Antidepressant use and work-related injuries.

Abstract:

BACKGROUND:Adverse effects of antidepressants are most common at the beginning of the treatment, but possible also later. We examined the association between antidepressant use and work-related injuries taking into account the duration of antidepressant use. METHOD:Antidepressant use and work-related injuries between 2000 and 2011 were measured among 66 238 employees (mean age 43.8 years, 80% female) using linkage to national records (the Finnish Public Sector study). We analysed data using time-dependent modelling with individuals as their own controls (self-controlled case-series design). RESULTS:In 2238 individuals who had used antidepressants and had a work-related injury during a mean follow-up of 7.8 years, no increase in the risk of injury was observed in the beginning of antidepressant treatment. However, an increased injury risk was seen after 3 months of treatment (rate ratio, compared with no recent antidepressant use, 1.27, 95% confidence interval 1.10-1.48). This was also the case among those who had used only selective serotonin reuptake inhibitors (n = 714; rate ratio 1.41, 95% confidence interval 1.08-1.83). CONCLUSIONS:Antidepressant use was not associated with an increased risk of work-related injury at the beginning of treatment. Post-hoc analyses of antidepressant trials are needed to determine whether long-term use of antidepressants increases the risk of work-related injury.

journal_name

Psychol Med

journal_title

Psychological medicine

authors

Kouvonen A,Vahtera J,Pentti J,Korhonen MJ,Oksanen T,Salo P,Virtanen M,Kivimäki M

doi

10.1017/S0033291715002925

subject

Has Abstract

pub_date

2016-05-01 00:00:00

pages

1391-9

issue

7

eissn

0033-2917

issn

1469-8978

pii

S0033291715002925

journal_volume

46

pub_type

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