J Med Assoc Thai 1998; 81 (7):551

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Drug-induced Akathisia and Suicidal Tendencies in Psychotic Patients
Kasantikul D Mail

Five patients, while being treated with high potency antipsychotic drugs developed
akathisia and tended towards committing suicide as a consequence of the inner agitation and
restlessness they were suffering. Upon discontinuation of the respective medication or switching
to low potency drugs, as well as addition of anti-parkinson drugs or benzodiazepines, the akathisia
and suicidal tendencies abated. Clinicians ought to be aware of suicidal impulses emerging in
patients suffering from akathisia. By prompt recognition and treatment of akathisia such suicidal
tendencies and attempts can be prevented.

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