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Psychiatric Drugs: Create Violence & Suicide

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Psychiatric Drugs:Psychiatric Drugs: Create Violence & Suicide

School ShootingsSchool Shootings & Other Acts of Senseless Violence& Other Acts of Senseless Violence

A public interest report published by Citizens Commission on Human Rights International A Mental Health Industry Watchdog March 2018

As violent acts rise, law enforcement should look to a common denominator.

Psychiatric Drugs Create Violence & Suicide: Putting the Community at Risk

School Shootings & Other Acts of Senseless Violence

A public interest report published by Citizens Commission on Human Rights International A Mental Health Industry Watchdog March 2018

Contents

Violence - Psychotropic Drugs’ Best Kept Secret2
Russian Roulette with Psychotropic Drugs3
Las Vegas Concert & Texas Church Shootings8
Psychiatric Drugs Create Hostility, Aggression & Suicide10
School Shootings: The Missing Link14
Withdrawal Effects Ruin Minds, Lasting Years16
Involuntary Treatment Not a Deterrent18
Psychiatric Drugs Cause Deaths19
Police Put at Risk: “Suicide by Cop”20
Medical Solutions Create Real Mental Health Care22
Summary & Recommendations23
Citizens Commission on Human Rights International24
CCHR Recognitions25
Appendix27
A. Sample Studies: Drugs Cause Violent Effects30
B. Sample Studies: Withdrawal Effects Create Havoc37
C. Sample Acts of Violence39
References for Main Report50
References for Appendix53

Violence: Psychotropic Drugs’ Best Kept Secret

lthough there can be numerous reasons Drugpoopnetpspnagehmgpyidscpfpnag

A for mass murder, violent crime and suicide,

vlobygehnpmuiouccehnc(g)ehgye,ug

with just as many solutions proposed to curb it

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and funding poured into its prevention, senseless acts of violence continue unabated, - Joseph Glenmullen

with more than 80 dead and 500 injured Harvard Medical School Psychiatrist between the Las Vegas concert shooting on October 1, 2017 and Texas church shooting on

November 5, 2017 alone. Then the shocking“The link between
Parkland, Florida school shooting on Februaryantidepressants and violence,
14, 2018, left 17 dead and some 15 injured.including suicide and homicide,

is well established.”  Media quote experts saying that such

  • Patrick D. Hahn individuals are “mentally disturbed,” or have Affiliate Professor of Biology, “untreated mental illness,” but that doesn’t Loyola University Maryland explain the level of violence we are seeing or what drives a person to pull a trigger or intentionally crash an airplane, killing all 150

“Violence and other potentially

people on board. The facts paint a disturbing

criminal behavior caused by

picture. A review of scientific literature

prescription drugs are

published in Ethical Human Psychology and

medicine’s best kept secret.” 

Psychiatry regarding the “astonishing rate” of

mental illness over the past 50 years revealed- Professor David Healy
that it’s not “mental illness” causing theLeading Psychopharmacology Expert
problem; rather, it’s the psychiatric drugsand Professor of Psychiatry in Wales

prescribed to treat it. š Mental disorder is not a predictor of aggressive behavior, but rather the adverse effects of the drugs prescribed to treat it. Whatever psychiatric assessment, Drug proponents argue that there are many “treatment,” including the drugs reportedly shootings and acts of violence that have not given the teen charged over the Parkland been correlated to psychiatric (psychotropic) school massacre, all failed to predict or prevent drugs, but that is exactly the point. It has the murderous outcome and potentially neither been confirmed nor refuted, as law exacerbated his troubled mental state. enforcement is not required to investigate or report on prescribed drugs linked to violence, Since the introduction of antipsychotic drugs in and media rarely pose the question. 1955 and the newer Selective Serotonin Reuptake Inhibitors (SSRI) antidepressants, like Prozac, in 1987, both are documented to be linked to violent effects in a percentage of the people taking them.

Russian Roulette with Psychotropic Drugs

ith millions of people taking psychotropicIf five percent of the 41 million Americans taking
Wdrugs, clearly not everyone willantidepressants were to experience “increased
experience violent reactions to taking them. Butmental and/or physical agitation,” that
what drug regulatory agency warnings confirm,represents 2.05 million people. How many of
is that a percentage of the population will.them could potentially become so agitated that

they would carry out violent acts? It’s a case of

Of nearly 410 psychiatric drug warnings, 27 playing Russian roulette with their lives. warned of violence, aggression, hostility, mania,

psychosis or homicidal ideation; 49 warned ofFurther, of those committing mass shootings or
self-harm or suicide/suicidal ideation; 17 wereviolent acts, how many had never had a history
for addiction or withdrawal effects; and 27 wereof violence or a criminal past until they were
linked to Serotonin Syndrome found inprescribed a mind-altering drug?

antidepressant use and marked by symptoms that include agitation, restlessness and Take, for example, David Hawkins. On May

confusion. 25, 2001, an Australian judge blamed the antidepressant Zoloft (sertraline) for turning Professor Healy suspects that the main causal this peaceful, law-abiding man into a violent factor behind suicide and violence while taking killer. Hawkins had no history of violence or antidepressants is increased mental and/or suicidality and had remained gainfully physical agitation, which leads to about five employed throughout his life. Judge Barry percent of subjects taking the drugs to drop out O’Keefe said that had Mr. Hawkins not

of clinical trials, compared to only 0.5 percent oftaken the antidepressant, “it is
people on placebos. ‹overwhelmingly probable that Mrs. Hawkins

Antidepressant Clinical Trial Subjects Drop Out Because of Agitation

41 million Americans

Increased mental and/or physical agitation has led to

on antidepressants about 5% of subjects taking antidepressants to drop out of clinical trials. Were this percentage applied to the 41 million in the U.S. taking antidepressants, how many of those 2.05 million could potentially become so agitated that they would carry out violent acts? It’s playing Russian roulette with their lives and their prospective victims.

5% or 2.05 million can experience “increased agitation”

would not have been killed….” € Further, involved brutal violence and use of a flick “The killing was totally out of character” knife. ¤ and “inconsistent with the loving, caring

relationship which existed between him andA 66-year-old man had marital difficulties
his wife and with their happy marriage of 50and frequent arguments with his wife ten
years.” ‡ According to Hawkins, there wasyears his junior. He was treated with the
no argument, no warning—he just strangledbenzodiazepines, chlordiazepoxide (generic
his wife. Hawkins was sentenced to threeof Librium) and clonazepam (generic of
years in prison.Klonopin) and an antidepressant, doxepin.

The doxepin was later replaced with

In June 2001, a Wyoming jury awarded $8fluoxetine. Two months after starting
million to the relatives of a man, Donaldfluoxetine, the man had become floridly
Schell, who went on a shooting rampagedeluded, expecting to be attacked or
after taking an antidepressant. Accordingpoisoned by his wife, or her agent. A
to the study, “Antidepressants and Violence:psychiatrist received phone calls of concern
Problems at the Interface of Medicine andfrom friends and family but did not alter his
Law,” Schell (“DS” in the study) had notreatment. The patient’s wife was later found
history of suicidality, aggressive behavior ordead in their hallway, in a pool of blood, with
other serious disturbance. Earlier200 stab wounds. Although prescription
prescribed fluoxetine (generic of Prozac), hedrugs were not invoked in this man’s
had experienced agitation, restlessness anddefense, a subsequent civil case seeking
hallucinations which ended after fluoxetinedamages from Eli Lilly (manufacturer of
was discontinued. In 1998, a differentProzac) and Hoffman La Roche
doctor, unaware of this adverse reaction,(manufacturer of clonazepam and
prescribed paroxetine (generic of Paxil) forchlordiazepoxide) was settled in 2005.
anxiety. Two days later, Schell put threeAccording to researchers, “This homicide
bullets each through the heads of his wife,case involves a treatment-induced
his daughter who was visiting, and hispsychosis.” ¨©

nine-month-old granddaughter before killing himself. The jury determined that Add to that those that had undergone paroxetine “can cause some people to psychiatric treatment, driving cars into and

become homicidal and/or suicidal” and thatkilling shoppers, such as Saeed Noori, 32,
the drug was 80 percent responsible for thewho on December 21, 2017, plowed into
ensuing acts. ¡Melbourne, Australia shoppers, injuring 19.

The victims were aged from 4 to 83. Noori In another case, a mother had a baby was undergoing “mental health treatment,”

daughter in December 2000 at the age of 17.according to media reports. He was charged
She’d been feeling “low” and in 2003, shewith multiple accounts ofattempted murder
was prescribed fluoxetine. Three weeksand one count of murder. Melbourne
later she robbed a 14-year-old boy of hisMagistrate John Hardy noted Noori was
phone and watch, then stole another phone.withdrawing from drug addiction and was
According to the above “Antidepressantstaking medication for mental health issues.

and Violence” study, she had never before

been involved in criminal behavior. Her firstWhat we also know is that at least 65 high
two offenses took place 17 and 19 days afterprofile acts of senseless violence have been
she started taking fluoxetine. They appearcommitted by individuals taking or withdrawing
to have been impulsive and were marked byfrom psychiatric drugs, resulting in 357 dead
a complete lack of feeling, researchers said.and 336 wounded. Of these, there have been at
The third, fourth and fifth offenses occurredleast 36 school shootings and/or school-related
after a dose increase. The fifth offenseacts of violence.

Of 409 official psychiatric drug warnings:

warned of warned of violence, warned of death linked warned of self-harm, mania, psychosis, or increased risk emotional addiction or suicide or hostility, of death problems to withdrawal suicidal ideation aggression or the drugs effects homicidal ideation

Self-Harm, 9

Sexual Dysfunction, 5 Abnormal Bleeding, 12

Addiction or Withdrawal, 17

Cardiovascular Disorders or Heart Problems, 107 Blood Disorders, 22

Involuntary Movements, 23

Liver Problems, 24

Violence, Mania, Psychosis, Hostility, Aggression or Homicidal Ideation, 27 Psychological Problems, 99 Serotonin Syndrome, 27

Emotional Problems (including depression), 35

Allergic Reactions, 36 All Other, 78

Death or Increased Risk or Death, 43

Suicide or

Newborn Complications, 45

Suicidal Ideation, 48

Note: Some warnings include multiple side effects.

No History of Violence Until Prescribed Zoloft

On May 25, 2001, Judge Barry O’Keefe blamed the antidepressant Zoloft (sertraline) for turning David Hawkins, a peaceful, law-abiding man, into a violent killer. Hawkins had no history of violence and had remained gainfully employed throughout his life. Judge O’Keefe said that had Hawkins not taken the antidepressant, “it is overwhelmingly probable” that his wife, “would not have been killed....” It was “inconsistent with the loving, caring relationship which existed between him and his wife and with their happy marriage of 50 years.” Hawkins was sentenced to three years in prison.

Judge Barry O’Keefe

U.S. Psychotropic Drug Sales & Use Soar: Suicide Increase

2011

$175.4 Billion79 Million
or an average of $35 billion/yearAmericans

in non-discount U.S. spending take prescription, on psychiatric drugs mind-altering drugs 

2015

Number of psychiatric drug prescriptions  Suicide rate increase

197,247,55710.5/100,000
117% increase24%
19991999
427,837,50613/100,000
20132014

Psychiatric drug prescriptions, including sedatives, antidepressants, psycho-stimulants and antipsychotics (psychotropic drugs), keep soaring. ˆ‰ Acts of violence and suicide may incrementally be increasing because of the massive increase in these prescription psychotropic drugs. In the wake of massive increases in psychotropic drug use in the U.S., the CDC reported that from 1999 to 2014 the suicide rate increased 24 percent. ˆ“

“There is enough coincidence and enough professional opinion from legitimate scientists [about psychotropic drugs and violence] to cause us to raise the issue and to ask further questions.”

common denominator between the cases of school shooters she cited at the time. ˆ£

In response, Colorado State Representative, Penn Pfiffner, chaired a hearing into the

Penn Pfiffner, 1999connection between violent behavior and
Former Colorado State Representativepsychotropic drugs, and stated: “There is

enough coincidence and enough professional Those with a vested, financial interest will opinion from legitimate scientists to cause us to continue to champion the use of such drugs, as raise the issue and to ask further questions.” the psychiatric-pharmaceutical drug industry Further, “If we’re only interested in debating gun

rakes in an average of $35 billion a year in saleslaws and metal detectors, then we as legislators
in the U.S. alone. ˆ›aren’t doing our job.” ˆ§
It is that vested financial interest which may beSeven years later, Professor Healy was the lead
preventing a thorough investigation of the linkauthor of a study which advised: “Legal
between prescription psychoactive drugs andsystems are likely to continue to be faced with
increased violence, especially considering thatcases of violence associated with the use of
there have been calls for such investigationspsychotropic drugs, and it may fall to the courts
since the Columbine High School massacre into demand access to currently unavailable data.
1999.The problem is international and calls for an

international response.” ˆ© The groundbreaking article, “Guns and Doses,”

written in 1999 by former Congressional stafferIt is long past time that government agencies
and award-winning journalist, Kelly Patriciaanswered that call with an investigation. None
O’Meara, reported: “Although the list ofcan argue against the fact that disclosure of the
school-age children who have gone on violentfacts would serve the public interest.

rampages is growing at a disturbing rate—and the shootings at Columbine became a national wake-up call—few in the mental health community have been willing to talk about the possibility that the heavily prescribed drugs and violence may be linked.” Such drugs were the

“Legal systems are likely to continue to be faced with cases of violence associated with the use of psychotropic drugs, and it may fall to the courts to demand access to currently unavailable data. The problem is international and calls for an international response.” Professor David Healy, 2006 Psychiatrist & Psychopharmacologist

899 9

lthough not every violent killer has been irritability are among the side effects of taking

A on or withdrawing from a psychotropic diazepam, according to its manufacturer. Œš

drug at the time of committing a crime, in many

cases such drugs emerge when learning of theOn November 5, 2017, 26-year-old Texas Church
killer’s background. It begs the questionShooter Devin Kelley killed 26 people and
whether in taking the drug or when drug orinjured about 20 more. His victims ranged in
other treatment failed them, did this help propelage from 18 months to 77 years old. ŒŸ From a
them on a path towards the destruction ofvery early age, Kelley was taking prescription
others?psychotropic drugs. Fox News reported that a

former middle school classmate said that Kelley

Stephen Paddock, who shot dead 58 people atwould complain about his parents and
a Las Vegas country music festival on October 1,medications during school. “His parents had
2017, had been taking the sedative-hypnotichim on high doses of ‘psych’ meds from 6th to
Valium prescribed him several months before9th grade, the time I knew him,” said the
the shooting. ƒ„ The former postal worker andstudent, who wished to be identified as Reid. Œ¤

tax auditor had been given a prescription for 50 ten-milligram Valium (diazepam) tablets on June The Daily Mail quoted Kelley’s best friend from

21, 2017, as well as fifty tablets in 2016. ŒŽ CNNaged 12 through 19, Ralph Martinez, who said
obtained court records that showed PaddockKelley was taking prescription drugs for
had also been prescribed Valium in 2012. Œƒ The“ADHD” and during a visit with him when Kelley
court document revealed Paddock waswas 21 the future killer was taking “medicine”
prescribed the drug for “anxiousness” and whenfor his “aggression.” Œ§

asked whether he had a good relationship with

the doctor who prescribed him the pills, heIn 2012, Kelley was court-martialed by the Air
responded, “He’s like on retainer, I call it, IForce for assaulting his spouse and her child.
guess. It means I pay a fee yearly…I have goodKelley received a bad conduct discharge, was
access to him.” The autopsy confirmedjailed for 12 months and was given a reduction
Paddock had had amounts of nordiazepam,in rank. Prior to the court-martial, Kelley had
oxazepam and temazepam in his body, whichbeen sent to the Peak Behavioral Health
are consistent with Valium. It was claimed thatServices Center in Santa Teresa, New Mexico
because the drugs were found in his urineafter beating his wife and fracturing his baby
rather than his blood, that these had notstepson's skull. The facility was owned at the
influenced him.time by Universal Health Services (UHS), which

has one of the country’s largest psychiatric However, tolerance and dependence can hospital chains that has been plagued in recent develop quickly with this class of drugs, also years with allegations of staffing issues leading

known as benzodiazepines. Withdrawal effects,to patients committing suicide. In June 2012,
which can last weeks and sometimes months orKelley escaped from the center and fled across
years, include increased anxiety, perceptualthe state line to El Paso, Texas. In a missing
distortions, depersonalization, paranoidperson report, Kelley was described as “a
thoughts, rage, aggression and irritability todanger to himself and others as he had already
name but a few. ŒŒ Rage, aggressiveness andbeen caught sneaking firearms onto

Hollomon Air Force Base.” Œ¬ Police officers antidepressant Luvox (fluvoxamine), which has captured Kelley and returned him to the side effects of mania that is linked to violent hospital for a couple of more weeks before the behavior. In a clinical trial of the drug, four military picked him up for his court-martial. Œ® percent treated with fluvoxamine experienced manic reactions, compared to none of the Popular stimulant drugs can cause aggressive placebo patients. šƒ Mania is described as a behavior, manic episodes and psychotic “form of psychosis characterized by exalted symptoms like hallucinations. The U.S. Food feelings, delusions of grandeur…and and Drug Administration (FDA) has received overproduction of ideas.” šŒ hundreds of reports of aggressive behavior in

children taking stimulant drugs. Up to 20There are many possible explanations for
percent resulted in a significant injury orschool shootings—violence on television, the
hospitalization, the FDA said. Œ„accessibility of guns and other weapons among

them. While some of these factors existed in a

Post-withdrawal symptoms frommuch lesser degree 50 years ago, children
antidepressants “may last several months todidn't go out and coolly commit premeditated
years” and include disturbed mood, emotionalmassacres as we are seeing today. A common
lability [excessive emotional reactions anddenominator that should not be ignored in
frequent mood changes], and irritability.” šŽmany current cases is the link to prior and

current psychiatric treatment, especially Eric Harris, the ringleader in the Columbine mind-altering drugs. High School shooting, was taking the

10James HeaolH0oHs  0e ee JoH00eooeae

here are numerous drug regulatory agency taking them are not hindered in their plan and

T reports, studies and expert opinion that execution of mass murder and, in fact, the drugs

support the need for close tracking ofcan be the catalyst. ‘‘ At least 15 published
psychotropic drugs potentially implicated inmedical studies show psychotropic drug
violent crimes.adverse effects that include mania, psychosis,

violence and homicidal ideation.

The Emergency Psychiatry journal says that what is labeled as “homicidal” may “range from Antipsychotic or neuroleptic (meaning nerve globally aggressive thoughts... to a specific lethal seizing) drugs have been linked to hostility and plan with available means to carry it out.” ‘‘ aggression. They can damage the Despite the mind-altering, and sometimes extrapyramidal system (EPS)—the extensive numbing effects of psychiatric drugs, those complex network of nerve fibers that moderates

A Prescription for Murder?

In July 2017, a BBC UK Panorama documentary, “A Prescription for Murder?” explored the role of antidepressants in the shooting rampage James Holmes, 24, committed at the Aurora, Colorado cinema on July 20, 2012. Holmes, with no prior history of violence, was taking an antidepressant, sertraline, the generic of Zoloft, when he coldly executed 12 innocent people and injured dozens more at a midnight screening of the Batman film, The Dark Knight Rises. Professor David Healy, who interviewed Holmes prior to his trial in 2015, told the BBC, “I believe if he hadn’t taken the [antidepressant] sertraline, he wouldn’t have murdered anyone.” ‘’

Panorama and Professor Healy detailed how the psychiatrist who treated Holmes had tripled his antidepressant dose from 50 mg to 150 mg per day over several appointments. There was a steep decline in James’ behavior after starting the antidepressant. Medical records show that decline occurring fewer than four weeks after starting the pills. Holmes was displaying “psychotic level thinking. Guarded, paranoid, hostile thoughts he won’t elaborate on.” Holmes himself wrote in a notebook, which he posted to the psychiatrist just before the shootings, about the effects the antidepressant was having on him. “Anxiety and fear disappears. No more fear, no more fear of failure,” he wrote. “No fear of consequences.” ‘˜ Drug use and effects do not excuse the crime—Holmes received 12 life sentences plus another 3,318 years in prison—but it may explain the drug-induced frame of mind that can drive a number of consumers to commit such heinous acts.

Antipsychotics, often forcibly given patients, have disturbing effects, including aggressive behavior from drug-induced akathisia

e

Akathisia (inability to sit still)

  • Restless Although the severity of
  • Trouble standing still these akathisia
  • Paces the floor sensations varies, they
  • Feet in constant motion, rocking back and forth can become intolerable and are associated with violence and suicide. Acute Dystonia (muscular spasm) Akathisia may begin within several days after
  • Facial grimacing treatment but usually
  • Involuntary upward eye movement increases with duration of
  • Muscle spasms of tongue, face, neck & back treatment, occurring in up (back muscle spasms cause trunk to arch forward) to 50% of cases within
  • Laryngeal spasms one month and 90% of cases within three months. ‘ª Between 20% and 75% of people who

Tardive Dyskinesia (abnormal movement) take antipsychotics

  • Protrusion and rolling the tongue experience akathisia—
• Sucking and smacking movements of the lipspotentially 5.1 million
• Chewing motionAmericans.
  • Facial involuntary movements
  • Involuntary movements of the body and extremities motor control—resulting in muscle rigidity, movement disorder in which a person’s muscles spasms, and various involuntary movements. ‘« contract uncontrollably. Yet another is called tardive dyskinesia (tardive, meaning “late” and One drug-induced effect is called akathisia [a, dyskinesia meaning, “abnormal movement”) without; kathisia, sitting—an inability to keep and is an impairment, often permanent, of the still]. It’s a torturous condition where the power of voluntary movement of the lips, sufferer feels an incredible, irresistible tongue, jaw, fingers, toes and other bodyparts. ’¶ restlessness that creates constant repetitive
movements like pacing, rocking back and forthBetween 20 and 75 percent of people who take
or swaying. This side effect has been linked toantipsychotics experience akathisia, especially
assaultive, violent behavior. ‘¯ The person mayin the first few weeks after they start treatment,
experience violent, aggressive impulses or feelaccording to Healthline, a consumer health
suicidal, although they often can’t pinpoint theinformation site that cited Principles and
source of their distress, even though it can feelPractice of Geriatric Psychiatry. ’² With more
unbearable. ‘°than 6.8 million Americans taking antipsychotic

drugs, that’s a potential 1.3 and 5.1 million who Another disturbing effect is dystonia (from dys, may experience this damage. ’μ Akathisia is meaning bad or ill and tonos, tension), a now also associated with SSRI antidepressants. ’‘

The following is a summary of some of thedrugs. The FDA admits that only 1-10 percent of
reports about psychotropic drugs and violence:drug side effects are reported to its MedWatch

program. Taking a moderate five percent, then,

At least 27 international drug regulatorythe potential number of reported incidents
agency warnings have been issued oncould be as high as 30,620. A percent of those
psychiatric drugs being linked to mania,could be driven to commit violent crimes.

psychosis, hostility, violence and homicidal ideation (thoughts or fantasies of homicide). ““ Researchers also took the FDA Adverse Event Reporting System data and of 484 prescription

In November 2005, the FDA addeddrugs identified, 31 were disproportionately
“homicidal ideation” as a side effect ofassociated with violence. These drugs,
Effexor XR (extended release). “¤accounting for 79% of all violence cases,

included 25 psychotropic drugs. “” Their

At least 15 published medical studies showfindings, published in Public Library of Science
psychotropic drug adverse effects thatONE, included 11 antidepressants, six
include mania, hostility, violence andsedative/hypnotics and three drugs for
homicidal ideation.treatment of attention deficit hyperactivity

disorder (ADHD). The specific cases of The FDA’s Adverse Event Reporting System has violence included: homicide, physical assaults,

at least 1,530 cases of homicide/homicidalphysical abuse, homicidal ideation and cases
ideation reported to it as linked to psychiatricdescribed as violence-related symptom. “•

31 Prescription Drugs Linked to Violence, 79% were Psychiatric

Researchers took the FDA Adverse Event Reporting System data

Psychotropicand of 484 prescription drugs identified, 31 were disproportionately
Drugs, 25 (79%)associated with violence, of which 25 were psychotropic

(psychiatric) drugs. Their findings, published in Public Library of Science ONE, included 11 antidepressants, six sedative/hypnotics and three drugs for treatment of attention deficit hyperactivity disorder (ADHD). The specific cases of violence included: homicide, physical assaults, physical abuse, homicidal ideation, and cases described as violence-related symptom.

Other Drugs, 6 (21%)

Psychotropic Drugs Associated with the Highest Rates of Violence Compared to Other Drugs

Antidepressants include: Stimulants (for ADHD):

Fluoxetine (Prozac) 10.9 timesAmphetamines 9.6 times
Paroxetine (Paxil) 10.3 timesAtomoxetine (Strattera) 9 times

Fluvoxamine (Luvox) 8.4 times Venlafaxine (Effexor) 8.3 times

Desvenlafaxine (Pristiq) 7.9 timesBenzodiazepine:
Sertraline (Zoloft) 6.7 timesTriazolam (Halcion) 8.7 times “œ

Reports to FDA’s MedWatch System on Violent Adverse Effects Linked to Psychiatric Drugs

The FDA’s Adverse Event Reporting System has at 1,530 - Actual Number of Reports to FDA least 1,530 reports of homicide or homicidal ideation linked to psychiatric drugs. FDA admits that only 1% - 10% of drug side effects are reported

to its MedWatch program. Taking a moderate 5%, 30,620 - Potential Number Unreported to FDA the potential number of reported incidents could be as high as 30,620. A percent of those could be driven to commit violent crimes.

Homicidal Ideation, 971

Hostility, 694 Mania, 3,287 Physical Assault, 582

Homicide, 560

Breakdown of Psychosis, 235 FDA’s MedWatch System Psychotropic Violence Related Symptoms, 226 Drug Violent Reports

c

Aggression, 8,219

International Drug Agency Warnings on Violence

Hostility, 14 (41%) Mania, 13 (41%) Homicidal Ideation, 1 (4%)

Violent Behavior or

Violence, 3 (11%)At least 27 international drug
27 Internationalregulatory agency warnings

Drug Regulatory have been issued on psychiatric Agency Warnings drugs being linked to mania, Relating to Psychiatric

Aggression, 12 (22%) violence, psychosis and Drug-Induced homicidal ideation (thoughts or Violence ‰Š fantasies of homicide).

Agitation, 15 (26%) Psychosis or Psychotic Episodes, 8 (37%)

415EEri45EEc HasN u5mib ss Haie Ho

avid Kirschner, Ph.D., a New York Further, “Most of the young murderers I have D psychologist says: “As a forensic personally examined had…been in ‘treatment’

psychologist, I have tested/evaluated 30and were using prescribed
teenage and young adult murderers, and almoststimulant/amphetamine type drugs before and
all of them had been in some kind of ‘treatment,’during the killing events. These medications
usually short term and psychoactivedid not prevent but instead contributed to the
drug-oriented, before they killed. After eachviolence by disinhibiting normal, frontal cortex
episode of school killings or other masscontrol mechanisms…And so, despite ongoing
shootings, such as the Aurora, Colorado,congressional debates regarding stricter gun
Batman movie murders and Tucson, Arizona,control laws vs. improved access to mental
killing of six and wounding of Rep. Gabriellehealth treatment, our concern should be about
Giffords and 12 others, there is a renewed publicthe quality of mental health care, not just a
outcry for early identification and treatment ofsocietal safety net insuring treatment for all
youths at risk for violence.children and young adults.” •¬

“Sadly however, most of the young people who kill had been in ‘treatment,’ prior to the violence, albeit with less than successful results.”

From This... To Giggling Over Mass Murder

Prior to the Columbine High School massacre in 1999, Eric Harris, the ringleader, underwent court-ordered counseling, including anger management, for stealing a car. He was also part of a “death education” class at school in which students were asked to imagine their own death. Harris was taking an antidepressant known to cause suicidal thoughts and mania, a form of psychosis characterized by exalted feelings, delusions and overproduction of ideas. He had a dream where Eric Harris he and his friend, Dylan Klebold, went on a shooting rampage. Shortly afterwards, he and Klebold killed 12 students, a teacher and wounded 23 others before shooting and killing themselves.

Children on Psychotropic Drugs

8 Million2.1 Million Take
American ChildrenAntidepressants
and adolescents prescribeddocumented to cause violent
psychoactive drugsand suicidal behavior 

A statistical analysis of more than three decades of data shows that in 2011 the United States

Number of reported mass

entered a new period in which mass shootings shootings per year were occurring more frequently. The annual

5number of mass-shooting incidents tripled from
200% increasean average of five per year before 2009 to
’00 - ’08approximately 15 per year since, according to a
15U.S. Justice report. In 2004, the U.S. Food and

Drug Administration placed its most stringent

’09 - ’12 black box on antidepressant packaging to warn of the risk of suicidal behavior and thinking in those younger than 18, and later up to age 25.

A statistical analysis of more than three [psychotropic] drugs becomes an iatrogenic

decades of data shows that in 2011 the[treatment-induced] outcome in an
United States entered a new period inanything-goes society that does its part by
which mass shootings were occurring moreplacing few restraints on its younger
frequently.  The annual number ofmembers’ behavior and compounds that by
mass-shooting incidents tripled from anlooking the other way as they damage their
average of five per year before 2009 tobrains with prescription chemicals that
approximately 15 per year since, accordingmagnify the youngsters’ capability to exhibit
to a 2013 U.S. Justice report. ‚violent behavior.” Ÿ
Professor Healy estimated that 90 percentIn 2003, Hans Zeiger, today a Washington
of school shootings, over more than aState Senator, wrote: “Over the past century
decade, were linked to SSRIpublic education has devolved from the
antidepressants (e.g., Prozac, Paxil, Zoloft,classical approach of character plus basics
etc.). Œ “We’ve got good evidence that the(reading, writing, arithmetic, respect and
drugs can make people violent and you’dresponsibility), to skills, to psychological-
have to reason from that that there may besocial engineering.” Add to that a heavy
more episodes of violence,” Dr. Healyemphasis on the “educational” use of
stated. • Further, “What is very, very clearmind-altering psychotropic drugs that they
is that people do become hostile on thealso abuse (10 percent of U.S. college
drugs.” students report abuse of stimulants like

Ritalin) and a powder keg has been

In 2014, Charles Gant, MD, Ph.D. and Greg created, waiting for a spark. Lewis, Ph.D. wrote that “criminal activity by young people under the influence of

1766 77 67

he theory that a person is violent because reported in The Journal of Psychoactive Drugs: T he “stopped taking his medication” is “It is now accepted that all major classes of misleading and omits the fact that it is more psychiatric medication produce distinctive likely to be the withdrawal from a drug of withdrawal effects which mostly reflect their dependence that is experienced—not the return pharmacological activity.” Further, “Just like the of the person’s “untreated mental illness.” various substances that are used recreationally, Numerous studies and expert opinion cited in each type of psychiatric medication induces a this report supports this. Psychotropic drug distinctive altered mental and physical state….,” withdrawal destroys mental faculties and the researchers reported. § creates impulsivity. And it can last years.

“Furthermore,” they said, “discontinuation of The journal Psychotherapy and Psychosomatics most psychoactive substances after chronic use

published a report in September 2012 aboutproduces mental and physical changes.
persistent post-withdrawal effects which beganWithdrawal from psychiatric medications,
six weeks after cessation of taking SSRIincluding antidepressants and antipsychotics, is
antidepressants. Researchers reviewedassociated with distinctive withdrawal or
self-reported adverse events between Februarydiscontinuation syndromes, which are
and September 2010 and found post-withdrawalsuppressed by resumption of the drug.” These
symptoms “may last several months to years.”effects are significant, they said, “because they
Symptoms included disturbed mood, persistentmay be—and probably often are—mistaken for
insomnia, emotional lability, irritability,signs of relapse,” and their prescribers “may
depression, impaired concentration andwrongly believe that the patient cannot manage
memory and poor stress tolerance. –›without it.”
In 2014, the Council for Evidence-BasedIn short, as one medical researcher wrote,
Psychiatry in the United Kingdom determined:“Psychiatric drugs perturb normal
“Withdrawal from psychiatric drugs can beneurotransmitter function, and while that
disabling and can cause a range of severeperturbation may curb symptoms over a short
physical and psychological effects which oftenterm, over the long run it increases the
last for months and sometimes years….”likelihood that a person will become chronically
[Emphasis added] –¥ill, or ill with new and more severe symptoms. A

review of the scientific literature shows quite Dr. Stuart Shipko, a California psychiatrist who clearly that it is the drug-based paradigm of has published reports on SSRI antidepressant care that is fueling this modern-day plague.” ¨ withdrawal, said his “clinical observation is that long-lasting symptoms occur even in patients Britain’s drug regulatory agency warned that all who taper very slowly, not just those who stop SSRI antidepressants “may be associated with quickly, and that there is no guarantee that withdrawal” and noted that Paxil and Effexor these symptoms will go away no matter how “seem to be associated with a greater long the patient waits.” –¦ frequency of withdrawal reactions.” ©

British psychiatrist Joanna Moncrieff and others Professor Heather Ashton became a leading

authority on benzodiazepine withdrawal in the The FDA also warns that quitting United Kingdom after managing a large benzodiazepines abruptly can result in more

withdrawal clinic in the 1980s. She described athan 40 withdrawal side effects, including
range of withdrawal symptoms, includingheadache, anxiety, tension, depression,
nightmares, increased anxiety, panic attacks,insomnia, confusion, dizziness, derealization
perceptual distortions, depersonalization,and short-term memory loss.

hallucinations, paranoid thoughts, rage, aggression and irritability to name but a few.  In fact, as John M. Grohol, Psy.D., a researcher, points out, the FDA “doesn’t require In an article on protracted withdrawal pharmaceutical companies to conduct symptoms, Dr. Ashton also said that in chronic withdrawal studies in order to analyze a drug’s users of the drugs, a “sizeable minority, perhaps impact when it’s time to discontinue it. It only

10 to 15 percent develop a ‘post-withdrawalrequires a broader safety evaluation, and a
syndrome,’ which may linger for months or evenmeasure of the drug’s efficacy. The FDA is
years.” The acute “pharmacological”concerned about adverse events while a patient
benzodiazepine withdrawal syndrome isis taking the drug—not adverse events when
classically described as lasting 5 to 28 days,the drug is removed.” –

with a peak in severity around two weeks post-withdrawal, she said. ‰

Withdrawal Effects are No. 1 Antidepressant Adverse Reaction Reported to FDA

Drug Exposure During

Pregnancy, 7.68% Drug Withdrawal Syndrome, 12.64%

Suicidal Ideation, 8.04%

Nausea, 12.05% Depression, 9.04%

Insomnia, 9.15% Dizziness, 11.23%

Headache, 9.18% Drug Ineffective, 11.10%

Anxiety, 9.89%

A person “stopping taking his medication” is not the source of violent acts, but likely withdrawal effects from a prescription drug of dependence. Withdrawal effects are common with antidepressant and other psychotropic drugs that include disturbed mood, irritability and impaired concentration that may last months or even years.

41985,17CombionC7en17 d87bCbTn7noon17

hen someone is violent or suicidal inIn 2002, Kimio Moriyama, then vice president of
Wthe community and appears to bethe Japanese Psychiatric Association also warned,
mentally ill, the “solution” is usually“…[I]t is impossible for [psychiatric] science to tell
involuntary detainment in a psychiatric facilitywhether someone has a high potential to repeat
and forcibly administered more of the same oran offense.” ’

similar treatment that likely caused or exacerbated the behavior in the first place. James Holmes, prescribed an antidepressant, is a This isn’t a deterrent to violent behavior and good example. At his fourth appointment with his psychiatrists admit they can’t predict violence psychiatrist, Lynne Fenton at the University of

anyway. Colorado Denver, on 17 April, 2012, Holmes told her that his homicidal thoughts had increased. ¬ Consider Parkland school shooter Nikolas “Aside from the fact that you have a guy who is Cruz. He spent years attending Henderson now actively beginning to think and plan about Mental Health Clinic. Police were called to his harming others in a way that he just hadn’t been

home 36 times, yet a therapist with the centerdoing before, you have a change of personality.
deemed Cruz “to be no threat to anyone orThis is a totally different person,” said Professor
himself” in 2016. ››Healy. ® But Fenton didn’t act on the warning

signals. ¯ In an article in the Rutgers Law Review, Henry Steadman and Joseph Cocozza concluded, Holmes’ mother Arlene said she didn’t even know “There is no empirical evidence to support the James was being treated by a psychiatrist until position that psychiatrists have any special more than a month before the shooting. expertise in accurately predicting According to Arlene, the psychiatrist never dangerousness.” › informed her that her son was having murderous thoughts. “She never said he was thinking of “There is no instrument that is specifically killing people. I would have been crawling on all useful or validated for identifying potential fours to get to him. She didn't tell me.” ± school shooters or mass murderers,” according to Stephen D. Hart, a psychologist Edmund Kemper III was the inspiration behind the at Simon Fraser University in Vancouver, film Silence of the Lambs and a key player in

quoted in The Washington Post in 2013. › Netflix’s Mindhunter. At 15, he shot dead his grandparents. After five years at Atascadero State An American Psychiatric Association’s (APA) Hospital, psychiatrists released him as

task force report admitted as much in 1974,rehabilitated. One wrote, “…it is my opinion that
stating, “Psychiatric expertise in the predictionhe had made a very excellent response to the
of ‘dangerousness’ is not established andyears of treatment and rehabilitation and I would
clinicians should avoid ‘conclusory judgmentssee no psychiatric reason to consider him to be of
in this regard.’” ›Šany danger to himself or to any member of

society….” Kemper went on to kill and dismember The APA’s Diagnostic and Statistical Manual of six women and then his mother, having sex with Mental Disorders (DSM) contains a cautionary her decapitated head. › The late District Attorney notice about not using the manual for forensic Peter Chang said two psychiatrists had declared purposes as there are significant risks that the Kemper harmless midway through his murder information will be misused or misunderstood. ‘ spree.  Kemper is now serving eight life sentences.

41985,7Co,8mboin1 e7i1dmbd7C5

f potential aggressive and violent acts and the number of heroin overdose deaths. The

Isuicide being linked to psychotropic drugs biggest killers were sedatives (benzodiazepines

were not enough, often these drugs are also such as Xanax and Z-drugs such as Ambien), abused. And there is the risk of inadvertent or antidepressants, psychostimulants (Ritalin, deliberate overdose leading to death. amphetamine, and methamphetamine), and antipsychotics. Š Between 1999 and 2013, death rates from overdose of prescription psychiatric drugs rose Prescriptions for benzodiazepines (sedative

an astonishing 240 percent.  hypnotics) more than tripled and fatal overdoses more than quadrupled between 1996

In 2014, 10,574 people died of heroin overdoseand 2013. ‘ In 2015 alone, there were about
while 15,778 died from an overdose of9,000 benzodiazepine-related deaths
psychiatric drugs, nearly 50 percent more thanreported. ’

No. Of Psychiatric Drug Prescriptions 1999-2013

250,000,000

200,000,000Antidepressants
150,000,000Sedatives
100,000,000Antipsychotics
50,000,000Psychostimulants

0

1999 2001 2007 2010201120122013 2000 20022003200420052006 20082009

Psychiatric Drugs Cause More Overdose Deaths Than Heroin

3.5

3 Heroin 10,574 2.5 Sedatives 2 15,778

1.5 Antidepressants Combined

1 Total Psychosimulants

0.5 Overdoses Deaths per 100,000 Antipsychotics 0

1999 2001 2007 20102011201220132014 2000 20022003200420052006 20082009

In 2014, 10,574 people died of heroin overdose while 15,778 died from an overdose of psychiatric drugs, nearly 50% more.

4210of 4pl il c0esh tnp0o0gf ar u2db

Deputy Chief of Police of one of the largest was, instead, involuntarily committed to a

Apolice departments in the U.S. stated that psychiatric facility. This was despite his already

the police sit in the front row seats of the chaos being admitted to a mental institution and, in society. That chaos is evident in news according to a family friend, was released a headlines that report increasing numbers of week before the killing. seemingly psychotic, irrational acts of violence, some of which appear to have no motive. While clearly a troubled and unstable man, the question is whether the drugs he was

In 2012, an FBI Law Enforcement Bulletinprescribed were the driving force behind his
pointed out that “Law enforcement always hassenseless act. Such drugs don’t excuse the
been a dangerous profession because officerscrime, but do offer a potential reason for why
risk their lives to form a barrier betweenlaw enforcement officers (LEOs) are facing
criminals and society.” „… The National Lawsome in the community who are inflicting
Enforcement Memorial Fund provides examplesself-harm or committing heinously violent
of those risks: over the 10-year period ending incrimes and “suicide by cop.”

2015—an average of 144 police officers was

killed each year. In 2013, nearly 50,000 policeAccording to preliminary statistics from the FBI,
officers were assaulted—or nine out of everyin 2016, 66 LEOs were feloniously killed in the
100 officers were attacked. „’line of duty. This was an increase of 61 percent

compared with the 41 officers killed in 2015. „¡

A study published in the International Journal ofA 2009 study published in the Journal of
Law Psychiatry reported that “police officersForensic Studies examined more than 700
typically spend more time dealing with a mentalofficer-involved shootings in North America and
disturbance call than they spend on callsclassified 36 percent of them as “suicide by
involving traffic accidents, burglaries orcop.”

assaults. Police officers report such situations as problematic because persons with mental Ann Blake Tracy, Ph.D., head of the International illness may not respond well to traditional Coalition for Drug Awareness, said we have a police tactics.” „” whole new vocabulary today as a result of widespread antidepressant use, with terms Consider the horrific case reported in March such as “road rage,” “murder/suicide,” “going

2017 of North Carolina resident, 18-year-old postal” and “suicide by cop.” „¤ Oliver Funes Machado, who decapitated his mother because “he felt like it.” The first deputy “Suicide by cop” is where someone deliberately on the scene reported that Machado was puts a plan in motion to compel officers to use “carrying a knife in one hand and a severed deadly force. When officers are involved in human head in the other.” Charged with first such incidents, when the person wants them to degree murder, Machado was on four take their life, “it is completely outside the rubric psychiatric drugs at the time of the crime. „˜ In of what policing is about,” David Klinger, a

October 2017, the charges against him werecriminology and criminal justice professor at the
dropped after the teen was found to beUniversity of Missouri-St. Louis said. No one
incapable of following the proceedings andkeeps statistics on such incidents in the U.S.,

but in San Diego, a report by the District Furthermore, how many police are killed in the

Attorney’s Office in 2015 found that 19 percent ofline of duty because of someone under the
the 358 officer-involved shootings between 1993influence of violence- or suicide-inducing
and 2012 were considered “suicide by cop.” „„psychotropic drugs?

A Case Study

In May 2015, a suicidal veteran, Craig Burton,Administration offered him his job back and a
fired 11 shots during an encounter with police inpromotion. “That speaks volumes to me,” Judge
Spokane, Washington, for which he was foundPrice said. “I think counsel will agree with me
guilty of assault in February 2016. Burton, agedthat this is really a heartbreaking case.”

26, who worked at the Spokane Veteran’s Administration Hospital at the time of the Burton apologized to the officer who shot him, incident, testified during his trial that he was saying he knew the shooting caused trying to force police to shoot him as part of a psychological trauma to the officer. “Nobody “suicide by cop” plan. He had previously was supposed to get hurt,” he said. “I’m attempted suicide by overdosing on apologetic to all the officers involved that night. prescription drugs while on the antidepressant It shouldn’t have happened.” ª® Paxil. Despite the fact that Paxil can cause suicidal thoughts, doctors had doubled his dose Regarding Paxil, Burton stated: “I should have of the antidepressant. never been put on that drug. When I made my first suicide attempt, I should have been Officer Nicholas Spolski shot Burton in the immediately taken off that drug.” ª° abdomen after Burton emerged from his yard into an alley, ignoring multiple commands to Manhattan-based psychiatrist and author Kelly drop the gun. At trial, Burton testified he had Brogan, MD, said she put down her prescription unloaded his gun before walking out into the pad after learning three facts about psychiatric alley and intended to provoke police into drugs: shooting him. „ª They result in worse long-term outcomes; Spokane County Superior Court Judge Michael They are debilitatingly habit forming; Price was required by law to sentence Burton to They cause unpredictable violence. ª… 10 years but said that the vet was a father of two children, had no criminal record and had Our societies and law enforcement often bear served his country honorably as a combat the consequences of these drugs. medic. Additionally, the Veterans

“Suicide by Cop Study”

of police shootings are suicide by cop “Suicide by cop is happening so often that one

36%

study called it a rising tide that must be stopped.” - NewsOn6 in Oklahoma. In

have a gun or fake gun November 2014, Attorney Scott Wood, who has

80%

represented dozens of officers involved in shootings in the past two decades said, “Since

involve men the early 90s, suicide by cop has tripled.” ª’

95%

Medical Solutions CreateReal Mental Health Care

n his June 2017 report on global mental run across countless people with chronic back

Ihealth care, United Nations Health Rights pain who were labeled neurotic. A typical

Special Rapporteur Dr. Dainius Pūras stated. “I statement from these poor patients is ‘I thought am calling on states to move away from I really was going crazy.’” †Ÿ The last thing a traditional practices and thinking and enable a person needs is a drug that masks and long overdue shift to a rights-based approach. exacerbates the problem. The status quo is simply unacceptable.” †‡ He added: “Mental health policies and services are The California Department of Mental Health in crisis—not a crisis of chemical imbalances, Medical Evaluation Field Manual stated, “Mental but of power imbalances. We need bold health professionals working within a mental political commitments, urgent policy responses health system have a professional and a legal and immediate remedial action.” obligation to recognize the presence of physical disease in their patients...physical diseases may There are numerous medical and non-harmful cause a patient’s mental disorder [or] may alternatives to subjective psychiatric labeling worsen a mental disorder.…” †£ and potentially harmful drugs. Such options must rely upon standard medical examination Dr. Mary Ann Block, a best-selling author,

and care. In 2000, the U.S. government’sincluding Just Because You’re Depressed
National Council on Disabilities said: “MentalDoesn’t Mean You Have Depression, also said,
treatment should be about healing not“Many doctors don’t do physical exams before
punishment…Also, public policy should moveprescribing psychiatric drugs…This is not how I
toward the elimination of electroconvulsivewas taught to practice medicine. In my medical
therapy and psychosurgery as unproven andeducation, I was taught to do a complete history
inherently inhumane procedures. Effectiveand physical exam. I was taught to consider
human alternatives to these techniques existsomething called a ‘differential diagnosis.’ To do
now and should be promoted.” †—this, one must consider all possible underlying

causes of the symptoms.” †¥ Although Citizens Commission on Human Rights (CCHR) does not condone or promote Medical facilities need to be established that any specific practitioner, medical organization, have a full complement of diagnostic equipment practice or group, it does respect and to use to locate underlying physical conditions recommend that anyone with a mental in those presenting with “psychiatric” health/behavioral problem seek competent symptoms. Government and private funds medical care, especially to ascertain whether an should be channeled into this and cut for undiagnosed, untreated physical condition may abusive psychiatric institutions that rely on be manifesting as a “psychiatric” symptom. mind-controlling drugs rather than legitimate medical help. Treatment that heals should be For example, Dr. Thomas Dorman, an internist, delivered in a calm atmosphere characterized said, “Clinicians should first of all remember by tolerance, safety, security and respect for that emotional stress associated with a chronic people’s rights. illness or a painful condition can alter the patient’s temperament. In my practice I have Visit: https://www.cchrint.org/alternatives

Summary

he information in this report is not to

Recommendations

Texcuse violent crimes and make the

perpetrator blameless, but to demonstrate why1. Legislative hearings should be held to fully
there may be a much different type of violentinvestigate the correlation between
behavior that police and the community facepsychiatric treatment and violence and
today compared to 50 years ago. Allsuicide.

psychotropic drugs are called that because they

are mind-altering or mind–turning. For some of2. Toxicology testing for psychiatric and even
those taking them, the consequences can beillicit drugs should be mandatory in cases
serious. For the community, where thewhere someone has committed a mass
psychiatric drug consumer acts wittingly orshooting or other serious violent crime, the
unwittingly due to the drug’s adverse effectsinformation from which would become part
and kills, the results are tragic and catastrophic.of a national database that all branches and

levels of law enforcement could access. For Doctors Charles Gant and Greg Lewis wrote: example, a New York Assembly Bill

“The area in which we need much moreintroduced in 2015, would have required
restrictive laws” is “against allowingpolice agencies to report to the Department
psychotropic chemicals to get into the brains ofof Criminal Justice Services (DCJS) on
children 21 years of age and younger, duringcertain crimes and suicides committed by a
which time their brains are developing and veryperson who was using psychotropic drugs.
vulnerable. The war against drugs needs toThese crimes included assault, homicide,
begin with eliminating prescriptionsex offenses, robbery offenses, firearms and
psychotropic drug availability to and used byother dangerous weapons offenses,
our children. Gun control laws or the lackkidnapping and arson. A report on
thereof, had nothing to do with the Newtownpsychiatric drug usage in such crimes would
massacre. Adam Lanza was denied a permit toregularly be made public to identify which
purchase a gun, but that didn’t prevent himdrugs are most associated with violence.

from committing a gun crime. In the meantime,

and for a long time to come, there are going to3. Train law enforcement officers, school
be great quantities of ‘legal’ psychotropic drugssecurity and teachers in the adverse effects
out there, not least because ‘psych meds’ areof psychotropic drugs in order to recognize
still going to be prescribed to children as if theythat irrational, violent and suicidal behavior
were candy.” ††in persons they may face could be

influenced by these drugs.

This report is to provide law enforcement,

legislators, policy makers, healthcare4. No student shall be forced to take any
professionals and educators with facts aboutpsychotropic drug as a requisite of their
the potential risks of violent, irrational andeducation in alignment with Title 20 of
suicidal behavior that psychotropic drugs mayUnited States Code: Chapter 33, “Education
cause and the devastating side effects whileof Individuals with Disabilities,” Subchapter
withdrawing from them.II, (25) “Prohibition on mandatory

medication.”

Citizens Commission on Human Rights International

The Citizens Commission on Human Rights mental health system and ensuring legal (CCHR) is a non-profit, non-political and protections are afforded them.” non-religious mental health watchdog

established in 1969 by the Church ofIts Board of Advisors, called Commissioners,
Scientology and the late Dr. Thomas Szasz,includes doctors, psychologists, attorneys,
professor of psychiatry, Syracuse University ofeducators, artists, businessmen and civil and
New York Health Science Center. CCHR workshuman rights representatives.

to enact protections for and increase consumer rights, especially informed consent rights and to CCHR’s work aligns with the U.N. Universal raise public awareness about psychiatric Declaration of Human Rights, in particular the

abuses. following precepts: Article 3: “Everyone has the right to life, liberty and security of person” and

It has assisted many thousands of individualsArticle 5: “No one shall be subjected to torture
who have been adversely treated in the U.S.or to cruel, inhuman or degrading treatment or
mental health system and globally. It is the onlypunishment.”

group that has obtained more than 180 consumer/mental health patient-protection In an effort to provide accurate information, laws in the world, receiving recognition from the CCHR has made available on its website Special Rapporteur to the United Nations (www.cchrint.org) a psychiatric drug search

Human Rights Commission for beingengine containing 409 international drug
“responsible for many great reforms.”regulatory warnings, 553 studies and over

400,000 adverse reaction reports on psychiatric Congressional recognitions of its work include a drugs filed with the U.S. FDA on psychiatric resolution by Congresswoman Diane Watson drugs. and others, acknowledging that “CCHR has secured numerous reforms around the world, https://www.cchrint.org/psychdrugdangers/ safeguarding others from abuses in the

CCHR International 6616 Sunset Blvd • Los Angeles, CA 90028 • USA (323) 467-4242 humanrights@cchr.org www.cchrint.org Twitter: @CCHRInt • Facebook: @CCHRInternational • Instagram: @CCHRInt • YouTube: @CCHRInt

CCHR Recognitions

U.S. HOUSE OF REPRESENTATIVES organizationdevoted to the highest ideals of RESOLUTION: “CCHR has secured numerous mental health services.” - CA State reforms around the world, safeguarding others Representative Raymond N. Haynes from abuses in the mental health system and ensuring legal protections are afforded them.” “I found all of your personnel very positive, eager, intelligent and exceptionally well “CCHR is a shining example of what people can informed on issues that are obscure to the accomplish in a free society. Through united majority of the population.... I commend you and action, effective education and advocacy, CCHR your staff for the tireless energy and unselfish has helped to bring about critically needed commitment to solving one of societies healthcare reforms that make our society and neglected and secret problems—'experimental country a better place.” - Congressman Dan psychiatry.’” - Dennis D. Bauer, Senior Deputy Burton District Attorney, Orange County, California

CERTIFICATE OF SPECIAL CONGRESSIONAL “I would like to congratulate the Citizens RECOGNITION: Congress recognizes “the Commission on Human Rights for its consistent Citizens Commission on Human Rights for its work in exposing fraudulent and harmful longstanding commitment to advancing the practices in the field of mental health. The fundamental freedoms set forth in the Universal CCHR staff is a dedicated group. Their Declaration of Human Rights and the expertise, publications, and reports are a tool Nuremberg Code. CCHR serves as a stellar for any investigator conducting investigations example of the united power of individuals who into mental health fraud or other criminal achieve reform through dedicated efforts to activity in the system. CCHR’s work and better society and effective education and materials also alert consumers and the public advocacy. We recognize CCHR for the many about the degree of mental health fraud and great reforms it has championed, which today abuse that they, too, can easily become a victim protect individuals against cruel, inhumane and of.” - Dennis Cowan, former Health Care Fraud degrading treatment and for its leadership role Investigator, California in raising public awareness so that dignity and human rights can be returned to all men.” - U.S. “I congratulate CCHR for its efforts to protect Congresswoman Loretta Sanchez, Senator individuals from cruel, inhumane, and Diane Watson, Congressman Dan Sherman degrading treatments.” – U.S. Congressman

Ron Paul CALIFORNIA STATE ASSEMBLY

RECOGNITION: “[CCHR] is renowned for its “We broadly recognize CCHR’s unprecedented long-standing work aimed at preventing the fight in mankind’s history against psychiatric inappropriate labeling and psychotropic abuses, its protection of children from abusive drugging of children.... The contributions that practices and treatments and encourage the Citizens Commission on Human Rights CCHR’s humanitarian work.” - Committee of International has made to the local, national and Science and Technology, Federal House of international areas on behalf of mental health Representatives, Mexico issues are invaluable and reflect an

Appendix Contents

Violent Killers: Drug Links28
Teen Killers & Violence29
Appendix A: Sample Studies: Drugs Cause Violent Effects30
Appendix B: Sample Studies: Psychiatric Drugs Cause37

Addiction - Withdrawal Effects Create Havoc

Appendix C: Sample Acts of Violence Linked to 39 Psychiatic Drugs

References 53

Joseph Wesbecker (47)Aaron Alexis (34)Ivan Lopez (34)Troy Bellar (34)
Drug: ProzacDrug: TrazodoneDrugs: Ambien,Drug: Tegretol
8 dead, 12 wounded13 dead, 8 woundedantidepressants4 dead, including a
SuicideSuicide4 dead, 16 wounded5-month-old
SuicideSuicide
Bradley Stone (35)Andreas Lubitz (27)Arcan Cetin (20)Robert Stewart (45)
Drugs: Trazadone,Drugs: antidepressantDrug: ProzacDrugs: Lexapro, Xanax,
risperidone& lorazepam5 deadAmbien
7 deadGermanwings pilot8 dead, 3 wounded
Suicide150 dead, Suicide
Elliot Rodger (22)Matti Saari (22)James Holmes (24)Scott DeKraai (41)
Drugs: Xanax & VicodinDrugs: Xanax & SSRIDrugs: sertralineDrugs: antidepressant
6 dead, 13 woundedantidepressant& clonazepam& mood stabilizer
Suicide11 dead, 1 wounded12 dead, 70 wounded8 dead, 1 injured

Suicide

Teen Killers & Violence

Jose Reyes (12)John Odgren (16)Oliver Funes Machada (18) Robert Hawkins (19)
Drug: ProzacDrug: RitalinDrugs: 4 psychiatricDrug: Valium
1 dead, 2 wounded1 deadDecapitated mother9 dead, 5 wounded
SuicideSuicide
Jeff Weise (16)Cory Baadsgaard (16)Eric Harris (18)Asa Coon (14)
Drug: ProzacDrug: antidepressantDrug: LuvoxDrug: Trazadone
10 dead, 7 wounded 23 classmates held hostage 2 dead, 26 wounded4 wounded
SuicideAttempted suicideSuicideSuicide
Kip Kinkel (15)Elizabeth Bush (14)T.J. Solomon (15)Ali David Sonboly (18)
Drugs: Ritalin & ProzacDrug: ProzacDrug: RitalinDrugs: for “Social Anxiety
4 dead, 25 wounded1 wounded6 woundedDisorder” & depression

9 dead, 35 wounded Suicide

43310“I w4

asc3o1want“I1lywgitelwdstl1w…IMo10nwmp1rnl

his appendix includes details about studies A sample of studies and drug regulatory agency

T and a sample of more than 60 acts ofwarnings supporting concerns about
violence linked to psychotropic drugs.psychotropic drug-induced violence and/or

suicide includes:

In December 1993, Steven Leith, a Chelsea, Michigan teacher, fatally shot a school

2017

superintendent and wounded two others, including a fellow teacher. He was taking British Medical Journal and Journal of

Prozac prescribed for depression while caringEpidemiology Community Health, April 11,
for his wife dying of cancer. Convicted and in2017: Researchers with the National Institute
jail, he was remorseful over what he’d done andfor Health and Welfare in Finland examined
wrote to the FDA Commissioner asking for“whether young violent offenders were more
Prozac to be taken off the market.likely antidepressant users prior to their first

violent offence than other young persons.”

The mind-altering effects of the drug are telling.They looked at young offenders aged 15 to 18
He wrote:and found that “antidepressant use (both

overall and SSRIs) prior to violent crime was “I was constantly agitated…My temper more common among those convicted than became shorter and anything could set me among those without convictions.” The off. My anger burned so intensely it was crimes did not involve manslaughter or scary. I had never experienced anything like it attempted manslaughter. The researchers either before going on Prozac or since I was concluded: “The results of this study add taken off of it. I had a headache all the time further evidence for exercising caution in the and was confused much of the time. use of antidepressants, particularly SSRIs, Something inside felt as if it wanted to crawl among children and youth, and to rely on out of me…After nearly two years of decline, I other treatment methods.” ° snapped and killed the Superintendent at a

grievance meeting…Only minutes later I wasIn May 2017, researchers, including Dr.
going about the normal routine in myGregory Plemmons, an associate professor of
classroom, wondering if the shooting had reallypediatrics at Monroe Carell Jr. Children's
transpired; it did not seem real…So here I am, aHospital at Vanderbilt, showed that the
trained educator, being punished for somethingnumber of children and adolescents that
I would not have done if I had not been onwere aged five to 17 and were hospitalized for
Prozac. The Superintendent, a talented man, issuicidal thoughts or actions doubled over an
dead and his family is bitter over his loss andeight year period, ending 2015. Children 5
their wrecked lives…My wife was disgraced inthrough 11—a total of 15,050 kids—
the community due to my actions, and she diedrepresented nearly 13 percent of the total,
from the cancer two years later without meand those aged 15 to 17 represented slightly
having been there to help her and comfortmore than 50 percent. While numerous
her….This drug is dangerous. Both you and Itheories behind the increase were given
know it, and it is time to do the right thing.(without concrete proof), Carl Tishler, an
Declare this drug unsafe and take it off theadjunct associate professor of psychology
market.”and psychiatry at Ohio State University, said
that with “an estimated 12 to 15 millionserious events which included homicidal
children on psychotropic medications,” anythreat, homicidal ideation, assault, sexual
time their doses begin or get increased ormolestation, a threat to take a gun to
decreased, “it may cause a change inschool (all five participants were
emotional state which may reduce impulsereceiving sertraline (the generic of
control.” This could contribute to suicidalZoloft), damage to property, punching
urges. •household items, aggressive assault,

verbally abusive and aggressive threats (all five participants were receiving

2016

paroxetine, the generic of Paxil), and

British Medical Journal: January 27, 2016:belligerence (fluoxetine, generic of
Professor Peter C. Gøtzsche and otherProzac).

researchers reported: “Perpetrators of school shootings and similar events have often been The International Journal of Geriatric

reported to be users of antidepressants….”Psychiatry, February 18, 2016: Researchers
Antidepressants, including the use offound “a larger proportion of patients”
Selective Serotonin Reuptake Inhibitorsdiagnosed with dementia taking
(SSRIs) and Serotonin-Norepinephrineantipsychotics “exhibited psychosis and
Reuptake Inhibitors (SNRIs), put at risk theagitation compared with those on no ation,
lives of individuals prescribed them. Ÿwhile those on antidepressants exhibited

more depressive symptoms.” Further, “More The researchers studied clinical trial reports intense psychotic symptoms and agitation for five antidepressants obtained from were associated with antipsychotic use; more European and UK drug regulators, and intense anxiety and agitation were associated summary trial reports for duloxetine with sedative-hypnotic use.” « (Cymbalta) and fluoxetine (Prozac) from their

manufacturer, Eli Lilly’s website. ThisPsychotherapy and Psychosomatics, August 11,
encompassed 70 trials (64,381 pages of2016: This study evaluated the literature on
clinical study reports) with 18,526 patients.adverse events, tolerability and safety of
Their findings included:various antidepressants (including SSRIs and

SNRIs). The researchers said the use of these There was a doubling of the risk for both antidepressants are likely to yield significant aggressive behavior and suicidality for side effects, which include amongst others: children and adolescents. affective disorder (apathy, switching into hypomania or mania, paradoxical effects); Akathisia was found with use of suicidality and discontinuation (withdrawal) psychotropic drugs. This is an extreme syndromes. In fact, the researchers said some form of restlessness, which some patients antidepressant-related side effects “may describe as wanting to “jump out of their persist long after treatment skin” that may increase the risk of suicide discontinuation… . ” ¬ and violence.

October 2016: The Pharmaceutical Journal Tranquilizers (e.g., Xanax, Valium, reported that even healthy adults who are Klonopin) and sleeping aids (e.g., Ambien) taking certain antidepressants have a higher were used in many of the studies, which risk of suicidal thoughts and violent behavior, tend to obscure aggression and akathisia according to the results of a systematic events— meaning these conditions may review. “While it is now generally accepted be under-reported. that antidepressants increase the risk of suicide and violence in children and Patient narratives were available for adolescents (although many psychiatrists still

deny this), most people believe that these medications that relieve pain, manage drugs are not dangerous for adults. This is a epilepsy and control addictions, over a potentially lethal misconception,” warned the seven-year period. The findings showed that researchers, based at the Nordic Cochrane tranquilizers increased the risk of committing

Centre and the University of Copenhagen ina homicide by 45 percent and antidepressant
Denmark.  Writing in the Journal of the Royaluse increased the risk by 31 percent. [The
Society of Medicine, the team said: “Weresearchers were surprised to find that the
found that antidepressants double the risk ofuse of anti-inflammatory pain relievers was
suicidality and violence, and it is particularlytied to an increase of more than 200 percent
interesting that the volunteers in the studiesin the risk of committing homicide, while
we reviewed were healthy adults with noopioid pain relievers elevated risk by 92
signs of a mental disorder.” The researcherspercent.] –

pointed out the difficulty in obtaining full data

about adverse events with these drugs:PLoS Medicine, September 15, 2015:
“There can be little doubt that weInformation was extracted on 856,493
underestimated the harms ofindividuals from Swedish national registers
antidepressants… it [is] well documentedwho were prescribed SSRI antidepressants
that the drug companies underreportand subsequently committed violent crimes
seriously the harms of antidepressantsduring 2006 through 2009. Researchers
related to suicide and violence, either byfound a significant association between
simply omitting them from the reports, bySSRIs and violent crime convictions for
calling them something else or byindividuals aged 15 to 24 years and
committing scientific misconduct.” They saidconcluded, “…we demonstrated associations
their results suggest that it is likely thatbetween SSRIs and violent crime that vary
antidepressants increase the number ofby age group. The clinical and public health
suicides in people of all ages. ‚implications of this require careful

consideration, and validation in other settings.” š The individuals were more likely

2015

to be convicted of a homicide, assault,

World Psychiatry, June 1, 2015: Researchersrobbery, arson, kidnapping, sexual offense or
said that taking not only tranquilizers but alsoother violent crime when they were taking
regular prescription pain relievers is linkedthe medications than when they weren’t. œž

with an increased risk of committing homicide. Researchers in Europe found that

2014

people who were on certain prescription drugs were at greatest risk of killing someone, Social Psychiatry and Psychiatric

compared with people who were not usingEpidemiology, March 18, 2014: The study
them. The high-risk drugs includedfound that people taking psychotropic drugs
benzodiazepines and opioids. Thewere nearly six times more likely to kill
researchers looked at data collected fromthemselves, while people who spent time in
about 960 men and women in Finland, agedthe previous year in a psychiatric hospital
13 to 88, who were all convicted of homicide.were over 44 times more likely to kill
For a control group, the researchers matchedthemselves. œœ

each person who committed homicide with 10 other people who had not committed Australian and New Zealand Journal of

homicide but were the same age and gender,Psychiatry, September 2, 2014: The authors
and lived in the same town. The researchersexamined 46 studies on the relationship
then searched a nationwide drug registry,between benzodiazepines and aggressive
looking at whether the people in the studybehaviors and found “An association
had used psychiatric drugs, as well asbetween benzodiazepine use and

subsequent aggressive behavior was found Medicare and Medicaid Services, August

in the majority of the more rigorous2013, published a report which stated,
studies… . ” Diazepam [Valium] and“Antidepressant medications have been
alprazolam [Xanax] received the mostshown to increase the risk of suicidal thinking
attention. The study concluded: “Thereand behavior. In a pooled-analysis of
appears to be a moderate associationshort-term, placebo-controlled trials of nine
between some benzodiazepines andantidepressant medications, patients taking
subsequent aggressive behavior inan antidepressant had twice the risk of
humans.” œ¥suicidality in the first few months of

treatment than those taking placebo. The

2013long-term risk is unknown.” œ
Scientific American, September 20, 2013: The2011

Drug Safety Research Unit in Southampton, England, study of paroxetine (Paxil) and European Journal of Clinical Pharmacology,

fluoxetine (Prozac) involving more thanJune 8, 2011: The study found that
25,000 subjects, showed that one out of“...benzodiazepines and [SSRI antidepressants]
every 250 were involved in “a violentare the main pharmacological classes able to
episode,” including 31 assaults and oneinduce aggressive behavior.” All reports of
homicide. Ϭadverse drug reactions (ADR) recorded in the

FPVD (French Pharmaco-Vigilance

Scientific American, September 2013: ThisDatabase) between January 1, 1985 and July
also reported that a website maintained by31, 2008 which included the terms
the U.S. National Institutes of Health statedaggressiveness or violence were selected.
that trazodone, generic of Desyrel, and otherThe benzodiazepines included alprazolam
antidepressants have been associated with(Xanax) and bromazepam (Lexotan,
“new or worsening depression; thinkingRekotnil). œ‚

about harming or killing yourself, or

planning or trying to do so; extreme worry; 2010 agitation; panic attacks; difficulty falling asleep or staying asleep; aggressive Journal of the American Medical Association,

behavior; irritability; acting withoutApril 14, 2010: In 2008, the FDA mandated a
thinking; severe restlessness; and frenziedwarning labeling for anticonvulsant
abnormal excitement.” œ«medications regarding the increased risk of

suicidal thoughts and behaviors—these Scientific American reported on another drugs are also administered to counter the

study involving more than 9,000 subjectsside effects of antipsychotics and are
taking the antidepressant paroxetine (Paxil)prescribed off-label for depressive disorder
for depression and other disorders showedand anxiety. Researchers concluded that
that subjects experienced more than twice assome anticonvulsants have a higher risk of
many “hostility events” as subjects taking asuicidal acts/violent deaths than others.
placebo. Professor David Healy added in theGabapentin (generic of Neurontin) and
article: “I have had clinical experience of atlamotrigine (generic of Lamictal), are also
least one older man, with no prior history ofassociated with behavioral problems,
violence, who became homicidal after a weekincluding aggression and hyperactivity. The
on citalopram [generic of the antidepressantFDA found that patients taking these drugs
Celexa] where the problem cleared up oncehad approximately twice the risk of suicidal
treatment had stopped.” œ¬behavior or ideation (0.43 per 100) compared

with patients receiving placebo (0.22 per

Health and Human Services and Centers for 100). œ–

PLoS One, December 1, 2010: Researchers took the FDA’s Adverse Event Reporting

System data and extracted all “seriousFebruary 2006: Health Canada approved a
adverse event” reports for drugs with 200 ornew warning label for Paxil (paroxetine) that
more cases received from 2004 throughpatients “may experience unusual feelings of
September 2009. Of the 484 drugs identified,agitation, hostility or anxiety, or have
31 drugs were disproportionately associatedimpulsive or disturbing thoughts, such as
with violence. These drugs, accounting forthoughts of self-harm or harm to others.” ™¥

79 percent of all the violence cases, included

25 psychotropic drugs. This included elevenThe Archives of General Psychiatry, August
antidepressants, six sedative/hypnotics and2006: A study by Mark Olfson, MD, MPH and
three drugs for treatment of attention deficitcolleagues stated that in children and
hyperactivity disorder. The specific cases ofadolescents, “the risk of suicide attempts was
violence included: homicide, physical1.52 times higher after antidepressant drug
assaults, physical abuse, homicidal ideation,treatment compared with no antidepressant
and cases described as violence-relateddrug treatment.” They were also 15 times
symptoms. ‹Œ Among the top 10 drugs, themore likely to succeed in their suicide
antidepressants were: desvenlafaxineattempt. ™¨

(Pristiq), venlafaxine (Effexor), fluvoxamine (Luvox), paroxetine (Paxil), and fluoxetine Public Library of Science Medicine,

(Prozac). Also in the top 10 were atomoxetineSeptember 2006: A study determined that
(Strattera), used to treat ADHD, and thenewer antidepressants could increase the
benzodiazepine triazolam (Halcion). Therisk of violence in people taking them. They
number one drug was Chantix (varenicline), alooked specifically at GlaxoSmithKline's
smoking cessation drug. ™š The FDA found(GSK) paroxetine (Paxil) and concluded the
that Chantix was linked to a large number ofdrug raises the risk of severe violence in
hallucinations, suicide attempts andsome people. The study stated: “In
psychotic behavior. ™‹paroxetine clinical trials, aggression and

violence were commonly coded under the rubric of hostility. This coding term includes

2009

homicide, homicidal acts, and homicidal

Pediatrics, February 1, 2009: Andrewideation as well as aggressive events and
Mosholder, formerly from the Office of‘conduct disorders’…. ” Researchers also
Surveillance and Epidemiology, Center forreported: “Another mechanism that may
Drug Evaluation and Research, FDA, andcontribute to hostile events is treatment-
others, reported spontaneous case reports ofinduced emotional blunting. Several reports
patients treated for ADHD, which showed apublished since 1990 have linked SSRI intake
likely causal association between certainwith the production of emotional blunting,
psychotropic drugs and signs and symptomsdetachment, or amotivational syndrome,
of psychosis or mania, notablydescribed in one report as the equivalent to a
hallucinations, in some patients. The authors“chemical lobotomy.” ™®

concluded, “Patients and physicians should be aware that psychosis or mania arising

2005

during drug treatment of attention-deficit/hyperactivity disorder may The European Medicines Agency’s Committee represent adverse drug reactions.” The for Medicinal Products for Human Use

prescription drugs were amphetamine/(CHMP), concluded at an April 2005 meeting
dextroamphetamine (Adderall), atomoxetinethat suicide-related behavior (suicide
(Strattera), or methylphenidateattempt and suicidal thoughts), and hostility
(Ritalin/Concerta/Daytrana). ™™(predominantly aggression, oppositional

behavior and anger) were more frequently for worsening depression or the emergence observed in clinical trials among children and of suicidality. Further, “Anxiety, agitation, adolescents treated with antidepressants panic attacks, insomnia, irritability, hostility, compared to those treated with placebo. ™œ impulsivity, akathisia (severe restlessness), hypomania, and mania, have been reported

BMC Medicine, August 22, 2005: Norwegianin adult and pediatric patients being treated
researchers published a study comprisingwith antidepressants…both psychiatric and
more than 1,400 patients, entitled “Suicidenon-psychiatric.” ™Œ

attempts in clinical trials with paroxetine

randomized against placebo” that found thatUpdated June 11, 2004: The manufacturer of
adults taking antidepressants have anProzac reported the following frequent
increased risk of suicide attempts. “The datanervous system effects during U.S. clinical
strongly suggest that the use of SSRIs istrials: agitation, amnesia, confusion and
connected with an increased intensity ofemotional lability (susceptible to change or
suicide attempts per year” (i.e., there wereinstability). ¥š

seven among the patients on paroxetine and

one among the patients on placebo.) ™¡ Pediatrics, September 2004: A study titled, “Aggression, Mania, and Hypomania Induction Associated with Atomoxetine”

2004

(Strattera), revealed that 33 percent of the Washington, DC, Drug Safety Research children and adolescents they studied that

report, January 26, 2004: This was aboutwere exposed to atomoxetine exhibited
newer antidepressants and concluded, “Theextreme irritability, aggression, mania or
higher than expected numbers of suicidalhypomania [mild mania]. ¥‹ Although an
and aggressive behaviors observed in someantidepressant, with a black box warning of
clinical trials of antidepressants in childrenincreased risk or suicidal thinking in children
also can be seen in spontaneous adverseand adolescents, Strattera is prescribed
event data….The data show thatlargely to children said to have ADHD.

suicidal/aggressive behaviors are reported in both adults and children, but more than

twice as often in children.” Among all ages, 2001 the six target drugs were suspected of

triggering 3,309 episodes of suicide,The Journal of Clinical Psychiatry, January
attempted suicide, or hostile, violent or other2001: Researchers found that a significant
abnormal behaviors. A total of 353 casesproportion (8.1 percent) of psychiatric
were in children under 18 years of age. Anhospitalizations they reviewed in a U.S.
additional 544 cases involved the suspicionpsychiatric facility was due to
that an antidepressant drug was linked toantidepressant-associated psychotic or
another disorder of mood, potentiallymanic symptoms. ¥™

dangerous feelings of euphoria, grandiosity

or mania. ™§ Author Thomas Moore is a 2000 senior scientist at the Pennsylvania-based Institute for Safe Medication Practices. Department of Clinical Neuroscience, Occupational Therapy and Elderly Care,

Food and Drug Administration, March 22,Research Division of Forensic Psychiatry,
2004: FDA issued an advisory that it hadKarolinska Institute, Sweden: The Swedish
requested 10 antidepressant manufacturersstudy of 47 juvenile delinquents found that 40
to include in their labeling a warningpercent were acute abusers of flunitrazepam
recommending close observation of adult(Rohypnol), also known as the “fear reducer,”
and pediatric patients taking antidepressantsbecause, according to the study, “it enabled

them to commit extremely violent crimes.” “Abusers showed no guilt about their violent offenses (’When I stabbed him, it felt like putting a knife into butter’),” stated the report. “I didn’t feel any emotion when I stabbed him five times,” one teenager said. 

1996

Merck, the manufacturer of the antidepressant Remeron, reported that in their clinical studies, four percent of users experienced abnormal dreams and three percent reported abnormal thinking. Other nervous system effects that occurred frequently included apathy (blunting effect) and agitation. The results would have been worse except that 16 percent of those taking Remeron dropped out of the study because of adverse reactions. …

3667abnorm

l d6e7rlstbn7hirkhguffn scnur“ctyhrv th7 3bbnusn.ar”r,nsffbc x erpw7ushrvc7 s7rf [.u

arvard professor of psychiatry Dr. Joseph post-withdrawal symptoms “may last several H Glenmullen emphasizes that the months to years.” Reported post-withdrawal psychiatric symptoms of antidepressant symptoms included disturbed mood, withdrawal are not a return of the patient’s emotional lability, irritability, poor stress diagnosed mental condition. “Rather they are tolerance and impaired concentration. “ drug-induced withdrawal phenomena,” he warned. Jerrold Rosenbaum and Maurizio Fava, researchers at Massachusetts General Common effects of antidepressant withdrawal Hospital, found that among people getting off

include: antidepressants, anywhere from 20 to 80 percent (depending on the drug) suffered Eight symptoms that mimic “depression,” antidepressant withdrawal. Fava also

including suicidal thoughts and attempts,published in a 2006 paper that withdrawal
worsening mood, trouble concentrating andsymptoms included: “agitation, anxiety,
insomnia;akathisia, panic attacks, irritability,

aggressiveness, worsening of mood, Four symptoms that look like “anxiety,” as dysphoria [feeling unhappy], crying spells well as irritability, agitation, aggressiveness, or mood lability [emotional instability], over self-harm and homicidal thoughts or urges; activity or hyperactivity, depersonalization, decreased concentration, slowed thinking, Manic-like reactions; auditory and visual confusion and memory/concentration hallucinations; nightmares; and difficulties.” ˜

More than 20 physical adverse effects. £ Public Library of Science Medicine, September, 2006: Professor Healy and A percent of people who quit psychotropic others reported that another mechanism that drugs abruptly may experience a “syndrome” of may link SSRI antidepressants to violence is withdrawal symptoms that extend long after the “the manic or psychotic states reported to be drugs leave their bodies. This change can induced by drug treatment. These reverse, but for a small proportion of people, it drug-induced states often resolve once the can take months or years to recover. Ž medication is removed. However, the full dimensions of treatment-induced psychotic Studies and reports supporting this include: or manic reactions have yet to be mapped; some may continue for a long period after Psychotherapy and Psychosomatics Journal, treatment has stopped.” › [Emphasis added] September 2012. Researchers reported that

the immediate withdrawal phase continuesJournal of Clinical Psychopharmacology, 1997,
up to six weeks after drug withdrawal andreported withdrawal effects of SSRI
persistent post-withdrawal effects begin sixantidepressants can be categorized as:
weeks after cessation of taking SSRI1. Disequilbrium (e.g. dizziness,
antidepressants. They reviewed self-spinning sensations, swaying, or difficulty
reported adverse events between Februarywalking),
and September 2010 and found2. Gastrointestinal symptoms (e.g.

nausea, vomiting), 3. Flu-like symptoms (e.g. fatigue, lethargy, muscle pain, chills), 4. Sensory disturbances (e.g. tingling, electric shock sensations), and 5. Sleep disturbances (e.g. insomnia, vivid dreams.) 

Journal of Clinical Psychiatry, July 1, 1997: Professor John Zajecka, who was associated with Rush University Medical Center and others, reported that discontinuation [withdrawal] symptoms after treatment with Prozac can cause “aggressiveness and suicidal impulsivity.” ‹ The newer antidepressants were already showing discontinuation symptoms that included dizziness, light-headedness, insomnia, fatigue, anxiety/agitation, nausea, headache, and sensory disturbance that could last up to three weeks.

1996: The National Preferred Medicines Centre Inc. in New Zealand, issued a report on “acute drug withdrawal,” saying that withdrawal from psychoactive drugs can cause 1) rebound effects that exacerbate previous symptoms of a “disease,” and 2) new symptoms unrelated to the condition that had not been previously experienced by the patient. š

The Lancet, a British journal, July 1, 1995: Dr. Miki Bloch of the U.S. NIMH and colleagues published a report on patients who became suicidal or homicidal after stopping Paxil, including one man who experienced thoughts of harming his own children. Ÿ

Appendix C

Sample Acts of Violence Linked to Psychiatric Drugs

ne of the first cases that significantly found me yelling and screaming at people and Oraised the link between psychotropic waving my guns.” Wedderman has not taken drugs and violence was Joseph Wesbecker in trazodone since and he hasn't tried to kill

  1. He shot dead eight people and injured 12 himself, either. ° others before killing himself at his place of work
in Kentucky. Wesbecker, aged 47, had beenKyle Wesolowski and Ronald Wedderman were
taking the antidepressant fluoxetine (Prozac) forsome of the lucky ones that recognized their
four weeks before these homicides. This led tomurderous or suicidal thoughts may have been
a legal action against the makers of fluoxetine,prescription-drug-influenced. For many others,
Eli Lilly. Three days prior to the killing,the results have been catastrophic.

Wesbecker’s psychiatrist described him as exhibiting an “increased level of agitation and Following is a sample of publicized violent anger” and wrote: “Plan: Discontinue Prozac crimes where the perpetrators had taken which may be the cause.”  prescription mind-altering drugs or were potentially withdrawing from them at the time of

The case was tried and settled in 1994, and as the crime. part of the settlement a number of pharmaceutical company documents about

drug-induced activation were released into the Military

public domain. Subsequent legal cases have

further raised the possibility of a link betweenMarine Lance Corporal Delano Holmes (22),
antidepressant use and violence.New Year’s Eve, 2006: He was working with

Iraqi soldier, Munther Jasem Muhammed Former U.S. Army specialist Kyle Wesolowski Hassin in Fallujah, Iraq, when they fought over

returned from Iraq in December 2010 followingHassin lighting a cigarette that Holmes was
a brutal year-long deployment. Psychiatrists atterrified would alert assassins. He used his
Fort Hood prescribed him “a cocktail of sevenbayonet to stab Hassin to death. ± Holmes
different drugs” for war-related mental healthhad been prescribed trazodone
issues. More than three years later, Wesolowski(antidepressant), Ambien and Valium (the
came to the uncomfortable conclusion that thelatter both anti-anxiety drugs, also known as
prescribed drugs made him feel homicidal. Hebenzodiazepines). ² In 2007, he was
contemplated murdering a young woman heconvicted of negligent homicide.

met in a bar near the base. “I began to

fantasize about killing her,” he said. WesolowskiPFC. David Lawrence (20), October 17, 2010:
was safely weaned off almost all drugs andShot and killed Iraqi senior Taliban
went on to attend college. ªcommander, Mullah Mohebullah, while

guarding him. Lawrence was prescribed

Ronald Bruce Wedderman, 55, a National GuardZoloft and trazadone, two antidepressants
staff sergeant who fought in Iraq in 2005,that the FDA warns could make an individual
returned home where VA doctors prescribed24 years old or younger more depressed
him the antidepressants trazadone and Prozac.and/or suicidal. ³

He said the combination was nearly lethal. “At

one point I had two pistols raised to my head onEddie Ray Routh (28), February 2, 2013:
the beach. Somebody called the police. TheyShot and killed Chris Kyle, the former Navy
SEAL who was the subject of the movie,husband and 14-year-old daughter, then
American Sniper, and Kyle's friend, Chadcommitted suicide. According to the Medical
Littlefield, at a firing range. In February 2015,Examiner, he had both the antidepressant
the former U.S. Marine was found guilty andtrazodone and the antipsychotic risperidone
sentenced to life in prison without parole forin his system at the time of his death. He’d
the killings. In late July 2011, a little more thanalso taken meta-Chlorophenylpiperazine, or
a year after he had received an honorablemCPP, which is sometimes sold on the street
discharge from the military, Routh, then agedas a substitute for ecstasy. Just one week
24, had been diagnosed with PTSD at theprior to the murders, he had seen his
Dallas Veterans Affairs Medical Center andVeterans Affairs psychiatrist, who cleared
prescribed risperidone, an antipsychotic andStone as having no suicidal or homicidal
generic of Risperdal, as well as theideation. ‘ž

antidepressant, Zoloft, which is not

recommended for anyone aged younger thanFormer U.S. Marine Gavin Long, 29, Baton
25 because of the risk that it may causeRouge, Louisiana, July 17, 2016: Long went
suicide. Routh’s father would later report thaton a shooting rampage, killing three law
the cocktail of pharmaceuticals “made Eddieenforcement officers and wounding three
worse,” adding, “I ain’t no doctor. I ain’t noothers before being shot dead by a SWAT
rocket scientist or nothing, but I could tell ateam officer. Long had filled a prescription
difference in him.” ‘’ He had variousfor sedative hypnotic Ativan as recently as
hospitalizations over the next few years, andJune, and also had prescriptions for Valium
was said to be “paranoid and impulsivelyand the sedative Lunesta. ‘‘

violent” and was prescribed a cocktail of psychotropic drugs that included two

Community Examples of

powerful antipsychotics, Haldol and

Seroquel and the antidepressant Paxil. ‘– He Violence

was also mixing prescription drugs known to cause aggressive and psychotic behavior

2017

with alcohol and marijuana.

Oliver Funes Machado (18), Franklin

Aaron Alexis (34), Washington DC NavyCounty, North Carolina, March 6, 2017: He
Yard shooter, September 16, 2013: Alexis, awas accused of decapitating his mother after
former navy reservist, had been prescribedstabbing her eight times, leaving the knife in
the antidepressant trazodone when he killedher mouth, because he “felt like it.” His
12 people and wounded eight, before being4-year-old sister and 2-year-old brother were
killed by police. ‘—in the home at the time. The first deputy on

the scene saw the suspect leave the house

Ivan Lopez (34), Fort Hood gunman, April 2,“carrying a knife in one hand and a severed
2014: Iraqi War veteran, Ivan Lopez had beenhuman head in the other.” He was on four
prescribed Ambien, a sleep agent, andprescription drugs that “could be used to
psychiatric drugs for depression and anxietytreat psychosis and schizophrenia.” ‘Ÿ

when he shot dead three colleagues and

injured 16 others before killing himself at theKendrex J. White (21), Austin, Texas, May 1,
Fort Hood military base. ‘›2017: He stabbed four people with a

machete-like hunting knife at the University

Bradley Stone (35), Montgomery County,of Texas, killing one and wounding three. The
Pennsylvania, December 15, 2014: Iraq Warstabbings occurred within a one-block area
veteran and a former U.S. Marine Corpsas the attacker “calmly walked around the
reservist, killed his ex-wife and her mother,plaza,” according to the chief of police. After
grandmother and sister, and the sister’she was arrested, White told police he did not
remember the attack. The police departmentpeople and injured about 20 more. His
said that White had recently beenvictims ranged in age from 18 months to 77
involuntarily committed in another city andyears old. Ÿ— Fox News reported that Kelley’s
county records showed that he had beenparents “had him on high doses of ‘psych’
arrested and charged with Driving Whilemeds from 6th to 9th grade, the time I knew
Intoxicated on April 4, 2017. When an officerhim,” according to another student. Ÿ›
spoke to him, White said he had taken twoKelley’s best friend from age 12 through 19,
“happy pills,” which the arrest report listed asRalph Martinez, said Kelley was taking
the antidepressant Zoloft. ‘£prescription drugs for “ADHD” and during a

visit with him when Kelley was 21, he was

Stephen Paddock (64), Las Vegas, Nevada,taking “medicine” for his “aggression.” Ÿž In
October 1, 2017: Paddock killed 59, including2012, Kelley had been sent to the Peak
himself, and wounded more than 500 in theBehavioral Health Services Center in Santa
worst mass shooting in U.S. history when heTeresa, New Mexico after beating his wife
opened fire on concertgoers at a countryand child while stationed at Holloman Air
music festival. ‘¥ The former postal workerForce Base. In June 2012, Kelley escaped
and tax auditor turned gambler had beenfrom the center. In a missing person report,
given a prescription for 50 ten-milligramKelley was described as “a danger to himself
Valium (diazepam) tablets on June 21, 2017, asand others as he had already been caught
well as fifty tablets in 2016. Ԭ Court recordssneaking fire arms onto Hollomon Air Force
CNN obtained showed that Paddock hadBase.” Ÿ‘

also been prescribed the drugs as far back as 2012. A 2013 court document revealed

2016

Paddock said he was prescribed diazepam

for “anxiousness” and when asked whetherAli David Sonboly (18), Munich, Germany,
he had a good relationship with the doctorJuly 22, 2016: He shot and killed nine people,
who prescribed him the pills, he responded,injured 27 others, then killed himself. The
“He’s like on retainer, I call it, I guess. ItGuardian reported that after leaving a
means I pay a fee yearly … I have goodhospital in 2015, where he received
access to him.” The autopsy confirmedpsychiatric treatment for two months,
Paddock had amounts of nordiazepam,Sonboly “continued to receive outpatient
oxazepam and temazepam in his system,treatment for social anxiety disorder and
which are consistent with Valium. Ÿ’ It isdepression for which he was receiving
believed that because the drugs were foundmedication.” ŸŸ

in his urine rather than his blood, that these

had not influenced him. However, PaddockArcan Cetin (20), Burlington, Washington,
may have been withdrawing from diazepam.September 23, 2016: Cetin walked into a
Tolerance and dependence can developMall and mercilessly shot and killed five
quickly with benzodiazepines. Withdrawalpeople. Cetin, whom police described as
effects, which can last weeks and sometimes“zombie-like” when he was arrested, had a
years, include increased anxiety, paniclong history of mental health treatment and
attacks, perceptual distortions,had been treated with drugs “like Prozac” in
depersonalization, hallucinations, paranoidthe months leading up to the shooting. ٣

thoughts, rage, aggression, and irritability to name but a few. Ÿ– Rage, aggressiveness and

2015

irritability are among the possible side effects

of taking diazepam. Andreas Lubitz (27), Southern France, March 24, 2015: The Germanwings pilot

Devin Kelley (26), Texas church shooter,deliberately crashed a plane in a remote,
November 5, 2017: He shot and killed 26mountainous area of Southern France killing
all 150 people on board. He was onlocations and then killed himself. In all, he
prescribed drugs for depression, anxiety andkilled six and wounded 13 others before
panic attacks, including an antidepressanttaking his own life, in a rage against women
and the benzodiazepine lorazepam.  Onhe considered had rejected him. He
July 2, 2016, the German Civil Aviation Actexplained in his manifesto that he had
prohibited pilots from flying or “operating anpsychiatric drugs and made them part of his
aircraft under the influence of alcohol orplan in ending his own life. On page 133 of
other psychoactive substances.” This appliesthe manifesto, Rodger explained that he’ll
to “medicines only to the extent that, onshoot himself in the head and “To end my life
account of their narcotic, mind-altering orI will quickly swallow all of the Xanax and
stimulating effect, it is assumed that theyVicodin pills I have left…. I will shoot myself
impair or exclude the fitness for duty ofin the head with two of my handguns
aircraft operators, unless a medical certificatesimultaneously. If the gunshots don’t kill me,
from a flight medical expert or a flightthe deadly drug mixture eventually will.” žŸ
medical center can prove that such an effectXanax reportedly made him feel “isolated and
is not to be feared.anxious.” His family believed he had been

taking the prescription drugs for six months.

Dylann Storm Roof (21), Lexington, SouthXanax's rarer side effects include hostility,
Carolina, June 17, 2015: He confessed tonervousness, hyperactivity and
killing nine people at a historic black church,hallucinations or feelings of unreality. ž£

Emanuel African Methodist Episcopal

Church, in Charleston because he hoped toAaron Ybarra (26), Seattle, Washington,
start a race war. “I chose CharlestonJune 5, 2014: Ybarra opened fire with a
because it is the most historic city in myshotgun at Seattle Pacific University, killing
state, and at one time had the highest ratio ofone student and wounding two others. He
blacks to whites in the country,” he wrote.planned to kill as many people as possible
Roof walked into a Bible study class, stayedand to then kill himself. In 2012, Ybarra
until it was just about over and then beganreportedly had been prescribed Prozac and
shooting the victims. John Mullins, who wentthe antipsychotic, Risperdal. A report from
to school with Roof, said: “He used drugshis counselor in December of 2013 said that
heavily a lot” and said he was a pill-popper,he was taking Prozac at the time. His lawyer
“Like Xanax, and stuff like that.” On Februaryalso confirmed that he was taking prescribed
28, 2015, Roof was arrested for drugdrugs for mental health issues at the time of
possession at a mall in Columbia. The Wallthe shooting. ž§

Street Journal reported that a police incident

document said Roof was found to have stripsMyron May (31), Florida State University
of Suboxone. He did not have a prescriptionalum, November 20, 2014: May opened fire
for the drug, which is commonly sold illegallyin the school’s library, wounding three before
on the street. “ He was sentenced to death. žªhe was shot and killed by police. A half-filled

prescription for the antianxiety drug hydroxyzine (Vistaril, Atarax) was found in

2014

his apartment after the shooting. According

Elliot Rodger (22), Santa Barbara,to May’s friends, he had been prescribed the
California, May 23, 2014: Rodger stabbedantidepressant Wellbutrin and the ADHD
his three roommates. He then drove to astimulant, Vyvanse. Friends also discovered
University of California at Santa Barbarathe antipsychotic Seroquel among his
(UCSB) sorority house where he shot threeprescriptions. ž¨

women, killing two of them. Driving again, he exchanged fire with sheriff deputies, hit a bicyclist, fired on other people in multiple

sertraline (Zoloft) and antianxiety drug clonazepam (Klonopin). In a recorded

Sean Johnson (34), St. Louis, Missouri,interview with Holmes, he was asked
January 15, 2013: Johnson walked onto thewhether the shootings would not have taken
Stevens Institute of Business & Arts campusplace if he hadn’t taken the prescribed drugs.
and shot the school’s financial aid directorHolmes’ answer was, “I’d say it was a
once in the chest, then shot himself in thepossibility.” ž Holmes himself wrote in a
torso. Johnson had been taking prescribednotebook, which he posted to the psychiatrist
drugs for an undisclosed mental illness. ž®just before the shootings, about the effects

the antidepressant was having on him.

Jose Reyes (12), Sparks, Nevada, October“Anxiety and fear disappears. No more fear,
21, 2013: The boy opened fire at Sparksno more fear of failure,” he wrote. “No fear of
Middle School, killing a teacher andconsequences.” ž“ In August 2015, Holmes
wounding two classmates before committingwas sentenced to 12 life sentences (one for
suicide. The investigation revealed that heeach person he killed) plus 3,318 years for the
had been seeing a psychotherapist and had aattempted murders of those he wounded and
generic version of Prozac (fluoxetine) in hisfor rigging his apartment with explosives. He
system at the time of death. žis not eligible for parole. ª

Michael Hamilton (33), Jackson County,

2012

Michigan, September 8, 2012: He shot to

John Shick (30), Pittsburgh, Pennsylvania,death Robert Marcyan, attempted to kill
March 8, 2012: A once “exceptionally bright”Robert’s twin brother, Richard, and stole two
man with degrees in chemistry and computercars to try to flee police. Robert was a
science, according to the Pittsburghhandyman who had gone to the Hamilton
Post-Gazette, Shick shot and killed onehouse with his brother to fix some deck
employee at the University of Pittsburghissues. Just months before the shooting,
Medical Center's Western PsychiatricHamilton’s daily dosage of Adderall had
Institute and injured six other people beforemore than doubled. In October 2013,
he was killed by the police. In 2000, ShickHamilton was convicted of first-degree
worked on a research project regardingmurder and assault with intent to murder. On
“schizophrenia” and “bipolar disorder” at aDecember 4, 2013, Hamilton was sentenced
lab at Harvard Medical School's psychiatricto life in prison. Ÿ

hospital in Belmont, Massachusetts. He was listed as a co-author of a paper that

appeared in the Archives of General 2011 Psychiatry in June 2002. In the immediate

years closer to the shooting his behaviorChristian Helms (14), Myrtle Beach, South
deteriorated. Forty-three prescriptions wereCarolina, September 21, 2011: Helms had
found in his apartment, including sedatives,two pipe bombs in his backpack when he
and drugs for anxiety and depression. žžshot at and wounded Socastee High School’s

“resource” (police) officer. However the

James Holmes (24), Aurora, Colorado, Julyofficer was able to stop the student before he
20, 2012: Holmes entered a movie theatercould do anything further. Helms had been
where about 420 people were watching ataking drugs for ADHD and depression. £

midnight showing of The Dark Knight Rises

and opened fire, killing 12 people andScott DeKraai (41), Seal Beach, California,
wounding 70. During court testimonies, hisOctober 12, 2011: The harbor tugboat
psychiatrist, Lynne Fenton, said that she hadworker, enraged over a custody dispute with
prescribed Holmes the antidepressantex-wife Michelle Fournier, entered the hair

salon where she worked, shot and killed her eight people and wounded three others and seven others and injured another. He during a shooting rampage at a Carthage was prescribed an antidepressant and a nursing home. He was under the influence of “mood stabilizer.” Side effects include the antidepressant Lexapro and the aggressiveness, irritability, mania and sedatives Ambien and Xanax. Tests on

paranoia. In 2017, Orange County SuperiorStewart’s blood following the shooting
Court Judge Thomas Goethals sentencedshowed he had 12 times the therapeutic dose
DeKraai to eight consecutive life sentences,of Ambien in his system. Two days before the
one for each dead victim. …†shooting he attempted to see a doctor. The

doctor wasn’t there, but a nurse prescribed

15-year-old girl, Snohomish County,the anti- depressant Lexapro and
Washington, October 24, 2011: The teenagebenzodiazepine, Xanax. The day before the
girl went to Snohomish High School whereshooting, Stewart became agitated because
she stabbed a girl as many as 25 times justof the antidepressants he was taking.
before the start of school. She then stabbedStewart’s attorney said Stewart’s problems
another girl who tried to help her injuredwith the antidepressants prompted him to
friend. The girl charged in the attack hadoverdose on Ambien. ……

been suspended from school earlier in the

year for threatening to kill another student’sChristopher Wood (34), Middletown,
boyfriend, according to prosecutors. SheMaryland, April 17, 2009: Wood shot and
received counseling at a psychiatric hospitalkilled his wife, three small children and
and was later allowed to return to school.himself inside their home. Toxicology test
The girl was taking “medication” and seeing aresults verified that Wood had been taking
psychiatrist prior to the attack. Courtthe antidepressants Bupropion (Wellbutrin),
documents said the girl was being treated foramitriptyline (Elavil), and nortriptyline
depression. …‰ In March 2012, the girl was(Pamelor), as well as the anti-anxiety drugs
sentenced to more than 13 years in azolpidem (Ambien) and alprazolam
combination of juvenile detention and adult(Xanax). …œ

prison after pleading guilty. …Œ Fred B. Davis (53), Granberry Crossing, Alabama, April 26, 2009: He threatened a

2010

neighbor with a gun before shooting and

Hammad Memon (15), Huntsville, Alabama,killing police officer Dexter Hammond, 38,
February 5, 2010: Memon shot and killed aand critically injured Henry County Sheriff’s
Discover Middle School student, Todd Brown.Deputy Ted Yost. Prescription drug bottles
Memon had a history for being treated forfound at the scene showed that Davis had
ADHD and depression and was taking Zoloftbeen prescribed the antipsychotic drug
and “other drugs for the conditions.” …’Geodon. According to some reports, he may

have stopped taking the drug which would

Planoise, France (17), December 13, 2010: then make him prone to withdrawal effects. œ¡ The youth held 20 preschool children and

their teacher hostage for hours, using twoTroy Bellar (34) Lakeland, Florida, May 3,
swords, at Charles Fourier Preschool. The2009: Bellar killed his wife and two of his
teen was reported to be on “medication foryoung sons—an 8-year-old and 5-month-old.
depression.” …•His oldest son, 13-year-old Nathan, survived.

Bellar fatally shot himself. œ¤ Toxicology test results showed Bellar was on Tegretol, a

2009

drug prescribed for “bipolar disorder.” œ¥ Robert Kenneth Stewart (45), Carthage, North Carolina, March 29, 2009: He killed

Sergio Robles (24), Pasadena, Texas,police report later stated an autopsy found
August 21, 2009: Robles was charged withEffexor in Johnson’s blood and that the drug
capital murder and aggravated assault formay have played a part in his “irrational and
shooting to death Pasadena police officerviolent behavior.” The officials said Johnson
Jesse Hamilton, 29, who was responding to afired several shots at Mr. Gwatney, a former
domestic disturbance call. Another officerstate legislator, in the party’s headquarters
later shot Robles, seriously injuring him.near the Capitol. After a long car chase, the
Robles’ mother, Olga Garcia, said her sonsuspect was fatally wounded in a shootout
was “on his medication.” He had a history ofwith police. œ’ Police were unable to
mental illness. His attorney said Robles hadestablish a motive for Johnson’s attack. œ•

recently been diagnosed as schizophrenic

and was prescribed medication. Robles hadMatti Saari (22), Kauhajoki, Finland,
been released from Harris County jail lessSeptember 23, 2008: The culinary student
than 24 hours prior to the incident. He wasshot and killed nine students and a teacher,
sentenced to 40 years in prison. Ϡand wounded one student, before killing

himself. Saari was taking an SSRI antidepressant and alprazolam (Xanax). œ…

2008

Steven Kazmierczak (27), DeKalb, Illinois,

2007

February 14, 2008: Kazmierczak shot and

killed five people and wounded 21 moreJohn Odgren (16), Sudbury, Massachusetts,
before killing himself in a Northern IllinoisJanuary 19, 2007: Odgren stabbed a student
University auditorium. According to histo death with a large kitchen knife in a
girlfriend, he had recently been takingbathroom at Lincoln-Sudbury Regional High
Prozac, Xanax and Ambien, but had stoppedSchool. In court his father testified that
taking Prozac three weeks before theOdgren was prescribed the stimulant,
shooting. Toxicology results showed that heRitalin. œœ

still had trace amount of Xanax in his

system. œ‰ Asa Coon (14), Cleveland, Ohio, October 10, 2007: Coon stormed through his school with

Jesus “Jesse” Carrizales (17), Fresno,a gun in each hand, shooting and wounding
California, April 24, 2008: He attacked anfour before taking his own life. Coon had
officer at the Fresno High School, hitting himbeen prescribed the antidepressant
in the head with a baseball bat. Aftertrazodone. ¤¡¡

knocking the officer down, the officer shot

Carrizales in self-defense, killing him.Pekka-Eric Auvinen (18), Jokela, Finland,
Carrizales had been prescribed theNovember 7, 2007: Auvinen had been taking
antidepressant Lexapro and antipsychotic,antidepressants before he killed eight people
Geodon. His autopsy showed that he had aand wounded a dozen more at Jokela High
high dose of Lexapro in his blood that couldSchool in southern Finland, then committed
have caused him to be paranoid, according tosuicide. ¤¡¤

the coroner. œŒ Felicia McMillan (17), Texas, November 7,

Timothy D. Johnson (50), Little Rock,2007: McMillan returned to her former
Arkansas, August 13, 2008: Soon afterRobert E. Lee High School campus and
Johnson shot and killed Arkansas Democraticstabbed a male student because he was
Party Chairman Bill Gwatney, the Little Rockdating her ex-girlfriend and then wounded
Police declared they were investigatingthe principal with a knife. McMillan had been
shooter’s use of the antidepressant Effexor,on anti-depression drugs for a few years and
which was found in Johnson’s house. Ahad committed prior offenses in 2005 and

2006 while taking these prescription drugs. She was sentenced to 25 years in prison. 

Jeff Weise (16), Red Lake, Minnesota, March

Robert Hawkins (19), Omaha, Nebraska,21, 2005: Weise was taking Prozac, when he
December 5, 2007: He killed eight peopleshot and killed his grandfather and his
and wounded five before committing suicidegrandfather’s girlfriend, then went to his
in an Omaha mall. Chief Thomas Warren ofschool on the Red Lake Indian Reservation
the Omaha Police Department called theand shot dead five students, a security guard
shooting “premeditated,” but said it “appearsand a teacher, and wounded seven before
to be very random and without provocation.”killing himself. ˜

Hawkins’ landlord Debora Maruca Kovac

found a suicide note saying he loved hisKenneth Bartley (14), Jacksboro, Tennessee,
friends and family, but “he was a piece of s---November 8, 2005: A student at Campbell
all his life, and now he'll be famous.” ‰County Comprehensive School, Bartley shot
Autopsy results confirmed he had beenand killed the assistant principal and
taking Valium. ‹wounded another assistant principal and the

principal. He was taking Xanax at the time of

2006 the shooting. Just before the shooting, Bartley had also snorted a crushed Valium

Alvaro Rafael Castillo (19), Hillsborough, pill. š North Carolina, August 30, 2006: He shot

and killed his father, then drove to Orange 2004 High School where he opened fire. Two

students were injured in the shooting, whichJon Romano (16), East Greenbush, New
ended when school personnel tackled Rafael.York, February 9, 2004: Romano strolled
His mother said he was on drugs forinto his high school in East Greenbush and
depression. ‘opened fire with a shotgun. Special

education teacher Michael Bennett was hit in

Travis Roberson (16), North Vernon, the leg. Romano had been taking Xanax.  Indiana, December 4, 2006: Roberson

stabbed a Jennings County High School 2003 student in the neck, nearly severing an artery.

Roberson was in withdrawal from theRyan T. Furlough (18), Ellicott City,
antidepressant Wellbutrin, which he hadMaryland, January 2003: He killed a
stopped taking days before the attack. “Centennial High School classmate by spiking

his soda with cyanide. He was being treated

David Crespi (45), North Carolina,with Effexor.  In July 2004, he was
January 20, 2006: The bank auditor wassentenced to life in prison for the poisoning
being treated with a cocktail of drugs forof his best friend, with a potential for
depression when he stabbed and killed hisparole. 

five-year-old twin girls, Sam and Tess. Seven

days before the killings David was prescribedDoug Williams (48), North Meridian, Florida,
a new drug for his depression, Prozac, asJuly 8, 2003: The assembly line worker shot
well as taking Lunesta and Ambien. After14 of his co-workers at Lockheed Martin
pleading guilty to murder in a deal struck toaircraft plant with a shotgun, killing six of
avoid execution, he began serving two lifethem, before turning the gun on himself. ‰
sentences. •He was reported to have been on two

antidepressants, Zoloft and Celexa. ‹

Mamoru Takuma (37), Ikeda, Japan, June 8, 2001: Wielding a six-inch knife, Takuma

Richard Lopez (17), Oxnard, California,slipped into an elementary school and
January 10, 2001: Lopez went to Huenemestabbed eight first and second graders to
High School with a gun and shot twice at adeath while wounding at least 15 other pupils
car in the school’s parking lot before takingand teachers. He then turned the knife on
afemale student hostage. Lopez washimself, suffering only superficial wounds.
eventually killed by a SWAT officer. He hadTakuma told interrogators that before the
been prescribed Prozac, Paxil and “drugsattack he had taken 10 times his normal
that helped him go to sleep.” ‘dose of antidepressants. 

William Michael Stankewicz (56), Red Lion,

2000

Pennsylvania, February 2, 2001: He

terrorized the North Hopewell-WinterstownRichard Baumhammers (34), Pittsburgh,
Elementary School, wielding with a machetePennsylvania, April 28, 2000:
and a baseball bat, chasing and injuring theBaumhammers shot six people, killing five
principal, two teachers and 11 kindergartenand paralyzing the sixth. He considered
children. The principal’s hand was cut soHitler and the Oklahoma City Bomber to be
severely by the 2-foot-long machete’s bladeheroes, Baumhammers had frequented white
that surgeons had to repair tendons andsupremacist websites, tried to form a Free
reattach blood vessels and nerves.Market political party and created a website
Stankewicz, an ex-convict and former historyopposing non-white, non-European
teacher, was taking four different drugs forimmigration. He then chose his victims
depression and anxiety weeks before theaccordingly. The killing spree was described
attacks. In September 2001, he pleadedas a “20-mile trail of blood across two
guilty to multiple accounts of attemptedcounties” that was carried out in a “chilling,”
homicide and aggravated assault. ““unhurried, methodical” manner.  Prior to

the killing spree, he had been under

Elizabeth Bush (14), Williamsport,treatment by 12 different psychologists and
Pennsylvania, March 7, 2001: Bush waspsychiatrists and had taken up to 17
taking Prozac when she shot at fellowdifferent psychiatric drugs. 

students, wounding one. • Michael McDermott (42), Wakefield,

Jason Hoffman (18), El Cajon, California,Massachusetts, December 26, 2000:
March 22, 2001: While taking theMcDermott shot and killed seven fellow
antidepressants Celexa and Effexor, Hoffmanemployees at Edgewater Technology. He
opened fire on his classmates, woundingthen shot to death two employees at
three students and two teachers at Granitereception, headed down the hall to the
Hills High School. ˜human resources department, picked off

three people and proceeded to accounting,

Cory Baadsgaard (16), Wahluke,where three other workers were barricaded.
Washington, April 10, 2001: BaadsgaardMcDermott blasted through the door and
took a rifle to his high school and held 23gunned down two. (The third employee
classmates and a teacher hostage. Threesurvived by concealing herself beneath a
weeks earlier, his doctor had switcheddesk.) “No one saw it coming,” said a former
Baadsgaard’s antidepressant prescriptionemployee. For more than a year prior to the
from Paxil to Effexor. The morning of thesenseless shooting, McDermott had been
incident, his dosage of Effexor had beentaking antidepressants, including Prozac. ‰

increased. Baadsgaard said he had no memory of the incident. š

mother to death. Public reports said the boy was taking Prozac. In June 1998, Woodham

Shawn Cooper (15), Notus, Idaho, April 16,was found guilty of two counts of murder and
1999: He fired two shotgun rounds in hisseven counts of aggravated assault and was
school, narrowly missing students. Coopersentenced to two consecutive life sentences
spent 18 minutes in control of his high school.for the murder convictions and seven
The sheriff got him to surrender. He was20-yearsentences for the aggravated assault
taking a prescribed antidepressant and theconvictions. ”

stimulant, Ritalin.  In September 1999, the

teenager received the maximum sentence asMichael Carneal (14), West Paducah,
a juvenile, ordered to be held at a stateKentucky, December 1, 1997: He was on
juvenile facility for an indeterminate periodRitalin, when he started firing a gun during a
not to exceed his 21st birthday. ‚high school prayer meeting, killing three

teens aged 14 to 17 and wounding five other

Eric Harris (18), Columbine, Colorado, Aprilstudents, including one who was paralyzed.
20, 1999: Harris and his accomplice, DylanCarneal is serving a life sentence without a
Klebold, killed 12 students and a teacher andchance for parole for 25 years. —˜

wounded 26 others before killing themselves. Harris was on the antidepressant Luvox.

1995

Klebold’s medical records were sealed. Both

shooters had been in anger-managementToby R. Sincino (15), Blackville, South
classes and had undergone counseling.Carolina, October 12, 1995: Sincino slipped
Harris had been seeing a psychiatrist beforeinto the Blackville-Hilda High School’s rear
the shooting. ‰entrance, where he shot two teachers, killing

one. Toby killed himself moments later. His

T.J. Solomon (15), Conyers, Georgia, May 20,aunt, Carolyn McCreary, said he had been
1999: Solomon was being treated withundergoing counseling with the Department
Ritalin when he opened fire on and woundedof Mental Health and was taking Zoloft for
six of his classmates. Solomon wasemotional problems. —

convicted and sentenced to 40 years prison in 2000. He was released after serving 17

1993

years and two months. Ž Stephen Leith (39), Chelsea, Michigan,

1998 December 16, 1993: The chemistry teacher Stephen Leith, facing a disciplinary matter at

Kip Kinkel (15), Springfield, Oregon, MayChelsea High School, shot Superintendent
1998: He murdered his parents and the nextJoseph Piasecki to death, shot Principal Ron
day went to his school, Thurston High inMead in the leg, and wounded journalism
Springfield and opened fire on histeacher Phil Jones. Leith was taking Prozac
classmates, killing two and wounding 25and had been seeing a psychiatrist. —

others. He had been prescribed Prozac and Ritalin. He was sentenced to nearly 112 years

1992

in prison. ¦ Calvin Charles Bell (44), Houston, Texas, September 18, 1992: Bell was apparently

1997

distraught over his child’s second-grade

Luke Woodham (16), Pearl, Mississippi,progress report and, armed with two
October 1, 1997: He shot and killed twosemi-automatic guns, a combat-style hunting
students at Pearl High School and woundedknife and a can of Mace, he turned up at the
seven others after beating and stabbing hisadministration office of Piney Point

Elementary School, fired a shot, left the office, fired at a police officer who was at the school for a drug education program and wounded another officer before surrendering after police surrounded the building. Relatives told police that Bell was an unemployed Vietnam veteran and had been taking antidepressants. ——

1988-89

Laurie Wasserman Dann (31), Winnetka, Illinois, May 20, 1988: Dann had set fire to a house, tried to firebomb Ravinia School in Highland Park, delivered poisoned juice and snacks to several acquaintances and opened fire on children at Hubbard Woods School in Winnetka, killing 8-year-old Nick Corwin and injured five other children. She then entered a nearby house, took a family hostage and wounded a 20-year-old man before killing herself. She had been taking the antidepressant Anafranil and Lithium, long used to treat mania. —

James Wilson (19), September 26, 1988, Greenwood, South Carolina: Wilson went on a shooting spree in an elementary schoolyard in Greenwood, killing two eight year olds, and wounding seven other children and two teachers. He had been taking Xanax and Valium and five other psychiatric drugs. He had been in and out of psychiatric centers starting at age 14. A judge sentenced Wilson to 175 years in prison and death. —‚

Patrick Purdy (25), January 17, 1989, Stockton, California: Purdy went on a schoolyard shooting rampage which became the catalyst for the original legislative frenzy to ban “semiautomatic assault weapons” in California and the nation. Purdy murdered five children and wounded 30. He had been on amitriptyline, an antidepressant, as well as the antipsychotic, Thorazine. —‰

References for Main Report

1 “Anatomy of an Epidemic: Psychiatric Drugs and the Astonishing Risebzcha03.htm.
of Mental Illness in America,” Ethical Human Psychology and Psychiatry,23 Op. cit., Scott Glover and Kyung Lah, CNN.
Volume 7, No. I, Spring 2005, http://pt.cchr.org/sites/default/files/Ana24 Melissa Chan, “Texas Church Shooter Contacted His Father Before
tomy_of_an_Epidemic_Psychiatric_Drugs_Rise_of_Mental_Illness.pdf.He Died, Officials Say,” TIME, 6 Nov. 2017, http://time.com/5011760/
2 “FDA Mulls Antidepressant Warnings,” Daily Press, 21 Mar. 2004,texas-church- shooting-devin-kelley/.
http://articles.dailypress.com/2004-03-21/news/0403210207_1_dr-jose25 “Texas church shooter Devin Patrick Kelley served in Air Force, was
ph-glenmullen-corey-baadsgaard-school-shootings-and-murder-suicidcourt-martialed for assaulting wife, child,” Fox News, 6 Nov. 2017,
es.http://www.foxnews.com/us/2017/11/06/texas-church-shooting-who-is
3 Patrick D. Hahn, “Antidepressants: a deadly treatment?” Baltimore-gunman-devin-patrick-kelley.html.
Sun, 11 Apr. 2015, http://www.baltimoresun.com/news/opinion/bs-ed-26 “EXCLUSIVE: ‘He was like a brother to me... how could he be
antidepressants-violence-20150411-story.html.capable of such evil': Texas church shooter's teenage best friend tells
4 John Horgan, “What ‘60 Minutes’ Gets Wrong in Report on Mentalhow he cut all ties when Kelley was convicted of domestic abuse,” Daily
Illness and Violence,” Scientific American, 2 Oct. 2013,Mail, 7 Nov. 2017, http://www.dailymail.co.uk/news/article-5056797/
https://blogs.scientificamerican.com/cross-check/what-e2809c60-minTexas-church-shooter-s-teenage-best-friend-tells-all.html.
utese2809d-gets-wrong-in-report-on-mental-illness-and-violence/.27 “Church gunman escaped from mental hospital in 2012,” KHOU, 7
5 John Horgan, “Did Antidepressant Play a Role in Navy YardNov. 2017, http://www.khou.com/news/local/texas/church-
Massacre?” Scientific American, 20 Sept. 2013, https://blogs.gunman-escaped-from-mental-hospital-in-2012/489929623; “Texas
scientificamerican.com/cross-check/did-antidepressant-play-a-role-in-church shooter previously escaped mental health institution while
navy-yard-massacre/.facing military charges,” WFAA, 7 Nov. 2017, http://www.wfaa.com/
6 Sarah Boseley, “Prozac class drug blamed for killing,” The Guardiannews/crime/sutherland-springs-shooting/texas-church-shooter-previou
(London), 2 May 2001, https://www.theguardian.com/uk/2001/may/26/sly-escaped-mental-hospital-while-facing-military-charges/489923061.
sarahboseley.28 Mario Diaz, Cathy Tatom, Aaron Wische, “Sutherland Springs church
7 Jim Rosack, “SSRIs Called on Carpet Over Violence Claims,”shooter escaped mental health facility months after attack on wife,
Psychiatric News, Vol. 36, No. 19, 5 Oct. 2001.child; Ex-facility official says Kelley made death threats and tried to buy
8 Ibid.; David Healy, Andrew Herxheimer, and David B. Menkes,weapons,” Click2Houston.com (KPRC, NBC Channel 2),
“Antidepressants and Violence: Problems at the Interface of Medicinehttps://www.click2houston.com/news/sutherland-springs-church-shoo
and Law,” PLoS Medicine, Sept. 2006, 3(9): e372,ter-escaped-mental-health-facility-months-after-attack-on-wife-child.
https://www.ncbi.nlm.nih.gov/pmc/ articles/PMC1564177/29 “New Warnings Urged for ADHD Drugs,” WebMD, 23 Mar. 2006,
9 Ibid., David Healy, et al, “Antidepressants and Violence.”https://www.webmd.com/add-adhd/childhood-adhd/news/20060323/
10 Ibid.adhd-drugs-reports-aggressive-behavior#1; https://www.rxlist.com/
11 “Psychiatric Medications Kill More Americans than Heroin,”ritalin-side-effects-drug-center.htm.
Rehabs.com, 5 Jan. 2016, citing: MEPS (Medical Expenditure Panel30 “Patient Online Report of Selective Serotonin Reuptake
Survey) database, http://meps.ahrq.gov/mepsweb/data_stats/Inhibitor-Induced Persistent Post-withdrawal Anxiety and Mood
download_data_files_results.jsp?cboDataYear=All&cboDataTypeY=2%2Disorders,” Psychotherapy and Psychosomatics, 19 Jan. 2012,
CHousehold+Event+File&buttonYearandDataType=Search&cboPufNuhttps://www.karger.com/ Article/FullText/341178.
mber=All&SearchTitle=Prescribed+Medicines.31 Beth DeFalco and Howard Pankratz, “Killer's autopsy file unsealed,”
12 IMS, Vector One: National (VONA) and Total Patient Tracker (TPT)Denver Post, 5 Jun. 1999, http://extras.denverpost.com/news/
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13 Op. cit., Rehabs.com, citing: MEPS (Medical Expenditure Panel32 Arianna Huffington, “Antidepressants—As Dangerous as Guns?” The
Survey) database.New York Post, 8 May 1999.
14 Sally C. Curtin, M.A., Margaret Warner, Ph.D., and Holly Hedegaard,33 Ole J. Thienhaus, M.D., M.B.A., Melissa Piasecki, M.D. “Assessment of
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products/databriefs/ db241.htm.34 Catriona White, “My son, the mass murderer,” BBC, 27 Jul. 2017,
15 “Medicines Use and Spending in the US: A Review of 2015 andhttp://www.bbc.co.uk/bbcthree/item/f4458f48-787f-4159-9d1b-5ae212e
Outlook for 2020,” IMS Institute, page 41, https://morningconsult.com/108b8.
wp-content/uploads/2016/04/IMS-Institute-US-Drug-Spending-2015.p35 Ibid.
df.36 “Movement Disorders Induced by Antipsychotic Drugs: Implications
16 Kelly P. O’Meara, “Guns & Doses—Drugging Children,” Insightof the CATIE Schizophrenia Trial,” Neurol Clin, Feb. 2011, 29(1): 127–viii,
Magazine, Vol. 15, No. 24, 28 Jun 1999.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3018852/.
17 Kelly P. O’Meara, “A Different Kind of Drug War,” Insight Magazine, 1337 Ty C. Colbert, Rape of the Soul, How the Chemical Imbalance Model
Dec. 1999.of Modern Psychiatry has Failed its Patients, (Kevco Publishing,
18 Op. cit., David Healy, et al., “Antidepressants and Violence.”California, 2001), p.106.
19 Jeff German and Anita Hassan, “Las Vegas shooter’s autopsy gives38 Crowner ML, et al., “Akathisia and violence,” Psychopharmacol Bull,
no clues,” Las Vegas Review Journal, 9 Feb. 2018,1990, https://www.ncbi.nlm.nih.gov/pubmed/1973544; Morrison-Valfre,
https://www.reviewjournal.com/news/investigations/las-vegas-shooterMichelle, Foundations of Mental Health Care (St. Louis, MO: Elsevier,
s-autopsy-gives-no-clues/.1997), pg. 367, https://books.google.com/books?id=
20 Paul Harasim, “Las Vegas Strip shooter prescribed anti-anxiety drugctXsAwAAQBAJ&pg=PA367&lpg=PA367&dq=akathisia+and+assaultiv
in June,” Las Vegas Review Journal, 3 Oct. 2017,e+behavior&source=bl&ots=XFMBOSsmdB&sig=sdz1eU026fukvJNkC
https://www.reviewjournal.com/local/the-strip/las-vegas-strip-shooter-sMmReXmqaE&hl=en&sa=X&ved=0ahUKEwjWl4-TlvfSAhUO92MKHe
prescribed-anti-anxiety-drug-in-june/.a6AQUQ6AEIJzAD#v=onepage&q=akathisia%20and%20assaultive%2
21 Scott Glover and Kyung Lah, “Exclusive: Vegas killer described his0behavior&f=false.
unusual habits in 2013 testimony,” CNN, 9 Oct. 2017,39 “Akathisia: 15 Things to Know about This Horrible Condition,”
http://www.cnn.com/2017/10/09/us/MedPro, 24 Jul. 2017, https://www.medprodisposal.com/
las-vegas-stephen-paddock-deposition/index.html.akathisia-15-things-to-know- about-this-horrible-condition/.
22 C. Heather Ashton, DM, FRCP, “Benzodiazepines: How They Work40 “Tardive dyskinesia,” MedlinePlus, https://medlineplus.gov/ency/
and How to Withdraw,” Institute of Neuroscience, Newcastle University,article/ 000685.htm; “What Is Tardive Dyskinesia?” WebMD,
Newcastle upon Tyne, 2002, http://www.benzo.org.uk/manual/http://www.webmd.com/ schizophrenia/guide/tardivedyskinesia#1.
41 Stephanie Watson, “What is Akathisia?” Healthline, 22 May 2017,64 Prof. C. Heather Ashton, “Protracted Withdrawal from
https://www.healthline.com/health/akathisia#symptoms2https://booksBenzodiazepines,” Comprehensive Handbook of Drug & Alcohol
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akathisia&source=bl&ots=_C_wfAkYLk&sig=PU4ge5ynmaTb8nR_7b465 John M. Grohol, “Withdrawal from Psychiatric Meds Can Be Painful,
_Cjl_XKE&hl=en&sa=X&ved=0ahUKEwjzo8Cxoc_TAhXKRiYKHTivDK4Lengthy,” Psych Central, 13 Feb. 2013, https://psychcentral.com/blog/
4HhDoAQg5MAM#v=onepage&q=akathisia&f=false.archives/2013/02/13/withdrawal-from-psychiatric-meds-can-be-painful
42 Op. cit., IMS, Vector One: National and Total Patient Tracker-lengthy/.
Database.66 Jose Pagliery and Curt Devine, “School shooter showed violence
43 “Antipsychotic-induced akathisia in delirium: A systematic review,”and mental instability at home, police reports reveal,” CNN, 17 Feb. 2018,
Palliat Support Care, 2016 Feb; 14(1): 77–84, 19 Jun. 2015,https://www.cnn.com/2018/02/16/us/florida-shooter-cruz-records-poli
https://www.ncbi.nlm.nih.gov/ pmc/articles/PMC5516628/.ce-calls-to-home-invs/index.html; Brianna Sacks, “Authorities Were
44 “36 School shooters/school related violence committed by thoseCalled to Alleged Florida School Shooter Nikolas Cruz’s House More
under the influence of psychiatric drugs,” CCHR International,Than 35 Times,” BuzzFeed News, 16 Feb. 2018,
https://www.cchrint.org/ school-shooters/.https://www.buzzfeed.com/buzzfeednews/florida-school-shooting?
45 “Detailed View: Safety Labeling Changes Approved By FDA Centerutm_term=.wto6Lro7L#.fhG2bnqKb.
for Drug Evaluation and Research (CDER) — November 2005,” U.S. Food67 Joseph J. Cocozza and Henry J. Steadman, “The Failure of
and Drug Administration, Nov. 2005.Psychiatric Predictions of Dangerousness: Clear and Convincing
46 Thomas J. Moore, Joseph Glenmullen, Curt D. Furbert, "PrescriptionEvidence,” Rutgers Law Review, Vol. 29, No. 5, Late Summer 1976, pp.
Drugs Associated with Reports of Violence Towards Others," Public1099-1100.
Library of Science ONE, Vol. 5, Iss. 12, Dec. 2010,68 David Brown, “Predicting violence is a work in progress,” Washington
http://www.plosone.org/article/info%3Adoi%2F10.1371%2Fjournal.pone.Post, 3 Jan. 2013, https://www.washingtonpost.com/national/
0015337.health-science/predicting-violence-is-a-work-in-progress/2013/01/03/2
47 Ibid.e8955b8-5371-11e2-a613-ec8d394535c6_story.html?utm_term=.b09e54
48 Ibid.6246de.
49 David Kirschner, Ph.D, “Mass shooters received only limited69 Op. cit., Joseph J. Cocozza and Henry J. Steadman.
treatment,” The National Psychologist, 26 Jul. 2017,70 “The DSM in Litigation and Legislation,” Journal of the American
http://nationalpsychologist.com/2014/09/mass-shooters-received-onlyAcademy of Psychiatry and the Law, Feb. 2011, 39 (1) 6-11,
-limited-treatment/102638.html.http://jaapl.org/content/39/1/6.
50 Op. cit., IMS, Vector One: National and Total Patient Tracker71 “Diet Mulls Fate of Mentally Ill Criminals,” The Japan Times, 8 Jun.
Database, https://www.cchrint.org/psychiatric-drugs/children-on-2002.
psychiatric-drugs/.72 Shelley Jofre, “THE BATMAN KILLER—PRESCRIPTION FOR
51 “Rate of Mass Shootings Has Tripled Since 2011, Harvard ResearchMURDER?” BBC, 26 Jul. 2017, http://www.bbc.co.uk/news/resources/
Shows,” Mother Jones, 15 Oct. 2014, http://www.motherjones.com/idt-sh/ aurora_shooting.
politics/2014/10/mass-shootings-increasing-harvard-research.73 Ibid.
52 “Eric Holder: Number of mass shootings triple,” Associated Press, 2174 Ibid.
Oct. 2013, http://www.politico.com/story/2013/10/us-mass-shootings-75 Op. cit., Catriona White.
tripled- 098617.85331158030000/.76 Scott A. Bonn, Ph.D, “The Real Life Horror Tale of the Twisted ‘Co-ed
55 “FDA Mulls Antidepressant Warnings,” Daily Press, 21 Mar. 2004,Killer,’” 17 Mar. 2014, https://www.psychologytoday.com/blog/
http://articles.dailypress.com/2004-03-21/news/0403210207_1_dr-josewicked-deeds/201403/the-real-life-horror-tale-the-twisted-co-ed-killer;
ph-glenmullen-corey-baadsgaard-school-shootings-and-murder-suicid“Edmund Kemper—The Co-ed Killer,” 21 Sep. 2017,
es.http://murderersmaniacsandmayhem.blogspot.com/2017/09/edmund-k
56 “It’s the Drugs, Stupid! Prescription Psychotropic Drugs Cause Brainemper-co-ed-killer.html.
Injury,” Global Research News, 19 Feb. 2014,77 “No Bond for Suspected Killer of 8,” Las Vegas Sun, 30 Apr. 1973.
http://www.globalresearch.ca/its-the-drugs-stupid-prescription-psycho78 Op. cit., Rehabs.com, citing: MEPS (Medical Expenditure Panel
tropic-drugs-causes-brain-injury/5369562.Survey) database.
57 “Patient Online Report of Selective Serotonin Reuptake79 Ibid.
Inhibitor-Induced Persistent Post-withdrawal Anxiety and Mood80 David Sack, “Benzodiazepines: The Danger Lurking in the Shadow
Disorders,” Psychotherapy and Psychosomatics, 19 Jan. 2012,of Opiates,” Psychology Today, 29 Jun. 2017,
https://www.karger.com/ Article/FullText/341178.https://www.psychologytoday.com/blog/where-science-meets-the-ste
58 “Withdrawal from psychiatric drugs can be disabling and can causeps/201706/benzodiazepines-the-danger-lurking-in-the-shadow-opiates.
a range of severe physical and psychological effects….” Council for81 “We Need to Talk About Our Generation's Xanax Problem,” Vice.com,
Evidence-Based Psychiatry, 15 Mar. 2014,23 Aug. 2017, https://www.vice.com/en_us/article/evvama/
https://ravimid.files.wordpress.com/2015/02/psychiatric-drug-withdrawwe-need-to-talk- about-our-generations-xanax-problem; “Overdose
al-can-be-disabling-010314-1.pdf.Death Rates,” National Institute of Drug Abuse, Sep. 2017,
59 Ibid.https://www.drugabuse.gov/related-topics/trends-statistics/overdose-
60 Joanna Moncrieff, M.B.B.S., David Cohen and Sally Porter, “Thedeath-rates.
Psychoactive Effects of Psychiatric Medication: The Elephant in the82 Gwendolyn Waters, “Social Media and Law Enforcement,” Law
Room,” J Psychoactive Drugs, Nov. 2013; 45(5): 409–415,Enforcement Bulletin, 1 Nov. 2012, https://leb.fbi.gov/2012/november/
https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC4118946/.social-media-and-law-enforcement-potential-risks.
61 Op. cit., “Anatomy of an Epidemic: Psychiatric Drugs and the83 “Understand the Dangers of Being a Police Officer,” The Balance, 24
Astonishing Rise of Mental Illness in America.”Feb. 2017, https://www.thebalance.com/understand-the-dangers-
62 Matt Crenson, “Antidepressants Prove Addictive to Some,”of-being-a-police-officer- 4034991.
Washington Post, 6 Aug. 2006,84 Amy C. Watson, Melissa Schaefer Morabito, Jeffrey Draine, and
http://www.washingtonpost.com/wp-dyn/content/article/2006/08/Victor Ottati, “Improving police response to persons with mental illness:
06/AR2006080600269.html.A Multi-level conceptualization of CIT,” Int J Law Psychiatry, 2008, 31(4):
63 Prof. C. Heather Ashton, DM, FRCP, “Benzodiazepines: How They359–368, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2655327/.,
Work and How to Withdraw,” Institute of Neuroscience, Newcastle85 “North Carolina man ‘felt like’ killing mother in decapitation case,
University, Newcastle upon Tyne, 2002, http://www.benzo.org.uk/court records say,” Associated Press, 8 Mar. 2017,
manual/bzcha03.htm.http://www.nola.com/crime/index.ssf/2017/03/decapitation_case_susp

ect_says.html. 86 “FBI Releases 2016 Preliminary Statistics for Law Enforcement Officers Killed in the Line of Duty,” FBI National Press Office, 15 May 2017, https://www.fbi.gov/news/pressrel/press-releases/fbi-releases- 2016-preliminary-statistics-for-law-enforcement-officers-killed-in-the-lin e-of-duty. 87 Ann Blake Tracy, “Suicide & Death Can Lurk in Each SSRI Pill,” Rense.com, http://www.rense.com/general77/lurk.htm. 88 “Experts: 'Suicide by cop' cases are hard to prevent,” The San Diego Tribune, 8 May 2017, http://www.sandiegouniontribune.com/ news/public-safety/ sd-me-suicide-by-cop-20170508-story.html. 89 “Man seeking ‘suicide by cop’ found guilty of assault,” The Spokane-Review, 11 Feb. 2016, http://www.spokesman.com/stories/ 2016/feb/11/man-who- encouraged-spokane-police-to-shoot-him-fou/; Jeff Humphrey, “Army vet gets nine years for suicide by cop attempt,” KXLY News, 3 Mar. 2016, http://www.kxly.com/news/local-news/ spokane/army-vet-gets-nine-years-for-suicide-by-cop-attempt_2016112 1034442715/176407731. 90 “Spokane judge reluctantly sentences man to long prison term,” The Spokane-Review, 3 Mar. 2016, http://www.spokesman.com/stories/ 2016/mar/03/spokane-judge-reluctantly-sentences-man-to-long-pr/. 91 Op. cit., Jeff Humphrey. 92 Kelly Brogin, M.D. “What’s the Harm in Taking an Antidepressant?” http://kellybroganmd.com/whats-the-harm-in-taking-an-antidepressan t/. 93 Lori Fullbright, “Man Shot By Tulsa Police Reportedly Attempted 'Suicide By Cop,’” News On 6, 5 Nov. 2014, http://www.newson6.com/ story/27295470/man-shot-by-tulsa-police-reportedly-attempted-suicid e-by-cop. 94 “World needs ‘revolution’ in mental health care—UN rights expert,” Office of the United Nations High Commissioner for Human Rights, http://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?New sID=21689&LangID=E#sthash.MMIxDbIx.dpuf. 95 “From Privileges to Rights: People Labeled with Psychiatric Disabilities Speak for Themselves,” National Council on Disability, 20 Jan. 2000, https://ncd.gov/publications/2000/Jan202000. 96 Thomas Dorman, “Toxic Psychiatry,” Thomas Dorman’s website, 29 Jan. 2002, http://www.dormanpub.com. 97 Lorrin M. Koran, Medical Evaluation Field Manual, Department of Psychiatry and Behavioral Sciences, Stanford University Medical Center, California, Prepared for the California Department of Mental Health, 1991, p. 4. 98 Mary Ann Block, No More ADHD, (Block System, Texas, 2001) pp.19-20. 99 Op. cit., “It’s the Drugs, Stupid! Prescription Psychotropic Drugs Cause Brain Injury.”

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Union-Tribune, 1 Nov. 2007, legacy.sandiegouniontribune.com/news/61 C. Heather Ashton, DM, FRCP, “Benzodiazepines: How They Work
military/20071101-9999- 1m1holmes.html.and How to Withdraw,” Institute of Neuroscience, Newcastle University,
49 Karen Hensel, “Soldier faces international scrutiny, death penalty,”Newcastle upon Tyne, 2002, http://www.benzo.org.uk/manual/
WISH TV, 22 Feb. 2011.bzcha03.htm.
50 Rick Jervis, “‘American Sniper’ killer found guilty in murders,” USA62 Melissa Chan, “Texas Church Shooter Contacted His Father Before
Today, 24 Feb. 2015, https://www.usatoday.com/story/news/nation/He Died, Officials Say,” TIME, 6 Nov. 2017,
2015/02/24/ american-sniper-murder-trial-verdict/23896859; Nicholashttp://time.com/5011760/texas-church-shooting- devin-kelley/;
Schmidle, “In the Crosshairs,” The New Yorker, 3 Jun. 2013,Emanuella Grinberg and Eliott C. McLaughlin, “Devin Kelley: Texas
http://www.thenewyorker.com/magazine/2013/06/03/in-the-crosshairschurch shooter's troubled past emerges,” CNN, 8 Nov. 2017,
51 Mike Spies, “Inside the Tortured Mind of Eddie Ray Routh, the Manhttp://www.cnn.com/2017/11/06/us/devin-kelley-texas-church-shooting
Who Killed American Sniper Chris Kyle,” Newsweek, 23 Nov. 2015,-suspect/index.html.
http://www.newsweek.com/2016/01/08/insidetorturedmindmanwhokill63 “Texas church shooter Devin Patrick Kelley served in Air Force, was
edamericansniperchriskyle397299.html.court-martialed for assaulting wife, child,” Fox News, 6 Nov. 2017,
52 Trip Gabriel, Joseph Goldstein and Michael S. Schmidt, “Suspect’shttp://www.foxnews.com/us/2017/11/06/texas-church-shooting-who-is
Past Fell Just Short of Raising Alarm,” The New York Times, 17 Sept. 2013,-gunman-devin-patrick-kelley.html.
http://www.nytimes.com/2013/09/18/us/washington-navy-yard-shootin64 “EXCLUSIVE: 'He was like a brother to me... how could he be
gs.html; “12 Victims Killed, 8 Wounded in Shooting at D.C. Navy Yard,capable of such evil': Texas church shooter's teenage best friend tells
Suspected Gunman Killed,” NBC4 Washington, 17 Sep. 2013,how he cut all ties when Kelley was convicted of domestic abuse,” Daily
http://www.nbcwashington.com/news/local/Confirmed-Shooter-at-NaMail, 7 Nov. 2017, http://www.dailymail.co.uk/news/article-5056797/
vy-Yard-One-Person-Shot-223897891.html.Texas-church-shooter-s-teenage-best-friend-tells-all.html.
53 David Montgomery, Manny Fernandez and Timothy Williams, “Fort65 “Church gunman escaped from mental hospital in 2012,” KHOU, 7
Hood Gunman Was Being Treated for Depression,” The New York Times,Nov. 2017, http://www.khou.com/news/local/texas/church-
3 Apr 2014, http://www.nytimes.com/2014/04/04/us/fort-hood-gunman-escaped-from-mental-hospital-in-2012/489929623; “Texas
shooting.html?_r=0; Ben Brumfield, Tom Watkins and Josh Rubin, “Fortchurch shooter previously escaped mental health institution while
Hood shooting spree: 'Texans' hearts are once again very heavy,'” CNN,facing military charges,” WFAA, 7 Nov. 2017, http://www.wfaa.com/
3 Apr. 2014, http://www.cnn.com/2014/ 04/03/us/fort-hood-shooting/.news/crime/sutherland-springs-shooting/texas-church-shooter-previou
54 Jacqueline Klimas, “Bradley Stone cleared by Veterans Affairs doctorsly-escaped-mental-hospital-while-facing-military-charges/489923061.
one week before murders, suicide,” The Washington Times, 17 Dec. 2014,66 Tim Hume, “Munich gunman planned attack for a year, official say,”
http://www.washingtontimes.com/news/2014/dec/17/bradley-stone-cleCNN, 24 July 2016, http://www.cnn.com/2016/07/24/europe/
ared-veterans-affairs-doctor-one-/; Dan Stamm and Vince Lattanzio,germanymunichshooting/; Jamie Grierson, Emma Graham-Harrison and
“Montgomery County Spree Killer Bradley Stone Dies of DrugKate Connolly, and Janek Schmidt, “Munich gunman lured victims on
Overdose: ME,” NBC 10 Philadelphia, 24 Dec. 2014,Facebook with 'free McDonald's food,'” The Guardian, 23 Jul. 2016,
http://www.nbcphiladelphia.com/news/local/BradleyStoneDeathhttps://www.theguardian.com/world/2016/jul/23/munich-
OverdoseReport286716351.html; Ralph Ellis, Susan Candiotti and Ashleyshooting-teenage-gunman-researched-killing-sprees-no-isis-links; Kate
Fantz, “Police in Pa. search for man suspected of killing ex-wife, 5Lyons, Janek Schmidt and agencies, “Afghan, 16, arrested in connection
former in-laws,” CNN, 15 Dec. 2014, http://www.cnn.com/2014/12/15/us/with Munich Shootings,” The Guardian, 24 Jul. 2016,
pennsylvaniashootings/.https://www.theguardian.com/world/2016/jul/24/munichgunmanalison
55 Steve Visser, “Baton Rouge shooting: 3 officers dead; shooter wasbolyplannedattackformorethanayearsayinvestigators.
Missouri man, sources say,” CNN, 18 Jul. 2016, http://www.cnn.com/67 Andrew Blankstein and Corky Siemaszko, “Arcan Cetin, Accused
2016/07/17/us/ batonroutepoliceshooting/; Joshua Berlinger and JasonCascade Mall Shooter, Faces Five Counts of Murder,” NBC News, 27
Hanna, “Gavin Long said he suffered from PTSD, source tells CNN,”Sept. 2016, http://www.nbcnews.com/news/us-news/arcan-cetin-
CNN, 20 Jul. 2016, http://www.cnn.com/2016/07/20/health/accused-cascade-mall-shooter-charged-five-counts-murder-n654586;
gavinlongptsdbatonrouge/.“Hospital tried to commit suspected Cascade Mall shooter,” King 5, 27
56 “North Carolina man 'felt like' killing mother in decapitation case,Sept. 2016, http://www.king5.com/news/crime/cascade-mall-
court records say,” Associated Press, 8 Mar. 2017, http://www.nola.com/shooting-suspect-says-he-did-it-say-court-records/326243270; Jessie
crime/index.ssf/2017/03/ decapitation_case_suspect_says.html; MarkStensland, “Treatment, supervision didn’t stop alleged shooter with a
troubled past,” Whidbey News-Times, 1 Oct. 2016,Motive," Huffington Post, 13 Mar. 2012,
http://www.whidbeynewstimes.com/news/395470251.html.https://www.huffingtonpost.com/2012/03/13/alleged-pa-clinic-shooter
68 Elizabeth Whitman, “What Drugs Was Andreas Lubitz On?_n_1341137.html?view=print&comm_ref=false; Margaret Harding and
Lorazepam, Antidepressants Could Have Affected Germanwings Pilot,”Bobby Kerlick, "UPMC probed in Western Psychiatric Institute shooting
International Business Times, 2 Apr. 2015, http://www.ibtimes.com/rampage," Pittsburgh Tribune-Review, 29 Mar. 2012.
whatdrugswasandreaslubitzlorazepamantidepressantscouldhaveaffecte78 Maria L. La Ganga, “What will Dr. Lynne Fenton say about her
d1867744.former patient James Holmes?” Los Angeles Times, 4 Jun. 2015,
69 “Everything Known About Charleston Church Shooting Suspecthttp://www.latimes.com/nation/la-na-dr-lynne-fenton-james-holmes-2
Dylann Roof,” Daily Beast, 20 Jun. 2015, https://www.thedailybeast.com/0150603-story.html; "Timeline of Events Leading to James Holmes'
everything-known-about-charleston-church-shooting-suspect-dylann-rGuilty Verdicts," ABC News, 16 Jul. 2015.
oof; “Dylann Roof Confesses” WND, 19 Jun. 2015,79 Catriona White, “My son, the mass murderer,” BBC, 27 Jul. 2017,
http://www.wnd.com/2015/06/dylann-roof-confesses-everybody-so-nichttp://www.bbc.co.uk/bbcthree/item/f4458f48-787f-4159-9d1b-5ae212e
e-at-church/.108b8.
70 Jay Croft and Tristan Smith,“Dylann Roof pleads guilty to state80 “Theater shooter Holmes gets 12 life sentences, plus 3,318 years,”
charges in church massacre,” CNN, 10 Apr. 2017, http://www.cnn.com/CNN, 27 Aug. 2017, http://www.cnn.com/2015/08/26/us/james-
2017/04/10/us/dylann-roof-guilty-plea-state-trial/index.html.holmes-aurora-massacre- sentencing/index.html.
71 Elliot Rodger, “My Twisted World – The Story of Elliot Rodger,” p. 133,81 Danielle Salisbury, "Michael Hamilton sentenced to life in prison for
http://abclocal.go.com/three/kabc/kabc/My-Twisted-World.pdf; Orenshooting to death Robert Marcyan," MLive, 4 Dec. 2013,
Dorell and William M. Welch, “Police identify Calif. shooting suspect ashttp://www.mlive.com/news/jackson/index.ssf/2013/12/michael_hamilt
Elliot Rodger,” USA Today, 24 May 2014, https://www.usatoday.com/on_sentenced_to.html; Danielle Salisbury, "Doctor prescribed Michael
story/news/usanow/2014/05/24/shooting-california-santa-barbara/953Hamilton Adderall, increased dosage; prosecution suggests prescription
2405/.overuse," MLive, 9 Oct. 2013, http://www.mlive.com/news/
72 Lydia Warren and Will Payne and Dan Bloom, “Virgin killer Elliotjackson/index.ssf/2013/10/doctor_prescribed_michael_hami.html;
Rodger's 'Xanax addiction made him withdrawn and anxious in daysDanielle Salisbury, "Michael Hamilton, 33, arraigned on open murder
before his murderous rampage,'” The Daily Mail, 4 Jun. 2014,charge in death of man on Wamplers Heights Drive," MLive, 11 Sep.
http://www.dailymail.co.uk/news/article-2648379/Virgin-killer-Elliot-Ro2012, http://www.mlive.com/news/jackson/index.ssf/2012/09/
dgers-Xanax-addiction-withdrawn-anxious-days-murderous-rampage.htmichael_hamilton_33_arraigned.html; Danielle Salisbury, "Jury finds
ml#ixzz4dKwRN1jK.Michael Hamilton guilty of first-degree murder, rejects insanity
73 Jack Simpson, “Seattle Pacific University shooting: Gunman says heargument," MLive, 21 Oct. 2013, http://www.mlive.com/news/jackson/
’wanted to kill many more,’ The Independent, 9 Jun. 2014,index.ssf/2013/10/jury_finds_michael_hamilton_gu.html; Danielle
http://www.independent.co.uk/news/world/americas/seattle-pacific-unSalisbury, "'He was smiling at me, pulling the trigger' brother of slain
iversity-shooting-gunman-says-he-wanted-to-kill-many-more-9505394.man testifies at preliminary examination," MLive, 15 Jan. 2013,
html; “Suspect in Seattle Pacific killing had well-documented demons,”http://www.mlive.com/news/jackson/index.ssf/2013/01/no_angry_wor
The Seattle Times, 6 June 2014, http://seattletimes.com/html/localnews/ds_preceded_wample.html.
2023788483_spususpectprofilexml.html; Steve Miletich, et al.., “Report:82 Harriet McLeod, “South Carolina teen faces adult charges for school
SPU suspect ‘wanted to hurt himself and others’ in 2010,” The Seattleattack,” Reuters, 18 Mar. 2011, http://www.reuters.com/article/2011/03/
Times, 6 June 2014, http://blogs.seattletimes.com/today/2014/06/18/us-crime-pipebomb-teen-idUSTRE72H7VO20110318; Joel Allen,
police-source-spu-suspect-has-fascination-with-mass-shootings/.“Students welcome Officer Karney back to Socastee High,”
74 Michael LaForgia, “FSU shooter's friends tried to get help for himCarolinaLive.com, 28 Sept. 2010, http://www.carolinalive.com/news/
months before the shooting,” Miami Herald, 22 Nov. 2014,story.aspx?id=517984#.UQmYqb_CmW.
http://www.miamiherald.com/news/state/florida/article4064977.html#s83 “OC DA Expects Seal Beach Shooter to Use Insanity Defense,”
torylink=cpy; Jordan Culver, Byron Dobson and Jim Henry, "ShooterLAist.com, 14 Oct. 2011, http://laist.com/2011/10/14/oc_da_expects_
identified as Florida State alum Myron May," Tallahassee Democrat, 21seal_beach_shooter_to.php; “Ex-wife feared Seal Beach suspect as
Nov. 2014, http://www.tallahassee.com/story/news/local/fsu-news/unbalanced,” CBS News, 14 Oct. 2011, https://www.cbsnews.com/
2014/11/20/shooter-identified-fsu-alum-myron-may/70007494;stories/2011/10/14/national/main20120409.shtml; John Gregory, Greg
Jacqueline Ingles, "Family of Myron May say the suspected FSU shooterLee "Scott Dekraai sentenced to 8 consecutive life terms for 2011 OC
planned on cooking Thanksgiving dinner," ABC News, 21 Nov. 2014.mass "killing," ABC7, 22 Sep. 2017.
75 Jim Salter, “Sean Johnson Charged With Assault In Stevens Institute84 Joel Moreno, “Doctors amazed that Snohomish girl survived knife
Of Business And Arts In St. Louis Shooting,” Huffington Post, 16 Jan.attack,” KomoNews.com, 28 Oct. 2011, http://www.komonews.com/
2013, https://www.huffingtonpost.com/2013/01/16/sean-johnson-news/local/ 132829548.html; Diana Hefley, “Snohomish stabbing
assault-st-louis_n_2489249.html.victims allegedly chosen at random; charges due Wednesday,”
76 “Police: Nevada school shooter said he was teased,” The WashingtonHeraldNet.com, 25 Oct. 2011, https://ssristories.drugawareness.org/
Post, 13 May 2014, http://www.washingtonpost.com/national/police-archive/showd01e.html?item=5227; Diana Hefley, “Suspect in stabbings
complete-nevada-schoolyard-shooting-probe/2014/05/13/235a23a6-daat Snohomish school continues to talk about violent, disturbing acts,”
bc-11e3-a837-8835df6c12c4_story.html; “Nevada school shooter left 2HeraldNet.com, 1 Mar. 2012, http://www.heraldnet.com/article/
suicide notes,” USA Today, 13 May 2014, http://www.usatoday.com/20120301/NEWS01/703019923; Christine Clarridge, "Girl charged in
story/news/nation/2014/05/13/nevada-shooter-suicide-notes/9063429stabbing previously suspended from Snohomish High," The Seattle
/; Martin Griffith and Scott Sonner, "Jose Reyes, Nevada School Shooter,Times, 26 Oct. 2011, https://www.seattletimes.com/seattle-news/
Was Typical Kid, Not Loner," Huffington Post, 13 May 2014,girl-charged-in-stabbing-previously-suspended-from-snohomish-high/.
https://www.huffingtonpost.com/2013/10/26/jose-reyes-shooter-loner_85 John de Leon, "Girl, 15, pleads guilty to stabbing at Snohomish High,"
n_4165899.html.The Seattle Times, 7 Mar. 2012, https://www.seattletimes.com/
77 “Special Report: Western Psych shootings followed volatile years forseattle-news/girl-15- pleads-guilty-to-stabbing-at-snohomish-high/.
John Shick.” Pittsburgh Post-Gazette, 18 Mar. 2012, http://www.post-86 “Court Documents Reveal More about Shooting Suspect Hammad
gazette.com/local/city/2012/03/18/Special-Report-Western-Psych-shoMemon,” waaytv.com, 11 Jul. 2011, https://ssristories.com/show.php?
otings-followed-volatile-years-for-John-Shick/stories/201203180274;item=5007.
"DA Takes Closer Look At Western Psych Shooting Spree," CBS87 Carol Anne Hunt, “Teenager holds school children hostage in
Pittsburgh, 12 Apr. 2012, http://pittsburgh.cbslocal.com/2012/04/12/France,” indiepropub.com, 13 Dec. 2010, https://ssristories.com/
da-takes-closer-look-at-western-psych-shooting-spree/; "John Shick,show.php?item=4698.
Psychiatric 'Shooter,' Had Mental Health History; Pittsburgh Cops Seek88 "Defense: Stewart doesn't remember nursing home shooting,"
WRAL.com, 1 Aug. 2011, http://www.wral.com/news/local/story/100 Scott Stephens and Rachel Dissell, “Who was Asa Coon?”
9936931/; "Robert Kenneth STEWART, The Carthage nursing homeCleveland.com, 10 Oct. 2007, http://blog.cleveland.com/metro/
shooting," Murderpedia, the encyclopedia of murderers,2007/10/who_was_asa_coon.html; Christopher Maag, “Short but
http://murderpedia.org/male.S/s/stewartrobertkenneth.htm.Troubled Life Ended in Shooting and Suicide,” The New York Times, 12
89 Gina Gallucci-White, “Seven drugs found in Christopher Wood'sOct. 2007, http://www.nytimes.com/2007/10/12/us/
system at time of murder-suicide,” The Frederick News-Post, 24 Jun.12cleveland.html?_r=0.
2009, https://www.fredericknewspost.com/archive/seven-drugs-101 Diana ben-Aaron and Juho Erkheikki, “Finland Declares Day of
found-in-christopher-wood-s-system-at-time/article_ad4fb00b-5585-5Mourning After School Murders,” Bloomberg, 8 Nov. 2007; “Jokela
ad4-8ee8-aa5c025973f1.html.gunman said he used antidepressants,” Helsingin Sanomat, International
90 Debbie Ingram, "Friends, neighbors search for answers after officer'sEdition, 9 Nov. 2007.
death," Dothan Eagle, 26 Apr. 2009, http://www.dothaneagle.com/102 “Ex-Student Sentenced For Attacks On Campus,” Tyler Morning
news/friends-neighbors-search-for-answers-after-officer-s-death/articlTelegraph, 28 Feb. 2008, http://www.tylerpaper.com/article/20080228/
e_eb3d1aa1-5975-543c-bc33-bd18b06d0e09.html.NEWS08/802280303.
91 “Son escapes gunfire as Troy Ryan Bellar kills wife, two other sons,103 “Police: Nine killed in shooting at Omaha mall, including gunman,”
and then self in Florida,” Daily News, 4 May 2009, http://www.tbo.com/CNN, 6 Dec. 2007, http://www.cnn.com/2007/US/12/05/mall.shooting/.
news/dad-says-son-appeared-normal-before-polk-murder-suicide-920104 “Autopsy Shows Valium Only Drug in Omaha Mall Gunman's
88.System,” Fox News, 1 Jan. 2008, http://www.foxnews.com/story/2008/
92 Troy Ryan Bellar Autopsy Protocol, Office of the District Medical01/01/autopsy-shows-valium-only-drug-in-omaha-mall-gunman-system
Examiner, 10th Judicial Circuit of Florida, 5 May 2009..html.
93 Jim Molony, "Robles pleads guilty to killing Pasadena police officer,"105 “Accused school shooter's mother, sister testify,” WRAL.com, 11 Aug.
Houston Chronicle, 12 May 2011, http://www.chron.com/neighborhood/2009, http://www.wral.com/news/local/story/5770869/.
pasadena/news/article/Robles-pleads-guilty-to-killing-Pasadena-police106 ROBERSON v. STATE, 900 N.E.2d 446 (2009), No.
-9353778.php; Renee C. Lee, “Man accused of killing cop had sued over40A01-0711-CR-500, Court of Appeals of Indiana, 29 Jan. 2009,
brutality,” Houston Chronicle, 24 Aug. 2009, http://www.chron.com/http://www.ai.org/judiciary/opinions/pdf/ 01290902cjb.pdf;
neighborhood/pasadena-news/article/Man-accused-of-killing-cop-had“Authorities: Teen’s Knife Attack At School Was Planned,” The Indy
-sued-over-brutality-1747727.php; Richard Connelly, "Sergio Robles:Channel, 5 Dec. 2006, https://ssristories.com/show.php?item=1342.
Cop-Killer Gets 40 Years in Plea Deal," Houston Press, 12 May 2011,107 “Canadian man who killed son while taking anti-depressants
http://www.houstonpress.com/news/sergioroblescopkillergets40yearsilobbies for freedom of U.S. dad who killed twins,” National Post
npleadeal6734897; Jessica Willey, “Officer Responding to Call Fatally(Canada), 22 Oct. 2012, http://nationalpost.com/news/canadian-man-
Shot,” ABC 13 News, 22 Aug. 2009, http://abc13.com/archive/6976048/;who-killed-son-while-taking-anti-depressants-lobbies-for-freedom-of-u
"Accused Cop Killer Now in Jail," ABC 13 News, 16 Sep. 2009,-s-dad-who-killed-twins/wcm/3518cb12-f03b-47fa-b0e7-cb25eea13b82;
http://abc13.com/archive/7018027.Ed Jones, “How could I forgive a killer?” Charlotte Observer, 20 Jan.
94 “Report of the 14 Feb. 2008 Shootings at Northern Illinois University,”2008, http://crespifamilyhope.blogspot.com/2010/07/misdiagnosed-
NIU, http://www.niu.edu/feb14report/; “Girlfriend: Shooter was takingmental-illness-drove-david.html.
cocktail of 3 drugs,” CNN, 20 Feb. 2008, http://www.cnn.com/2008/108 Daphne Bramham, “Teen gunman given Prozac for depression,”
CRIME/02/20/shooter. girlfriend/index.html; Dave Newbart, “NIUVancouver Sun 1 Apr. 2005; P.J. Huffstutter, “2nd Teen Is Linked to
shooter had trace amounts of drugs in system,” The Chicago Sun-Times,School Shooting,” Los Angeles Times, 29 Mar. 2005,
15 Mar. 2008, http://schoolshooters.wordpress.com/2008/03/15/http://articles.latimes.com/2005/mar/29/ nation/na-redlake29.
41/#more-41.109 Petition for Post-Conviction Relief, Kenneth Bartley v State of
95 Pablo Lopez, “Autopsy report suggests teen wasn't taking medsTennessee, 18 Oct. 2010, pp. 5-7.
properly,” The Fresno Bee, 16 May 2008, https://ssristories.com/110 Bob Gardinier, “Legal doorway closes for Columbia gunman; Judges
show.php?item=2475; “Relatives Say School Failed to Help Depressedsay high school shooter gave up right of appeal in plea deal,” The Times
Fresno Student Killed By Police,” Fox News, 17 Apr. 2008,Union, 2 Nov. 2007.
http://www.foxnews.com/story/0,2933,351661,00.html.111 Lisa Goldberg, “Trial due to start in teen's poisoning,” The Baltimore
96 Shaila Dewan, Steve Barnes, “Gunman Kills Democratic Official inSun, 9 May 2004, http://articles.baltimoresun.com/2004-05-09/news/
Arkansas,” The New York Times, 13 Aug. 2008,0405090134_1_ furlough-insanity-plea-cyanide.
http://www.nytimes.com/2008/08/14/ us/14arkansas.html; "Ark. police112 Ibid.; “Md. Teen Gets Life For Poisoning Friend,” Washington Post, 21
close probe in Democratic killing," Examiner.com, 20 Nov. 2008; SethJul. 2004, http://www.washingtonpost.com/wp-dyn/articles/
Blomeley, "Hundreds remember Gwatney at funeral," Network54 SSRIA114-2004Jul20.html.
Discussion Forum, 19 Aug. 2008, http://www.network54.com/113 Brian Livingston, “Monday marks 10th anniversary of Lockheed
Forum/281849/thread/1219995039/Adderall+Abuse+is+at+an+all+timshootings,” Meridian Star, 7 Jul. 2013, http://www.meridianstar.com/
e+high+-+in+the+adult+population; "Probes find no motive fornews/local_news/monday-marks-th-anniversary-of-lockheed-shooting
official’s death," The Atlanta Journal-Constitution, 21 Nov. 2008,s/article_6cabc834-c251-5194-b5c9-42a7fc09a214.html.
http://www.ajc.com/services/content/news/stories/2008/11/21/shootin114 “Anatomy of a nightmare Tracing events of a tragic Tuesday,”
g.html; Warren Watkins, "Evidence suggests planned shooting," TheMeridian Star, 13 Jul. 2003, https://ssristories.drugawareness.org/
Daily Citizen, 14 Aug. 2008.archive/show859d.html?item=370.
97 "Probes find no motive for official’s death," The Atlanta115 Steve Chawkins, Anna Gorman, “Police Kill Armed Teenager at High
Journal-Constitution, 21 Nov. 2008, http://www.ajc.com/services/School,” Los Angeles Times, 11 Jan. 2001, http://articles.latimes.com/
content/news/stories/2008/11/21/ shooting.html.2001/jan/11/local/ me-11081; Tamara Koehler and Letisia Marquez, “Lack
98 Nick Allen, “Finland school shooting: Gunman Matti Saari madeof help for mentally ill decried,” Ventura County Star, 13 Jan. 2001.116
phone call during slaughter,” The Telegraph, 26 Sept. 2008,Joann Loviglio, “‘Hero’ principal faces long recovery after machete
http://www.telegraph.co.uk/news/worldnews/europe/finland/3083996attack,” Pocono Record, 4 Feb. 2001, http://www.poconorecord.com/
/Finland-school-shooting-Gunman-Matti-Saari-made-phone-call-durinarticle/20010204/ news/302049997; “Machete wielder pleads guilty
g-slaughter.html; “Kauhajoki School Shooting on 23 Sept. 2008,” ReportStankewicz still blames his ex-wife and York County for his attack on
of the Investigation Commission, Translation of the Finnish originalchildren,” York Daily Record, 26 Sept. 2001, https://ssristories.org/man-
report, http://goo.gl/XCOAq.attacks-11-children-3-teachers-at- elementary-school/.
99 “Odgren's father says son didn't remember attack,” Worcester117 “Girl sentenced in school shooting – Elizabeth C. Bush – Brief
Telegram & Gazette, 21 Apr. 2010, http://www.telegram.com/article/Article,” National Catholic Reporter, 20 Apr. 2001,
20100421/NEWS/ 100429941/1116.http://www.highbeam.com/doc/ 1G1-73827824.html; Linda Vester,

Douglas Kennedy, Steve Harrigan, “Fox on the Record with Greta Van school.shooting.funeral/index.html; “School shooter Michael Carneal

Susteren,” Fox News, 25 Nov. 2002.recalls delusions,” WDRB, 6 Oct. 2010, http://www.wdrb.com/story/
118 “Granite Hills gunman was seeing psychiatrist, attorney says,”13279449/school-shooter-michael-carneal-discusses-delusions 1/.
Associated Press, 19 Apr. 2001.131 James R. Langford, “Teen's Life Full Of Contradictions - The
119 Op. cit., Linda Vester, Douglas Kennedy, Steve Harrigan; Elizabeth15-Year-Old Who Shot Two Teachers And Then Himself Hinted That He
Shogren, “FDA Probes Downside of Antidepressants,” Los AngelesWould Not Be Alive Much Longer,” The Augusta Chronicle, 22 Oct. 1995,
Times, 21 Mar. 2004, http://articles.latimes.com/2004/mar/21/nation/https://ssristories.com/show.php? item=1568.
na-violent21.132 Letter from Stephen Leith submitted to the Food and Drug
120 Sharon Moshavi, “Killings shake Japan’s sense of safety,” BostonAdministration, 22 Mar. 2000, http://www.fda.gov/ohrms/dockets/
Globe, 9 Jun. 2001, http://www.antidepressantsfacts.com/dailys/00/apr00/040600/c01.pdf; “In transition or tragedy, students get
MamoruTakuma.htm.Chelsea High School principal's focus,” mlive.com, 14 Apr. 2008,
121 “Cold killer's 20-mile trail leaves 5 dead,” The Pittsburghhttp://blog.mlive.com/annarbornews/2008/04/in_transition_or_tragedy
Post-Gazette, 29 Apr. 2000, http://old.post-gazette.com/_stude.html; Pat Shellenbarger, “1993 Chelsea school shooter on gun
regionstate/20000429shootings2.asp; “Richard Scottcontrol: 'These are man-made efforts to try to correct what can’t be
BAUMHAMMERS,” Murderpedia, http://murderpedia.org/male.B/b/corrected,’” mlive.com, 11 Apr. 2013, http://www.mlive.com/politics/
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WARNING: No one should stop taking any psychiatric drug without the advice and assistance of a competent, non-psychiatric, medical doctor.

Photo Credits:

Mstyslav Chernov (inside cover); Ari Armstrong (page 7 left); History of Biomedicine Research Group (page 7 right); S. Dizayee/VOA Turkish Service (page 9); Associated Press/ RJ Sangosti (page 10); Columbine High School Yearbook (page 14 top; Appendix page 29 photo 7); Denver Public Library, Rocky Mtn. News Photo Archives /Pulitzer Prize Photo by George Kochaniec, Jr. (page 14 bottom); Associated Press (page 28: photo 1, 7, 8; page 29: photo 2, 3, 5, 9); Federal Bureau of Investigation (page 28: photo 2); Texas Department of Public Safety (page 28: photo 3); Polk County Sheriff’s Office (page 28: photo 4); Getty Images North America (page 28: photo 5); Getty Images/Stringer (page 28: photo 6); HO/AFP/Getty Images (page 28: photo 10); Arapahoe County Detention Center (page 28: photo 11); Orange County Sheriff’s Department (page 28: photo 12); Papillion - La Vista High School yearbook (page 29: photo 4); Fox News (page 29: photo 6, 10); Heritage High School Yearbook (page 29: photo 11).

© 2018 CCHR. All Rights Reserved. Citizens Commission on Human Rights and the CCHR Logo are trademarks and service marks owned by Citizens Commission on Human Rights. Printed in the U.S.A.

The goal of this report is to help law enforcement and policy makers discover and identify a hidden link to the prevalence of violence and suicide in the community: psychotropic drugs. Facts, statistics, studies and expert opinion show the medical concerns about the rise of senseless acts of violence coincident with the increase in psychotropic drug prescriptions and usage. Psychiatric drugs create dependence, suicide and violence in a percent of individuals taking them. That is a documented fact. The disastrous consequences are felt by all. As so many lives are at stake, it is vital that each person who is in a position to take action avail themselves of this information to help protect our communities.

Jan Eastgate President Citizens Commission on Human Rights International

Published by Citizens Commission on Human Rights® (CCHR®) Established in 1969

6616 Sunset Blvd Los Angeles, CA 90028

(323) 467-4242 humanrights@cchr.org www.cchrint.org

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