Ni kwararre ne a fannin likitancin ciki kuma ina da sha'awar kididdiga da hanyoyin bincike.1 Hanyar da na yi na kimiyya gabaɗaya ya haifar da wallafe-wallafe a wurare daban-daban domin mutane sun zo wurina lokacin da suke zargin wani abu mai kifin a cikin sana'arsu.1
A 2007, ungozoma Margrethe Nielsen daga Danish Consumer Council ta so ta gano ko tarihi yana maimaita kansa. Na ba ta digiri na dalibi na PhD kuma mun gano cewa alamun janyewar sun yi kama da magungunan ɓacin rai da benzodiazepines, amma an kwatanta su a matsayin dogara kawai ga na ƙarshe.2
Wannan ya fara sha'awar ilimin hauka kuma na yi sauri na gane cewa wasu da yawa kuma an yi kuskure a cikin wannan sana'a. Karyar da likitocin masu tabin hankali ke yi wa jama’a ta zama ruwan dare da cutarwa ga majinyata har na buga littafina na kan ilimin tabin hankali inda na rubuta abin da ba daidai ba a cikin litattafan da daliban likitanci da masu tabin hankali ke amfani da su wajen horarwa.3 Yawancin abin da ake da'awa a cikin littattafan koyarwa rashin gaskiya ne a kimiyance, kuma binciken da ake yi akai-akai ba shi da tabbas kwata-kwata saboda an azabtar da bayanan har sai sun yi ikirari.4
Likitan tabin hankali shine kawai sana'ar da na sani wanda ke haifar da cutarwa fiye da mai kyau; a gaskiya, vastly mafi cutarwa fiye da kyau.5 Wannan bala'i zai iya tsira ne kawai saboda masu tabin hankali a koyaushe suna yin ƙarya ga jama'a game da abin da za su iya cimma da magungunan su. Likitocin masu tabin hankali kuma kan keta haƙƙin ɗan adam na farko game da yarda da kuma amfani da magani na tilas ko da yana da illa.5,6
Taken littafin likitan hauka na na baya-bayan nan ya taƙaita batutuwan: “Shin ilimin hauka laifi ne ga ɗan adam?”5 Kamar yadda za ku gani, ba na yin karin gishiri.
A cikin Janairu 2014, na buga labarin, "Likitan tabin hankali ya ɓace," a cikin wata babbar jaridar Danish, wadda ita ma ta fito cikin Turanci.7 Na bayyana tatsuniyoyi goma a cikin ilimin tabin hankali waɗanda ke cutar da marasa lafiya:
Labari na 1: Cutar ku na faruwa ne sakamakon rashin daidaituwar sinadarai a cikin kwakwalwa.
Labari na 2: Ba matsala don dakatar da magani tare da maganin damuwa.
Labari na 3: Magungunan ƙwaƙwalwa don tabin hankali kamar insulin ne ga masu ciwon sukari.
Labari na 4: Magungunan ƙwaƙwalwa suna rage yawan marasa lafiya na yau da kullun.
Labari na 5: Kwayoyin farin ciki ba sa kashe kansa ga yara da matasa.
Labari na 6: Kwayoyin farin ciki ba su da illa.
Labari na 7: Kwayoyin farin ciki ba su da jaraba.
Labari na 8: Yaɗuwar baƙin ciki ya ƙaru sosai.
Labari na 9: Babban matsalar ba wai yawan magani ba ne, amma rashin kulawa.
Labari na 10: Antipsychotics yana hana lalacewar kwakwalwa.
Na bayyana dalilin da ya sa "'Yan kasarmu za su fi kyau idan muka cire duk magungunan psychotropic daga kasuwa, saboda likitoci ba za su iya magance su ba. Ba za a iya kaucewa cewa samun su yana haifar da cutarwa fiye da mai kyau. Saboda haka ya kamata likitoci suyi duk abin da za su iya don magance kadan kamar yadda zai yiwu, a cikin gajeren lokaci mai yiwuwa, ko a'a, tare da magungunan psychotropic."
Na buga wasu yatsu masu ciwo. An yi ta kururuwa, wanda masana'antar muggan kwayoyi da abokan huldar su da ake biya a tsakanin likitoci da kafafen yada labarai suka jagoranta, amma kuma muhawara mafi girma da aka taba yi a Denmark game da magungunan tabin hankali.1,6 Fiye da wata guda, ba a yi kwana ɗaya ba tare da tattaunawa kan waɗannan batutuwan a rediyo, TV, a jaridu, da sassan masu tabin hankali. Amma abin bakin ciki, ana ci gaba da kasuwanci mai cutarwa kamar yadda aka saba.
The Facts
Magunguna masu tabin hankali ba su da takamaiman tasiri, waɗanda aka yi wa takamaiman cuta.8 Cututtukan tabin hankali ƙungiyar taurari ce kawai kuma magungunan tabin hankali suna da galibin sakamako guda biyu: ko dai suna lalatar da mutane, ko kuma suna motsa su.
Magunguna masu aiki da ƙwaƙwalwa suna da irin wannan tasirin, misali, barasa, opioids, cannabis, sauran masu tabin hankali, da hodar iblis, amma ba ma kiran irin waɗannan magungunan antidepressants ko antipsychotics. Kuma tasirin maganin bacin rai da antipsychotics yana da nisa a ƙasa da ƙarancin tasirin da ya dace, kamar yadda masu ilimin likitanci da kansu suka kafa a cikin binciken su.3,6 Don haka yana da kyau a ce ba sa aiki.
Mafi mahimmancin tasirin magungunan tabin hankali ba shine abin da kuke ji ba. Saboda yawan amfani da magungunan, sune babban dalilin da yasa magungunan da muke rubutawa sune kan gaba wajen mutuwa, gabanin cututtukan zuciya da ciwon daji.9 Ɗaya daga cikin 'yan ƙasa biyar yana kan maganin rage damuwa, wanda zai iya haifar da faduwa, kuma lokacin da tsofaffi suka karya kwatangwalo, kashi ɗaya cikin biyar zai mutu a cikin shekara mai zuwa.
Da yawa daga cikin waɗanda ba su mutu ba za su ji daɗi ko ta yaya. A duk ƙasashen da aka bincika dangantakar, yawan kuɗin fansho na nakasa ya haura tare da ƙara yawan amfani da magungunan tabin hankali.10
Ba ka jin yawa game da matsalolin jima'i ma. Abubuwan da ake kira kwayoyi masu farin ciki suna cutar da rayuwar jima'i a cikin rabin marasa lafiya, kuma a cikin rabin waɗannan marasa lafiya, ba za a yarda da cutar ba.11 A wasu marasa lafiya, cutar ba ta iya jurewa kuma tana ci gaba bayan da marasa lafiya suka cire magungunan, wanda ya kai ga kashe kansa.12
Karya
Likitocin tabin hankali, musamman wadanda ke kan manyan mukamai, kan yi wa jama’a karya ne da nufin kare muradun kungiyarsu da bukatunsu na kudi, wadanda suke da yawa. A Amurka, akwai ƙarin likitocin masu tabin hankali waɗanda ke karɓar kuɗi daga masana'antar harhada magunguna fiye da kowane nau'in ƙwararru.13
Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Amurka (AMA) ta lalace. Yawancin likitocin masu tabin hankali waɗanda suka ƙirƙira mafi wauta bincike a cikin Diagnostic and Statistical Manual (DSM) don cututtukan tabin hankali, waɗanda suka faɗaɗa kasuwar magungunan tabin hankali, suna kan albashin masana'antu. Amma ba a bude suke ba. Membobin kwamitin DSM-5-TR sun sami dala miliyan 14 a cikin kuɗaɗen masana'antu da ba a bayyana ba.14 Ga Bature, wannan matakin batsa ne na cin hanci da rashawa.
Ƙarya mafi muni ita ce: Likitoci a kai a kai suna gaya wa majiyyata cewa ba su da lafiya saboda suna da rashin daidaituwar sinadarai a cikin kwakwalwa kuma za su karɓi maganin da ke gyara wannan.
Ƙarya mai alaƙa ita ce sakamakon janyewar, lokacin da marasa lafiya suka yi ƙoƙari su cire magungunan su, ba su da mahimmanci, kuma ba sakamakon janyewa ba kwata-kwata, amma alamun cewa cutar ta sake dawowa kuma har yanzu suna buƙatar magungunan.15
A cikin 2018, shugabannin a cikin UK Royal College of Psychiatrists sun rubuta a cikin Times cewa, "a cikin mafi yawan marasa lafiya, duk wani mummunan bayyanar cututtuka da aka samu akan dakatar da maganin damuwa sun warware a cikin makonni biyu na dakatar da jiyya."5 Ƙungiyar likitocin da malaman ilimi, ciki har da ni, sun rubuta wa marubutan cewa bayanin nasu ba daidai ba ne kuma binciken da Kwalejin ta yi na sama da marasa lafiya 800 ya gano cewa 63% na marasa lafiya sun fuskanci bayyanar cututtuka kuma kashi ɗaya cikin hudu sun ba da rahoton damuwa fiye da 12 makonni.
Nan take kwalejin ta cire bincikenta daga shafinta na yanar gizo, inda suka ki gyara kuskuren, sai muka bayyana korafinmu a fili, wanda BBC ta ruwaito. Daga baya, masanin ilimin hauka Sir Simon Wessely, shugaban kwalejin da ya gabata, ya ƙi duk wata alaƙa tsakanin kwayoyin da kashe kansa kuma ya bayyana sarai a cikin faifan bidiyo cewa “ba sa jaraba.”
Sai muka buga wasiƙar da ta fi zagi a cikin BMJ.16 Tun da jagororin Cibiyar Kiwon Lafiya da Kulawa ta Kasa (NICE) ta bayyana cewa alamun cirewa "yawanci suna da sauƙi kuma suna iyakance kai sama da mako 1," mun nemi shaidar. NICE ta ba da gajerun labarai guda biyu na bita, babu ɗayansu wanda ya goyi bayan da'awar mako guda, kuma labaran biyu sun kawo tushe da yawa waɗanda suka saba wa hakan!
Abin kunyar yanzu ya yi yawa har Kwalejin ta bukaci ta canza matsayinta kuma NICE ta sabunta ka'idojinta.
Wannan yana ɗaya daga cikin abubuwan da ba kasafai ba inda zanga-zangar game da ƙaryar masu tabin hankali ta haifar da kowane canji. Amma an ci gaba da musanta shirin. A cikin 2025, ingantaccen tsarin bita a cikin JAMA Psychiatry da'awar cewa cire antidepressant ba shi da matsala.17,18 Kamar yadda aka saba, marubutan sun buga cewa bacin rai bayan katsewa yana nuni da komawar bakin ciki.
Don yada ɗan kyandir a cikin duhun tabin hankali, na ƙirƙira kalmar kamewa bacin rai, wanda ba baƙin ciki ba ne na gaske.3,18 Gaskiyar ita ce, kusan rabin marasa lafiya suna fuskantar sakamakon janyewa; a cikin rabin lokuta suna da tsanani; kuma lokacin da marasa lafiya suka yi ƙoƙari su daina, sukan zama mafi muni fiye da yadda suke kafin su fara kan miyagun ƙwayoyi.19 Bugu da ƙari, wanda ya fi tsayi a kan magungunan, mafi girma hadarin janyewa.19,20
Ƙarya game da rashin daidaituwar sinadarai da kuma alamun ƙauracewa alamun koma baya ne ke sa marasa lafiya a kan magungunan su na shekaru masu yawa. Me ya sa za su taɓa tsayawa lokacin da ya bayyana cewa suna buƙatar magungunan? Amma ba za mu yi gardama ta wannan hanyar ba dangane da shaye-shaye ko kayan maye. Marasa lafiya basu taɓa samun rashin daidaituwar sinadarai da ke haifar da matsalolinsu ba; amma magungunan sun haifar da daya21,22 kuma ya yi barna.
Wani babban abin siyarwa shine kawai kuna buƙatar kula da majinyata biyu don amfanar ɗayansu. Wannan kuma babbar karya ce. Magungunan tabin hankali ba za su iya warkar da kowa ba. Kuma tunanin manyan fa'idodi ana samun su ta hanyar magudin ƙididdiga.23 Dabarar ita ce a yanke bayanan sakamako masu ban takaici akan sikelin matsayi kuma muyi magana game da ƙimar amsa maimakon.24
Wannan hocus-pocus na ƙididdiga na iya canza fa'idar da ba ta wanzu zuwa kusan ninki biyu na ƙimar amsawa,24 wanda yayi kama da ban sha'awa sosai. Amma kamar yadda likitan hauka Joanna Moncrieff ya rubuta, yana jujjuya bambaro zuwa zinare yana canza rashin tasiri zuwa ra'ayin da aka yi la'akari da cewa maganin damuwa yana aiki.25
Adadin da ake buƙata don jinya don amfanar majiyyaci ɗaya (NNT) ba ya wanzu saboda an fi cutar da marasa lafiya fiye da waɗanda suka amfana. Don haka ana iya samun lamba kawai da ake buƙata don cutarwa (NNH), wanda shine biyu don cutarwar jima'i ta hanyar maganin damuwa.11
Ba kasafai ake auna cutarwa da fa'idodin akan sikelin ɗaya ba, amma lokacin da marasa lafiya a cikin gwajin sarrafa wuribo suka yanke shawarar ko yana da kyau a ci gaba da gwajin, suna yanke hukunci game da idan fa'idodin da suka gane sun wuce illa. Ƙungiya ta bincike ta gano cewa 12% ƙarin marasa lafiya sun fita a kan kwayar ciwon ciki fiye da placebo (P <0.00001).26 Don haka, marasa lafiya za su amfana ta hanyar KAR a bi da su tare da maganin damuwa. Sun fi son wuribo.
Karin Misalai na Cin amanar Cikakkun Hukumomi
Cibiyar Kula da Lafiyar Hankali ta Amurka (NIMH) ita ce babbar cibiyar kula da tabin hankali a duniya. A cikin 2022, Thomas Insel, darektan sa daga 2002 zuwa 2015, wanda ake kira "Likitan hauka na Amurka," ya buga littafin, "Warkarwa: Hanyarmu Daga Ciwon Hankali Zuwa Lafiyar Hankali. "
Insel ya ɗauki matsayin wakilin magunguna, yana sayar da abubuwan al'ajabi na magungunan tabin hankali ga jama'a, amma littafinsa na yaudara ne da rashin gaskiya.5 Ya fara riga da take. Magunguna masu tabin hankali ba za su iya warkar da cutar tabin hankali ba, kuma hanyar da masu tabin hankali suka bi ba daga tabin hankali ba zuwa lafiyar hankali, amma daga mummuna zuwa muni. A bayyane yake, Insel yana yin shari'ar da ba a yi niyya ba don kawar da tabin hankali duk da cewa yana ƙoƙarin tallafa masa.27
Littafin ya yi nuni da tunanin shugabannin masu tabin hankali a ko'ina kuma ya yi nuni da yadda masu tabin hankali ke ci amanar jama'a akai-akai tare da yi wa jama'a mummunar fahimta, kuma ba zai taba fadawa jama'a gaskiyar magungunan tabin hankali ba.
Da yake kasancewa tsohon darektan NIMH, Insel yana da haƙƙin ɗabi'a don gaya wa masu karatunsa game da mummunan sakamako na dogon lokaci na jiyya tare da magungunan tabin hankali, kamar yadda aka rubuta a cikin bincike mai tsada da daraja ta NIMH, misali gwajin STAR * D a cikin ciki - zamba na $ 35 miliyan - gwajin MTA a ADHD, da gwajin CATIE a cikin schizophrenia.5 Bai yi haka ba, duk da cewa NIMH ita ce cibiya ɗaya tilo a duniya da ke ba da kuɗin manyan gwaje-gwajen ƙwayoyi na dogon lokaci. Kamar yadda shugabannin masu tabin hankali ke yi a koyaushe, Insel ya sadaukar da marasa lafiya kuma ya kare masu tabin hankali ta hanyar ɓoye binciken dogon lokaci da cibiyarsa ke ba da kuɗi.
A cikin Janairu 2025, na sanar da mai kula da magunguna na Burtaniya, Hukumar Kula da Magunguna & Kula da Lafiya (MHRA), cewa kunshin abubuwan da ake sakawa don maganin rashin jin daɗi - da ake kira leaflet ɗin bayanan haƙuri (PIL) - sun ƙunshi maganganun ƙarya game da baƙin ciki da rashin daidaituwar sinadarai ke haifarwa, kuma na yi kira da a cire saƙon yaudara.28
MHRA ta ƙi kuma lokacin da na aika da wasiƙa game da wannan zuwa manyan jaridun Burtaniya guda huɗu da Royal College of Psychiatrists tare da Joanna Moncrieff da sauransu, ba su ma da ikon amsawa.
Don sake fasalin Lenin, editocin manyan mujallu na likitanci suma suna yin kamar wawaye masu amfani ga masu tabin hankali da masana'antar magunguna. A ranar 10 ga Mayu 2025, wanda ba a san shi ba Editorial a cikin Lancet, "shekaru 50 na SSRIs: auna fa'idodi da lahani," bai yi kadan daga abin da take alkawari ba. Ya yaba da magungunan bisa ga kuskuren bincike da kuma haskakawa akan illolin. Lokacin da na yi nuni da yadda ɓatar da editan ya kasance a cikin wasiƙar zuwa ga editan, an ƙi shi.28
Yawancin nazarin Cochrane na magungunan tabin hankali suma sun ƙunshi yabo na yaudarar magungunan kuma suna da shara a ciki, dattin motsa jiki waɗanda ke haifar da kurakuran bayanan da masana'antar magunguna ta buga.1,5,29-31
Karyar Cewa Magani Ka Iya Hana Kashe Kai
Duk da ficewarsu, labaran “State of Art” a cikin manyan mujallun likitanci yawanci yaudara ne kuma suna da rashin gaskiya musamman dangane da kisan kai.1 Bita mai shafuka 19 a cikin BMJ sun yi iƙirarin cewa magungunan baƙin ciki, lithium, antiepileptics, clozapine, ketamine, da electroshock na iya rage haɗarin kashe kansa.32 Babu ɗaya daga cikin nassoshi 159 da suka gamsar;33 kunshin abubuwan da aka saka don magungunan baƙin ciki sun yi gargaɗi game da haɗarin kashe kansa; da kuma kunshin abubuwan da aka saka don maganin rigakafi sun bayyana cewa suna ninka haɗarin kashe kansa!
A cikin shafi 14 Lancet taron kashe kansa daga 2022, marubutan sun yi ƙoƙarin tayar da ƙarya game da rashin daidaituwar sinadarai amma labaran biyu da suka ambata sune gobbledygook.34,35 Daga cikin abubuwan haɗari don kashe kansa, sun ambaci amfani da abubuwa amma ba magungunan ɓacin rai ba, magungunan antiepileptics, ko kuma sana'ar tabin hankali kanta.35,36 Wani binciken rajistar Danish na masu kisan kai 2,429 ya nuna kyakkyawar alaƙar amsa kashi:36 Matsakaicin kusanci da ma'aikatan tabin hankali, mafi girman haɗarin kashe kansa.
Idan aka kwatanta da mutanen da ba su sami maganin tabin hankali ba a shekarar da ta gabata, daidaita adadin kashe kansa ya kai 44 ga mutanen da aka kwantar da su a asibitin masu tabin hankali.36 Irin waɗannan marasa lafiya ba shakka ana tsammanin za su kasance cikin haɗari mafi girma na kashe kansu saboda sun fi sauran rashin lafiya (wanda ke da ruɗani ta nuni), amma binciken ya kasance mai ƙarfi kuma mafi yawan abubuwan da za su iya nuna son kai a cikin binciken sun kasance masu ra'ayin mazan jiya, watau sun yarda da ra'ayi mara kyau na babu dangantaka. Wani edita mai rahusa ya lura cewa babu shakka cewa kashe kansa yana da alaƙa da kyama da rauni kuma yana da kyau gaba ɗaya cewa rashin tausayi da raunin da ke tattare da maganin tabin hankali-musamman idan ba da son rai ba—na iya haifar da kashe kansa.37
The Lancet marubuta sun rubuta cewa akwai a yiwuwar na tsananta tunanin kashe kansa. Ba daidai ba. Ba abu ne mai yiyuwa ba; gaskiya ce. Babu ɗaya daga cikin nassoshi 142 da suka kasance ga kowane ɗayan ƙididdigar meta-nazari da ke nuna cewa ƙwayoyin cuta suna haɓaka haɗarin kashe kansa idan aka kwatanta da placebo. Har ma marubutan sun yi iƙirari, ba tare da wata ma'ana ba, cewa maganin miyagun ƙwayoyi na iya rage haɗarin kashe kansa. Wadanne kwayoyi masu banmamaki zasu iya yin haka?
Sun kuma lura da hakan wasu bincike ya gano wani jam'iyya tare da ƙara haɗarin sakamakon kashe kansa a cikin matasa. Wannan kuma rashin gaskiya ne. Lokacin da FDA ta duba dukan da bazuwar gwaji, sun sami a motsi dangantaka kuma ba kawai wani jam'iyya.
A cikin 2023, "ƙwararrun" sun sake gaza mana mummuna. Labari mai shafi 16 a ciki BMJ game da kashe kansa a cikin matasa, tare da nassoshi 169, sun ambata wasu abubuwan haɗari, misali zama a cikin gida tare da bindigogi, amma ba magungunan baƙin ciki ba, waɗanda suka ba da shawarar tare da “ƙarin sa ido ta wurin likita.”38 Wannan gyaran karya ne, saboda mutane na iya kashe kansu ba zato ba tsammani.39
Marubutan sunyi la'akari da bambancin haɗari na 0.7% don ra'ayin kisan kai ko ƙoƙarin kashe kansa tsakanin miyagun ƙwayoyi da ƙananan placebo har ma sun watsar da shi: "Bayani daga kwanan nan na gwajin maganin rashin jin daɗi na yara ba su nuna bambance-bambance tsakanin miyagun ƙwayoyi da placebo ba." Ba za a iya amfani da bita da suka ambata don irin wannan tasiri ba kuma don abubuwan da ba a saba gani ba, ba za a yarda da rasa ikon ƙididdiga ta haɗa da gwajin "kwanan nan" kawai ba. Bugu da ƙari, bita ya ƙunshi rahotannin gwaji da aka buga kawai, waɗanda muka sani sun bar yawancin ƙoƙarin kashe kansa da kashe kansa, har cikin yara.6,39 Yana da rashin alhaki na BMJ don buga irin wannan shirme mai haɗari.
A cikin 2023, na yi kira da a janye rahotannin gwaji na zamba guda uku waɗanda suka bar abubuwan kashe kansu a cikin yara.40 Duk da cewa mutane 10 ne suka rattaba hannu kan wasiƙar tawa waɗanda kowannensu ya rasa ɗa ko ma’aurata don kashe kansa sakamakon kai tsaye da aka rubuta musu maganin rage damuwa don rashin ciwon hauka, duk jaridun da abin ya shafa sun ki amincewa da bukatara.41
Annette Flanagin, Babban Manajan Editan, Mataimakin Shugaban kasa, Ayyukan Edita Jama da kuma Jama Network, ya amsa: “Mun raba wasiƙar ku tare da marubucin binciken da aka buga a ciki Archives na General Psychiatry kuma bai gano wani sabon damuwa ba. Hakazalika, ba mu sami sababbin shaidun da ke goyan bayan buƙatarku na janye wannan labarin ba."
Saboda haka, Jama da Graham Emslie, wanda ya bar yunkurin kashe kansa guda biyu kan fluoxetine, ba sa tunanin wannan wani abu ne da zai dame shi. Sa’ad da na tuntuɓi mai mujallar, Elsevier, ba su damu da damuwarmu ba amma suka umurce ni komawa cikin mujallar.
Douglas K. Novins, Babban Editan, Jaridar Cibiyar Nazarin Ilimin Yara da Yara ta Amurka (JCAAP), ya rubuta mini cewa, "Biyan ƙa'idodin da kwamitin da'a na ɗabi'a (COPE) ya ɓullo da su," sun yi nazari sosai kan " sukar da na yi, da kuma martanin da marubutan jaridu suka bayar. Mun gamsu cewa sukar takardun kamar yadda aka zayyana ba su cancanci ja da baya ba."
Yana da wuya a ga yadda Novins zai iya bin ka'idodin COPE, kamar yadda rahotannin gwaji guda biyu, ta Emslie da Martin Keller, yaudara ne a fili.
A cikin 2023, na yi bincike a Google kashe kansa da antidepressants, wanda ya tabbatar da cewa jama'a suna tafka kura-kurai da tsari.42,43 Ɗaya daga cikin manyan posts 10 ya fito ne daga Cibiyar Nazarin Kisa ta Danish wanda ya ba da rahoton cewa magungunan damuwa suna ƙara haɗarin maimaita ƙoƙarin kashe kansa da kashi 50%.44 Lundbeck ya goyi bayan binciken, kuma bayan da masu binciken suka daidaita nazarce-nazarcen nasu kan abubuwa da dama da suka hada da tuntubar masu tabin hankali da kuma amfani da magungunan tabin hankali daban-daban, sun kammala cewa kwayoyin ba sa kara hadarin kashe kansa. Ba daidai ba ne don daidaitawa ga wani abu wanda ke cikin jerin abubuwan da ke haifar da lalacewa, saboda yana iya kawar da ƙungiyar ta gaskiya, amma marubutan tabbas sun gamsu da mai ba da kuɗinsu.
Wani rubutu kuma shine sharhin da na yi akan gidan yanar gizon Hukumar Lafiya ta Danish.45 Poul Videbech, fitaccen dan kasa a cikin bakin ciki, ya yi iƙirari a cikin mujallar Hukumar. Rational Pharmacotherapy, cewa rashin kulawa da magungunan damuwa yana da haɗari saboda haɗarin kashe kansa. Wannan ba zai zama daidai ba saboda kwayoyi suna ƙara haɗarin kashe kansa.
Lokacin da na bincika Intanet don gano abin da “masana” ke ra’ayi a halin yanzu, na sami bita mai tsauri a cikin mujallar ta masu tabin hankali, American Journal of Psychiatry.46 Ya kasance game da "dabarun da suka dogara da shaida," amma riga-kafin ya kasance ƙarya. Ya yi iƙirarin cewa "Binciken Meta-Analyses ya gano cewa antidepressants suna hana yunƙurin kashe kansa."
Ban san wani ƙwararrun likitanci wanda masu aikin sa ke yin ƙarya ga jama'a a cikin al'amuran rayuwa da mutuwa ba kuma suna da'awar sabanin abin da yake gaskiya.
A watan Yuni 2025, na ba da jawabi a Capitol game da kashe-kashen da magungunan kashe-kashe ke haifarwa, waɗanda tsoffin sojojin Amurka suka gayyace su waɗanda akai-akai ana ba su waɗannan magungunan don raunin yaƙi.47 Kamar yadda aka zata, tasirin shirin rigakafin kashe kansa na tsoffin soji ya kasance sanannen karuwa a cikin kashe kansa wanda yayi daidai da irin wannan karuwar amfani da antidepressant.48,49
A cikin duniyar hauka ta juye-juye, duk shirye-shiryen rigakafin kashe kansa da na gamu da su sun haɗa da magungunan da ke ƙara kashe kansa!50
An yi taron manema labarai a wajen babban birnin tarayya,47 amma kafafen yada labarai ba sa sha’awar rubuta labarai game da magungunan kashe-kashe da ke kashe mutane. Na ga labarin kawai a cikin Wall Street Journal, wanda na yi ta tweet game da:
Yaƙin hadaddiyar giyar: An lalata tsoffin sojojin Amurka kuma sun kashe kansu saboda kantin magani na masu tabin hankali. Wall Street Journal https://bit.ly/4fjkz5P.
Maganganun Magance Ciwon Ciki Suna Cutar da Yaron da ke ciki
Sabbin iska suna kadawa a cikin Amurka, wanda zai iya canza tsarin kiwon lafiya sosai.51 A ranar 21 ga Yuli, 2025, FDA ta gudanar da taron karawa juna sani na sa'o'i biyu game da yiwuwar cutar da tayin na kula da mata masu juna biyu tare da maganin damuwa.52 A karo na farko, wannan batu mai mahimmanci an yi muhawara da gaskiya a FDA, ta hanyar masana kimiyya masu kyau, amma ƙwararrun maƙaryata ba za su iya jurewa ba.
An yi kururuwar bacin rai daga kungiyoyin masu tabin hankali da kafofin watsa labarai na yau da kullun wadanda suka zargi kwamitin FDA da rashin daidaito da kuma yada rashin fahimta,53-55 wanda sam ba haka lamarin yake ba.
Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Amirka (AMA) ta rubuta wa FDA kwanaki hudu bayan taron cewa ya kasance "na firgita da damuwa da fassarori da rashin daidaiton ra'ayi da da yawa daga cikin mahalarta taron suka yi…Wannan yada fassarori na son zuciya a daidai lokacin da kisan kai shine babban sanadin mutuwar mata masu juna biyu a farkon shekarar haihuwa na iya kawo cikas ga kula da lafiyar kwakwalwar uwa. Fassarar bayanan da ba daidai ba, da kuma amfani da ra'ayi, maimakon shekarun da aka yi na bincike kan magungunan kashe-kashe, za su kara zagi da hana masu juna biyu neman kulawar da ta dace."
Da kyar AMA ta yi rashin gaskiya. Magungunan antidepressants sun ninka ba kawai haɗarin kashe kansa ba har ma da ainihin kashe kansa.49,56
Ba tare da ambaton batun ciki ba, AMA ta sake zagaye kekunan, a cikin wani tweet akan 28 ga Agusta:57
"MUHIMMI: Shekaru da yawa na bincike mai tsanani, gwaje-gwaje na asibiti bazuwar, binciken da aka yi nazari na ƙwararru, bincike-bincike, nazarin rajista na kasa, da kuma kula da FDA sun nuna cewa magungunan ƙwaƙwalwa suna da lafiya da tasiri. Magunguna kamar SSRIs na iya zama masu ceton rai idan an sha su kamar yadda aka umarce su a karkashin kulawar likita mai lasisi mai dacewa: ƙarin koyo. https://ow.ly/RWEQ50WNJeI. "
A cikin jimloli biyu kawai, AMA ta yada karya uku. Babu magungunan tabin hankali da ke da aminci. Dukansu suna kashe mutane, gwargwadon darajarsu.1,3,5,6,9 Kuma ba a taɓa yin rikodin cewa SSRIs na iya zama ceton rai ba yayin da aka rubuta cewa suna ɗaukar rayuka da yawa. Suna haddasa kashe kai da kashe-kashe6 da kai ga faɗuwa a cikin tsofaffi,9 kuma idan sun karya kwatangwalo, kashi daya bisa biyar zai mutu a cikin shekara mai zuwa. Magungunan tabin hankali ko dai ba su da tasiri, misali tasirin maganin bacin rai da antipsychotics ya yi ƙasa da mafi ƙarancin tasiri, kamar yadda masu tabin hankali da kansu suka kafa a cikin binciken su.5,6
Ba ko da a lokacin da akwai bayyanannen shaida, duka biyu daga nazarin dabbobi da kuma mutane.52-55 cewa ana cutar da yaranmu da magungunan tabin hankali tun kafin a haife su, shin muna ganin wata yarda da AMA ta yi cewa ba daidai ba ne a yi wa mata masu juna biyu maganin ciwon kai. Sun gwammace su ci gaba da yin karya.
Ya kamata a dakatar da maganin kashe damuwa don amfani da mata masu ciki. Psychotherapy ya fi tasiri, saboda yana da tasiri mai dorewa,5,6 kuma ba zai cutar da jaririn da ke ciki ba.
Da yawa, jama'a suna farkawa ga yaudarar masu tabin hankali. Mutane ba su zama bebe ba kamar yadda AMA ke tunanin su ne, wanda aka sake sakewa zuwa tweet na AMA57 nuna:
"FDA ta ba da gargaɗin akwatin baƙar fata ga duk SSRI yana nuna haɗarin haɓakar tunani da halayen kashe kansa, musamman a cikin yara, matasa, da manya a ƙasa da 25. Ta yaya ƙungiyar masu tabin hankali ta Amurka za ta yi irin wannan iƙirarin?
"APA tana yi muku ƙarya. SSRIs ba su da aminci kuma ba su da tasiri. BA KO KUSANCI ba. Kuma ba sa yin sihiri da kyau a ƙarƙashin kulawar ƙwararrun masu lasisi. Su ne gaskiyar."
"Duk lokacin da na ji masana da ake kira suna cewa wani abu yana da lafiya kuma yana da tasiri, nan da nan na san cewa ba haka lamarin yake ba, na gode da tabbatar da zargina."
"Merriam-Webster yana bayyana 'lafiya' a matsayin 'kyauta daga haɗari, cutarwa, ko haɗari.' Duk nau'ikan magungunan psych sun haɗa da gargaɗin akwatin baƙar fata game da haɗari mai haɗari ko haɗari masu haɗari.
"Yaya lafiyayyen mutuwar kwatsam? Wasu daga cikin magungunan na iya haifar da hakan."
"Rayuwa. Ɗana babba bai wuce makonni 6 ba bayan #PillPusher ya rubuta SSRIs a cikin minti 15 na saduwa da shi."
"Kashi nawa ne na marasa lafiya da suke shan SSRIs sun warke kuma zasu iya daina shan su?"
"Ban san ko mutum ɗaya da ya warke daga magungunan tabin hankali ba."
"APA mai kyau, wanda Pfizer ya kawo muku. Watakila za su yi maganin rashin fahimta nan ba da jimawa ba?"
“Likitan tabin hankali yana da ban tsoro. Karanta littafin Anatomy of Epidemic by Robert Whitaker! "
"Likitan tabin hankali yana daya daga cikin mafi girman addini."
Wani reweeter ya nuna wannan hoton na Mista Bean, wanda irin wannan ya bayyana duka:
karshe
Ilimin tabin hankali ƙwararre ce ta gurɓatacce gabaɗaya, bisa ɗa'a, kimiyya, da kuɗi, tare da mummunan sakamako ga marasa lafiya, danginsu da abokansu, da kuma tattalin arzikinmu na ƙasa.
Likitan tabin hankali laifi ne ga bil'adama wanda dole ne a dakatar da shi.5 Bai kamata ya zama ƙwararren likita ba, kuma marasa lafiya da ke da lamuran lafiyar hankali bai kamata likitocin da aka horar da su ba su kula da su saboda hanyoyin da ake da su, waɗanda ke mai da hankali kan magunguna, ba sa aiki.
A Burtaniya, nakasa lafiyar kwakwalwa ya kusan ninka sau uku a cikin 'yan shekarun nan, kuma tazarar tsawon rayuwa tsakanin mutanen da ke da matsalar tabin hankali da yawan jama'a ya ninka sau biyu.58 Don haka kwanan nan Hukumar Lafiya ta Duniya (WHO) da Majalisar Dinkin Duniya sun yi kira da a yi gyare-gyaren tsarin kula da lafiyar kwakwalwa da ke mai da hankali kan ayyukan zamantakewa.58
Shawarata ga marasa lafiya ita ce: Idan kuna da matsalar tabin hankali, kar ku ga likitan hauka. Yana da haɗari sosai kuma yana iya zama babban kuskuren da kuka yi a duk rayuwar ku.12,59 Kar a nemi likitan iyali ma, domin suma an tsara su don yin maganin tabin hankali da ba da magungunan tabin hankali.
References
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2 Nielsen M, Hansen EH, Gøtzsche PC. Menene bambanci tsakanin dogaro da halayen janyewa? Kwatankwacin benzodiazepines da masu hana sake daukar kwayar cutar serotonin. Addiction 2012; 107: 900-8.
3 Gøtzsche PC. Littafin Rubutu Mai Mahimmanci: Ana buƙatar sabon likitan hauka. Copenhagen: Cibiyar 'Yanci na Kimiyya 2023; Mayu 17.
4 Mills JL. azabtar da bayanai. N Engl J Med 1993; 329: 1196-9.
5 Gøtzsche PC. Shin ilimin hauka laifi ne ga bil'adama? Copenhagen: Cibiyar 'Yancin Kimiyya; 2024 (akwai kyauta).
6 Gøtzsche PC. Mutuwar psychiatry da Ƙarfafa Tsari. Copenhagen: Jaridar Jama'a; 2015.
7 Gøtzsche PC. Likitan kwakwalwa ya ɓace. Mahaukaciya a Amurka 2014; Jan 28.
8 Moncrieff J. Tatsuniyar Maganin Sinadari: Sharhin Maganin Magungunan Hauka. Basingstoke: Palgrave Macmillan; 2007.
9 Gøtzsche PC. Magungunan Magunguna sune manyan Sanadin mutuwa. Jaridar Brownstone 2024; Afrilu 16.
10 Whitaker R. Anatomy na Annoba, bugu na biyu. New York: Broadway Paperbacks; 2015.
11 Montejo A, Llorca G, Izquierdo J, et al. Abubuwan da ke faruwa na rashin aikin jima'i da ke hade da magungunan antidepressant: nazari mai zurfi na multicenter na 1022 marasa lafiya. Ƙungiyar Ma'aikata ta Mutanen Espanya don nazarin rashin aikin jima'i da ke da alaka da psychotropic. J Jara Samun zuciya 2001;62 (suppl 3):10–21.
12 Gøtzsche PC. Kit ɗin Tsira Lafiyar Hankali da Janyewa daga Magungunan tabin hankali. Ann Arbor: LH Press; 2022.
13 Staton T. Likitan tabin hankali sun mamaye bayanan biyan kuɗi na doc. M Pharma 2010; Oktoba 25.
14 Burton KW. Membobin Kwamitin DSM-5-TR sun karɓi $14M a cikin Tallafin Masana'antu da ba a bayyana ba. Medscape 2024; Janairu 10.
15 Gøtzsche PC, Demasi M. Hanyoyin da za a taimaka wa marasa lafiya su janye daga magungunan damuwa: nazari na yau da kullum. Int J Risk Saf Med 2024; 35: 103-16.
16 Davies J, Karanta J, Hengartner MP, et al. Sharuɗɗan asibiti game da janyewar antidepressant suna buƙatar sabuntawa cikin gaggawa. BMJ 2019;365:l2238.
17 Kalfas M, Tsapekos D, Butler M, et al. Abubuwan da ke faruwa da yanayin dakatarwar bayyanar cututtuka na antidepressant: nazari na yau da kullum da meta-bincike. JAMA Psychiatry 2025; Yuli 9: e251362.
18 Gøtzsche PC. Bayyana Ƙarya Cewa Alamomin Janyewar Maganin Tashin Hankali Masu Sauƙaƙe ne kuma gajere ne. Jaridar Brownstone 2025; 25 ga Yuli.
19 Davies J, Karanta J. Bita na yau da kullun game da abin da ya faru, tsanani da tsawon lokacin tasirin cirewar antidepressant: Shin jagororin sun dogara da shaida? Addict Behav 2019; 97: 111-21.
20 Horowitz MA, Buckman JEJ, Saunders R, et al. Sakamakon janyewar antidepressants da tsawon lokacin amfani: binciken marasa lafiya da suka shiga cikin ayyukan kulawa na farko. Ciwon magunguna Res 2025; 350: 116497.
21 Moncrieff J, Cohen D. Shin antidepressants suna warkarwa ko ƙirƙirar jihohin kwakwalwa marasa al'ada? PLoS Med 2006; 3: e240.
22 Moncrieff J, Cooper RE, Stockmann T, et al. Ka'idar serotonin na ciki: nazarin laima na yau da kullun na shaidar. Mol malaman zuciya 2023; 28: 3243-56.
23 Gøtzsche PC. Adadin da ake buƙata don yin magani tare da maganin tabin hankali don amfanar majiyyaci ɗaya mafarki ne. Mahaukaciya a Amurka 2022; Dec 13.
24 Gøtzsche PC. Matsakaicin Amsa a Gwajin Magungunan tabin hankali, Ƙididdiga Banza ce. Jaridar Brownstone 2025; 11 ga Yuli.
25 Moncrieff J. Rashin Daidaituwar Kemikal: Ƙirƙirar da Rage Tatsuniyar Serotonin. Padstow: Flint; 2025.
26 Sharma T, Guski LS, Freund N, et al. Ƙididdigar ƙididdigewa a cikin gwaje-gwaje masu sarrafa wuribo na magungunan antidepressant: nazari na yau da kullum da bincike-bincike bisa rahotannin binciken asibiti. Int J Risk Saf Med 2019; 30: 217-32.
27 Whitaker R. Thomas Insel ya gabatar da karar don kawar da tabin hankali. Mahaukaciya a Amurka 2022; Afrilu 30.
28 Gøtzsche PC. Kare labari na ƙarya game da antidepressants. Mahaukaciya a Amurka 2025; 7 ga Yuli.
29 Gøtzsche PC. Cochrane yana ba da shawarar antidepressants don damuwa a cikin datti a ciki, duba datti. Mahaukaciya a Amurka 2025; 29 ga Yuli.
30 Gøtzsche PC. Sharar gida, sharar gida: sabuwar Cochrane meta-bincike na kwayoyin bakin ciki a cikin yara. Mahaukaciya a Amurka 2021; 19 ga Agusta.
31 Gøtzsche PC. Binciken Cochrane na magungunan ƙwaƙwalwa ba su da aminci. Mahaukaciya a Amurka 2023; 14 ga Satumba.
32 Bolton JM, Gunnell D, Turecki G. Ƙididdigar haɗarin kashe kansa da shiga cikin mutanen da ke fama da tabin hankali. BMJ 2015; 351: h4978.
33 Gøtzsche PC. Babu wata magungunan tabin hankali da aka nuna tabbatacciyar hanyar rage kashe kai. BMJ 2015; Dec 10.
34 Knipe D, Padmanathan P, Newton-Howes G, et al. Kashe kai da cutar da kai. Lancet 2022; 399: 1903-16.
35 Gøtzsche PC. Wani taron karawa juna sani mara kyau a cikin "Lancet" game da kashe kansa. Mahaukaciya a Amurka 2022; Yuni 1.
36 Hjorthøj CR, Madsen T, Agerbo E, et al. Hadarin kashe kansa bisa ga matakin jiyya na tabin hankali: binciken kula da shari'a na ƙasa baki ɗaya. Soc Psychiatry Psychiatr Epidemiol 2014; 49: 1357-65.
37 Babban MM, Ryan CJ. Bincike mai ban tsoro game da haɗarin kashe kansa da asibitocin tabin hankali. Soc Psychiatry Psychiatr Epidemiol 2014; 49: 1353-5.
38 Hughes JL, Horowitz LM, Ackerman JP, et al. Kashe kansa a cikin matasa: tantancewa, kimanta haɗari, da sa baki. BMJ 2023; 381: e070630.
39 Gøtzsche PC. An nuna magungunan rage damuwa suna ninka haɗarin kashe kansu a cikin matasa kuma bai kamata a yi amfani da su ba. BMJ 2023; Afrilu 26.
40 Gøtzsche PC. Kira don ja da baya na rahotannin gwaji na yaudara guda uku na antidepressants a cikin yara da matasa. Cibiyar 'Yancin Kimiyya 2023; Agusta 3.
41 Gøtzsche PC. Mujallolin likitanci sun ƙi janye rahotannin gwaji na yaudara waɗanda suka bar abubuwan kashe kansu a cikin yara. Mahaukaci a Amurka 2024; Maris 18.
42 Gøtzsche PC. Ƙaryar da magungunan kashe ƙwari ke karewa daga kashe kansa yana da kisa. Mahaukaciya a Amurka 2023; Nuwamba 28.
43 Gøtzsche PC. Wadanda ake kira ƙwararrun masu kashe kansu sun ba da shawarar maganin kashe kansa, wanda ke ƙara yawan kashe kansa. Mahaukaciya a Amurka 2024; Oktoba 24.
44 Jakobsen SG, Christiansen E. Ciwon kai na antidepressiva. Cibiyar Selvmordsforskning 2019; Dec.
45 Gøtzsche PC. Rashin bayanai om antidepressiva og selvmord. www.irf.dk 2015; 5 ga Maris.
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47 Harris L. Tsohon soji sun ɗauki "Kukan Yaƙi don Canji" zuwa Capitol Hill. Mahaukaciya a Amurka 2025; Yuni 14.
48 Gøtzsche PC. Kisan kai yana karuwa bayan bullo da rigakafin kashe kansa na kasa. Mahaukaciya a Amurka 2025; Fabrairu 20.
49 Gøtzsche PC. Nazarin lura sun tabbatar da sakamakon gwajin da ke nuna cewa maganin damuwa ya ninka kashe kansa. Mahaukaciya a Amurka 2025; Fabrairu 8.
50 Gøtzsche PC. Wadanda ake kira ƙwararrun masu kashe kansu sun ba da shawarar maganin kashe kansa, wanda ke ƙara yawan kashe kansa. Mahaukaciya a Amurka 2024; Oktoba 24.
51 Kennedy: Wani sabon lokaci ga Amurka? Hira da aka yi fim tare da Peter C. Gøtzsche. Karya Kimiyyar Likita 2025; Janairu 12.
52 Kwamitin Kwararrun FDA akan Zaɓuɓɓukan Masu Sake Magance Sake Tsakanin Serotonin (SSRIs) da Ciki. YouTube 2025; 21 ga Yuli.
53 Whitaker R. Hatta jariran da ba a haifa ba ba su da lafiya daga cutar da tabin hankali. Mahaukaciya a Amurka 2025; 23 ga Agusta.
54 Moncrieff J, Urato A. Antidepressants a cikin Ciki - Juya Idon Makaho, Sake. Mahaukaciya a Amurka 2025; 25 ga Agusta.
55 Gøtzsche PC. Likitocin hauka sun ƙaryata game da cutarwar maganin rage damuwa ga tayin. Jaridar Brownstone 2025; Agusta 30.
56 Hengartner MP, Plöderl M. Amsa ga Wasiƙar zuwa ga Editan: "Magungunan Sabbin Ƙarfafa Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararru na Henartner da Plöderl." Psychother Psychosom 2019; 88: 373-4.
57 Ƙungiyar masu tabin hankali ta Amurka tweet. X 2025; Agusta 28.
58 Canja ma'auni zuwa ga ayyukan zamantakewa: kira don sake fasalin tsarin lafiyar kwakwalwa. Ƙungiya ta Majalisun Duk-Jam'iyyar Bayan Pills 2024; Mayu
59 Breggin P. Mafi hatsarin abin da za ku taɓa yi. Mahaukaciya a Amurka 2020; Maris 2.
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Dokta Peter Gøtzsche shi ne ya kafa Cochrane Haɗin kai, wanda da zarar an yi la'akari da babbar ƙungiyar bincike ta likita mai zaman kanta ta duniya. A cikin 2010 Gøtzsche an nada shi Farfesa na Tsarin Bincike na Clinical da Bincike a Jami'ar Copenhagen. Gøtzsche ya buga fiye da 100 takardu a cikin "manyan biyar" mujallolin likita (JAMA, Lancet, New England Journal of Medicine, British Medical Journal, da Annals of Internal Medicine). Gøtzsche ya kuma rubuta litattafai kan al'amuran kiwon lafiya da suka hada da Magungunan Mutuwa da Laifukan Tsara.
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