However, all types of antidepressants showed limitations of using and effectiveness on depression among juvenile offenders. Tricyclic antidepressants require careful monitoring, including blood tests and electro-cardiograms due to a likelihood of increasing the patient’s heart rate and slowing the heart's electrical conduction system. If that level of monitoring cannot be provided in a detention facility then serious consideration should be given to using a different medication. In addition, tricyclic antidepressants have the potential of accidental overdose which is the greatest risk and this should be considered when treating suicidal adolescents (Ryan& Redding, 2004). A report by the Food and Drug Administration [FDA] found a relationship
