Paragraphs 20 through 28 read: "Marilyn tried everything to try to clear her skin, from over-the-counter remedies to prescription drugs, like roaccutane, made by pharmaceutical company Roche.

She was placed on the drug at 13 and she says she feels that combined with anti-depressants, which she was also taking, it triggered her slide from feeling miserable about her acne into a clinical depression.

"I was feeling low because of the acne, but will always think that the anti-depressants and roaccutane triggered me into an actual depression," she said.

"I felt suicidal, I self-harmed and began not just to feel ugly, but to hate myself.

"I felt worthless, that I wasn't a good enough human. The treatment did help my skin though.

"But I started to cut myself and attempted suicide every month.

"Once the acne had gone I still found it very difficult to like myself as I had all the scars still from cutting.

"It took a few years and my wonderful fiancé to bring me back up from a very dark place."

Marilyn, who is currently not taking medication, said acne needs to be taken more seriously.

http://news.bbc.co.uk/1/hi/health/7293961.stm

'Acne drove me to try to take my life'

By Jane Elliott
Health reporter, BBC News

Depressed about her teenage acne, Marilyn H. started to self-harm and tried almost monthly to take her own life.

The acne, which covered much of her body, left her feeling worthless and miserable.

She spent time in a mental health clinic getting treatment for her depression.

Now Marilyn's acne has cleared and, at the age of 21, she is starting to live again and is engaged - but she feels acne robbed her of much of her youth.

Self-harming

This summer Marilyn is taking part in the British Skin Foundation's 'Walk for Skin' to promote the desperate need for research and funding into acne and its effects.

Indy Rihal, from the foundation, feels the funds are urgently needed.

I felt worthless that I wasn't a good enough human

Marilyn H.

"Millions of people suffer from skin disease in the UK and more needs to be done to help," she said.

"The "Walk for Skin" raises money for vital research into all skin diseases, including acne.

"We can make a real difference to those people whose lives are blighted by skin disease and help to fund research into new treatments and eventually cures."

Marilyn is proof of the impact the skin condition can have on young people.

Marilyn's spots led to depression

Not only did she struggle to deal with the condition, but her misery was compounded by others simply dismissing it as routine "teenage spots".

"Having acne was horrible," said Marilyn, an events organiser from Berkshire.

"I developed at a young age, which meant my acne started young at about 11 to 12 years old.

"My back, neck and face were covered in spots. My back was hit worst, so I would always wear a shirt over strappy tops or high-backed tops."

Marilyn was bullied at school and started to cut herself.

"I needed to release pain that was built up, I blamed my skin for causing the problems, so I took it out on my skin," she said.

"I felt it didn't matter, as who would ever look at me anyway, except to mock me?"

Taking acne seriously

Marilyn tried everything to try to clear her skin, from over-the-counter remedies to prescription drugs, like roaccutane, made by pharmaceutical company Roche.

She was placed on the drug at 13 and she says she feels that combined with anti-depressants, which she was also taking, it triggered her slide from feeling miserable about her acne into a clinical depression.

"I was feeling low because of the acne, but will always think that the anti-depressants and roaccutane triggered me into an actual depression," she said.

"I felt suicidal, I self-harmed and began not just to feel ugly, but to hate myself.

"I felt worthless, that I wasn't a good enough human. The treatment did help my skin though.

"But I started to cut myself and attempted suicide every month.

"Once the acne had gone I still found it very difficult to like myself as I had all the scars still from cutting.

"It took a few years and my wonderful fiancé to bring me back up from a very dark place."

Marilyn, who is currently not taking medication, said acne needs to be taken more seriously.

Devastating effects

Dr Alison Layton, consultant dermatologist for the British Skin Foundation, agreed that acne - even quite mild acne - can have devastating affects on self esteem.

Acne facts
Acne is the most common inflammatory skin disease in the world
It affects between 80-85% of all adolescents. It usually peaks at age 15
In 12% of cases acne continues into adulthood - most of these are women

"Although there is a spectrum and you can get very mild and very severe acne, the psychological impact can be quite immense even with quite minimal problems," she said.

"I think that the reason for that is that it hits young people at a time when they are undergoing the maximum change and wanting to look good.

"People with quite mild acne can get quite depressed by it and yet you can see people with quite severe acne cope quite well.

"The bottom line is that it has the potential to cause problems psychologically.

"The depression can be quite severe, causing suicide, and people can be very clinically depressed."

Medicines and Healthcare products Regulatory Agency statistics show 27 young people have committed suicide in Britain while taking roaccutane, although there is no proof that the drug is the cause.

Marilyn covered up her damaged skin

A spokesman for Roche said: "Unfortunately, severe acne can cause some sufferers to become depressed and can also affect their mood and self esteem.

"This is why the information provided with roaccutane (isotretinoin) carries a warning that some patients may experience mood changes, including an increase in depression."

He added that over the past 20 years, more than 13 million people worldwide have been treated for severe acne using roaccutane.

While no causal link had been established between the drug and either depression or suicide, it was constantly monitored.