[A]ll patients should be screened for mood alterations, depression, and suicidal ideation…prior to being prescribed finasteride.

Our study found no significant link between oral finasteride and reports of depression or suicide from 2006 to 2011. However, a significant number of such reports emerged during 2013–2018 and 2019–2023, potentially due to increased awareness of adverse effects following the identification of PFS in 2012. [T]o ensure patient safety, all patients should be screened for mood alterations, depression, and suicidal ideation by a health care professional prior to being prescribed finasteride.

—Finasteride Use: Evaluation of Depression and Suicide Risk: Journal of Cosmetic Dermatology, March 2025