and suicide
In some cases, people who are suicidal are at risk of killing others and then themselves. This is known as a homicide-suicide or murder-suicide. The types of feelings that trigger this tragic behavior can stem from a number of sources. Some common risk factors for murder-suicide include:
History of conflict with a spouse or romantic partner
Current family legal or financial problems
History of mental health problems, particularly depression
Alcohol or drug abuse or addiction
Having access to a firearm — nearly all murder-suicides are committed using a gun
Starting antidepressants and increased suicide risk
Some studies have shown a possible link between starting treatment with an antidepressant and an increased risk of suicide. The Food and Drug Administration (FDA) requires manufacturers of all antidepressants to include a warning stating that antidepressants may increase suicide risk in children, adolescents and young adults during the first few months of treatment.
However, the link between antidepressants and suicidal thinking isn't clear — and not taking an antidepressant when it's needed also increases the risk of suicide. To be safe, anyone who starts taking an antidepressant should be watched closely for signs of suicidal thinking. If you — or someone you know — has suicidal thoughts when taking an antidepressant, immediately contact your doctor or get emergency help.