Evidence / 2024
Incidence of antidepressant discontinuation symptoms: a systematic review and meta-analysis
Henssler J, Schmidt Y, Schmidt U, Schwarzer G, Bschor T, Baethge C (2024). The Lancet Psychiatry.
- Population
- Participants in studies of antidepressant discontinuation, including placebo-controlled trials
- Sample
- Systematic review and meta-analysis (see paper for study count)
- Condition
- Antidepressant discontinuation symptoms
- Medication focus
- Antidepressants versus placebo discontinuation where available
- Jurisdiction
- International
- Last reviewed
- 1 September 2026
- PMID
- 38851198
- DOI
- 10.1016/S2215-0366(24)00133-0
Plain-language finding
After accounting for symptoms also reported after stopping placebo, the authors estimated that antidepressant discontinuation symptoms occur in approximately 15% of people, and that severe symptoms occur in about one in 35. Incidence varied by medicine.
Important limitation
Estimates depend on which studies are included, how symptoms are measured, and how placebo effects are subtracted. Short trial follow-up may miss delayed or prolonged symptoms. The paper has been debated; it is included here because it is a major recent quantitative synthesis, not because it closes the question.
Why we cite this
Recent meta-analysis that attempts to separate discontinuation symptoms from non-specific effects. Useful as a counterweight to higher survey-based estimates.
antidepressant · discontinuation · meta-analysis · placebo
Research demonstrates a statistical relationship. Association is not causation. Timing, dose, confounding and missing data still matter.
Claims this source supports
Stopping or reducing many antidepressants can be followed by discontinuation symptoms in a substantial minority of people. Estimates of how often this happens vary widely by study method. Withdrawal is not the same as addiction, and it is not automatically the same as relapse.
This claim retains disagreement in the literature. Open the classification to read both sides.
Last reviewed 1 September 2026