Choosing an occupation that places the offender in close proximity to probable victims and the use of sadomasochistic or pedophilic pornography are also linked with a worse prognosis. The so-known as serotonergic (meaning triggered by serotonin) syndrome is a major neurologic ailment linked with the use of SSRIs. High fevers, seizures, and heart-rhythm disturbances characterizes serotonergic syndrome.