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Letter to the Editor

JNBS. 2018; 5(3): 187-189

To what extent antidepressant monotherapy stroll upon the pinstripe between standard of care and psychiatric malpractice ưn Bipolar depression ?: A commentary from the viewpoint of suicide

Yasin Hasan Balcioglu.

Psychiatry is one of the least facing profession to malpractice claim in medicine. Misevaluation of suicide risk is one of the most frequent issues for litigation in the practice of psychiatry. Psychiatrists are expected to foresee and prevent suicidality by the law, although suicide has an unpredictable diagnostic nature. Bipolar disorder (BPD) is an affective disorder associated with elevated rates of suicidal behaviour, particularly in depressive episodes. Therefore, the main target of standard therapeutic approaches in BPD depression is the reduction of suicide risk. Treatment options ought to be carefully formed by the clinician, in light of the determination of clinical severity and suicidal risk in bipolar depression. This article aimed to discuss to what extent use of antidepressants is appropriate in bipolar depression regarding possible malpractice in line with evidence-based clinical guidelines and actual literature.

Key words: bipolar disorder, depression, malpractice, suicide

Article Language: Turkish English

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