Please enable JavaScript.
Coggle requires JavaScript to display documents.
Antidepressant using and impact 14 years after the black box warning…
Antidepressant using and impact 14 years after the black box warning
Introduction
[
https://www.nejm.org/doi/full/10.1056/NEJMp1408480
] Inspired by the commentary, 2 key points are highlighted:
(1) Primary care givers should maintain balance risks (2) Primary care givers should observe for clinical worsening
3 research questions are formed:
(3) How nurses maintain balance risk?
3 argument from Friedman (2016)
(1) An argument on liability of suicide assessment since there is no suicidal during trials
(2) A Cohort study
[
https://www.bmj.com/content/bmj/348/bmj.g3596.full.pdf
] recorded 31% drop on 1.1m adolescents, 24.3% drop on young adults
(3) even tho FDA care for the balancing of risk and benefits of using not Placebo antidepressants, they still expended the warning in 2007
The ultimate goal and An important question from Friedman (2016): How to educate clinicians about risk without discouraging appropriate treatment?
Another candidate for the research question
How to prevent the worst side effect of antidepressant usage(=suicide) while achieving the maximum treatment effects from antidepressants
To what pay attention to young patients under antidepressants treatment as a nurse
How to care/observe young patients under antidepressants treatment as a nurse
Is it possible to answer multiple questions in the thesis?
I'd like to keep our target group as the youth/adolescents/children
Back ground and fact explain part
(akiko & Danya) Childhood depression
(1) cause
(2) symptoms
(3) Prevalence
Plus the importance or why it is crucial to treat properly as early as possible
Black box warning (1) background (2) Trial stats
(Danya) Reported results after the black box warning is published (one of the articles that you sent me)
Fluoxetine and Placebo (1) drug pros and cons
(Akiko)Possible side effects of antidepressants
Prescription pattern/challenges [
http://www.cmaj.ca/content/174/2/193.full
]
What are the common drug groups described for depression treatment (brief explanation of each??)
For adults
For the youth
where, how to monitor?
very good idea.
role of care
It is an articles (will email later)
Problem us now facing(Danya & Aikiko)
there is literally no article about nurses
What I think is a solution:
Compare nursing guidelines. i now have (1) Canadian writer (2) US writer (3) an Indian [
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6345140/
] (4) i can ask for HK (5) just an articles [
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1550709/
] (6) NHS [
http://www.sussexpartnership.nhs.uk/sites/default/files/documents/camhs_ad_guidance_v2_final_-_01140.pdf
]
there is another one that need access from Marjo or Tiia (Riika is on kesäloma) [
https://www.npjournal.org/article/S1555-4155(13)00485-6/fulltext
]
From what perspective do we want to approach our research question
Collecting nurses' experience of caring suicidal or depressive patients and make arguments?
I have one from Google scholar but requires Marjo or Riikka for the full text
Combinations of both or more different literature?
i am trying to find more. so far i have got nine but about different parts too
Comparing care guidelines of different nations?
turns out very difficult to find. Most we can find is from UK, USA, i can ask my auntie for Hong Kong ones.
Other ways?
whats the challenge? 2. whats the role?
What is our research question
Perhaps we need to create the shared/common keywords for searching articles if we want to continue this thesis as a literature review
So that the articles that we will use in the thesis can be found by others when they follow our process of searching (the research should be repeatable)
articles i found useful
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6510161/
there are also few PDF, i can send you later
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5340594/
https://easap.asia/index.php/current-issue/item/69-1601-v26n1-p10
https://www.ajmc.com/journals/issue/2006/2006-08-vol12-n8/aug06-2341p453-461
Regarding one of the articles say family is the one who interrupt [
https://pediatrics.aappublications.org/content/112/2/e119?ijkey=3c5cd3f6e78a4c0b0a726d2fd5b77e48c7f62f7b&keytype2=tf_ipsecsha
]
Nurse caring suicidal patient [
https://www.sciencedirect.com/science/article/pii/S0883941716301480
]
Not sure if they are useful, but some articles that I found
https://www.sciencedirect.com/science/article/pii/S0883941716301480
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2864482/
https://www.apna.org/i4a/pages/index.cfm?pageid=5684