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The effect of local growth in antidepressant consumption on mental health outcomes

Author

Listed:
  • Giuliano Masiero

    (Department of Management, Information and Production Engineering, University of Bergamo, Italy; Institute of Economics (IdEP), Università della Svizzera italiana, Switzerland)

  • Fabrizio Mazzonna

    (Institute of Economics (IdEP), Università della Svizzera italiana, Switzerland, and Munich Center for the Economics of Aging (MEA))

  • Sandro Steinbach

    (Department of Agricultural and Resource Economics, University of Connecticut, United States)

  • Olaf Verbeek

    (Institute of Economics (IdEP), Università della Svizzera italiana, Switzerland)

Abstract

Despite growing skepticism regarding the efficacy of antidepressants, global consumption is increasing at an unprecedented path with unknown implications for society. We estimate the causal effect of this increase on mental health outcomes using an IV strategy that exploits detailed drug sales data from Switzerland between 2002 and 2014. Our instrument, a modified version of the popular shift-share instrument, relies on the national growth in antidepressant sales for pharmaceutical companies (the shift) - mainly due to product innovation - and assigns it locally using regional non-antidepressant market shares. Our estimates show that an increase in antidepressants sales does not significantly affect suicide rates but cause an increase of hospital admissions for mental disorder and for depression. The causal effects prove to be resistant to several robustness checks.

Suggested Citation

  • Giuliano Masiero & Fabrizio Mazzonna & Sandro Steinbach & Olaf Verbeek, 2019. "The effect of local growth in antidepressant consumption on mental health outcomes," IdEP Economic Papers 1902, USI Università della Svizzera italiana.
    • Handle: RePEc:lug:wpidep:1902
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    References listed on IDEAS

    as
    1. Ludwig, Jens & Marcotte, Dave E. & Norberg, Karen, 2009. "Anti-depressants and suicide," Journal of Health Economics, Elsevier, vol. 28(3), pages 659-676, May.
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    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Depression; Antidepressant treatment; Suicides; Mental health;
    All these keywords.

    JEL classification:

    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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    This paper has been announced in the following NEP Reports:

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