Rhimer et al raises questions on the report by Helgason et al (2004). Helgason et al reported the dramatic increase in the sales of antidepressants in Iceland did not have an impact on suicide rates. The sales of antidepressants increased from 14.9 in 1989 to 72.7 in 2000, the suicide rate stayed stable. Based on the World Health Organization database on national suicide rates, Levi et al (2003) compared 1980-84 & 1995-99, & found suicide rates in Iceland decreased by 1.7% (male) & by 46.7% (female). The author’s reply follows. (LC) (6 refs)