Prescribing medication to treat suicidal ideation can be difficult. They may also cause psychological distress, which is another symptom associated with suicidal ideation. Another study investigated strictly suicidal ideation in adolescents. These are not the only disorders that can increase risk of suicidal ideation. Life events are strong predictors of increased risk for suicidal ideation. Depression with suicidal ideation may develop in very heavy users. Antidepressants have been shown to be a very effective means of treating suicidal ideation. The victims are at risk of anxiety, dissociation, depression, shame, low self-esteem and suicidal ideation. There are also situations in which the risk for suicidal ideation may be heightened. West said he often has suicidal ideation. Therefore, several alternative means of treating suicidal ideation are often used. Currently, there are a number of treatment options for those experiencing suicidal ideation. Phenytoin may increase risk of suicidal thoughts or behavior. Repeated relapse is linked to an increased risk of suicidal behavior. Lamar revealed that "U" was inspired by his own experience of depression and suicidal thoughts.