Evidence map›Paper›PMID 21254789›Full record

ReviewCNS drugs2011

Managing suicide risk in patients with schizophrenia.

John Kasckow, Kandi Felmet, Sidney Zisook

Open access · greenAbstract readReview
In one paragraph

Review in CNS drugs, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
5.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 134 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Observational
  6. Clozapine, relapse, and adverse events: a 10-year electronic cohort study in Canada.The British journal of psychiatry : the journal of mental science · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. You lack the season of all natures, sleep.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  12. Insomnia and suicide as reported adverse effects of second-generation antipsychotics and mood stabilizers.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2022
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 3 institutions in 1 country.

John KasckowMIRECC and Behavioral Health Service, VA Pittsburgh Health Care System, Pittsburgh, Pennsylvania 15206, USA. kasckowjw@upmc.edu
Kandi Felmet
Sidney Zisook
UC San Diego Health System · USUPMC Health System · USVA Pittsburgh Healthcare System · US

Funding

Antidepressant Augmentation of Late Life SchizophreniaR01MH063798 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KASCKOW, JOHN W · 2001 to 2005
$1.7M
Citalopram Augmentation in Older Schizophrenia PatientsR01MH063931 · NIMH · VETERANS MEDICAL RESEARCH FDN/SAN DIEGO · PI ZISOOK, SIDNEY · 2001 to 2005
$1.6M
NIMH NIH HHS MH6398NIMH NIH HHS R01 MH063798NIMH NIH HHS R01 MH063931
6 · The paper itself

Abstract

The management of suicide risk in patients with schizophrenia poses many challenges for clinicians. Compared with the general population, these patients have an 8.5-fold greater risk of suicide. This article reviews the literature dealing with the treatment of at-risk patients with schizophrenia. An integrated psychosocial and pharmacological approach to managing this population of patients is recommended. Although there is at least modest evidence suggesting that antipsychotic medications protect against suicidal risk, the evidence appears to be most favourable for second-generation antipsychotics, particularly clozapine, which is the only medication approved by the US FDA for preventing suicide in patients with schizophrenia. In addition, treating depressive symptoms in patients with schizophrenia is an important component of suicide risk reduction. While selective serotonin receptor inhibitors (SSRIs) ameliorate depressive symptoms in patients with schizophrenia, they also appear to attenuate suicidal thoughts. Further research is needed to more effectively personalize the treatment of suicidal thoughts and behaviours and the prevention of suicide in patients with schizophrenia.

Indexed as

Suicide PreventionAntipsychotic AgentsHumansSchizophreniaSelective Serotonin Reuptake InhibitorsSocial SupportSuicideAntipsychotic AgentsSelective Serotonin Reuptake Inhibitors

Identifiers

PMID21254789
PMCPMC3056073
OpenAlexW1967857831

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.