won
Jeong So-Na
Jeong Hyun-Suk
Jo Sun-Jin
Yim Hyeon-Woo
Lee So-Young
Jun Tae-Youn
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Abstract
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Objectives : The purpose of this guideline was to suggest recommendations for appropriate use of antidepressants in the child-adolescent depression. The relationship between antidepressant use and suicide was evaluated.
Method : Four kinds of guidelines for the treatments of child-adolescent depression had been selected, and evidences and recommendations were extracted. This guideline was made through former and strict process of guideline adaptation in the Manual for Guideline Adaptation version 2.0 by National Evidence-based Healthcare Collaborating Agency.
Results : Antidepressants were related with increase of suicidal behaviors in child-adolescent, but the causation was inconclusive. The combination treatment with cognitive behavior therapy could reduce suicidal behaviors. In case of prescribing antidepressants to child-adolescent, careful monitoring for the suicidal behaviors is required, and the combination treatments with cognitive behavior therapy are recommended.
Conclusion : This guideline which provides optimal recommendations based on evidences, would contribute toward improving the quality of child-adolescent depression treatment.
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KEYWORD
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Depression, Child, Adolescent, Pharmacological treatment, Antidepressant Suicide
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