Evidence map›Paper›PMID 25084802›Full record

ArticleInternational journal of psychiatry in medicine2014

The anti-suicidal potential of buprenorphine: a case report.

Joan M Striebel, Raj K Kalapatapu

Registry-linked trialOpen access · greenAbstract readCase Reports
In one paragraph

Article in International journal of psychiatry in medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02659787 (Effects of Buprenorphine on Mood in Adults With a Range of Depressive Symptomatology), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 40% 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.

NCT02659787 nacompletednot on this mapstarted 2016, after this paper: background citation

Effects of Buprenorphine on Mood in Adults With a Range of Depressive Symptomatology

TypeinterventionalSponsorUniversity of ChicagoRan2016 to 2017Enrolled38ConditionsDepressionArms0.2mg Buprenorphine, Placebo
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. A Brain-Centric Model of Suicidal Behavior.The American journal of psychiatry · 2020
    Article
  10. Review
  11. Review
  12. Reversal of Stress-Induced Social Interaction Deficits by Buprenorphine.The international journal of neuropsychopharmacology · 2018
    Article
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

2 authors at 2 institutions in 1 country.

Joan M StriebelUniversity of California, San Francisco San Francisco Veterans Affairs Medical Center, California.
Raj K KalapatapuUniversity of California, San Francisco San Francisco Veterans Affairs Medical Center, California.
San Francisco VA Medical Center · USUniversity of California, San Francisco · US

Funding

OT-based Cognitive Rehabilitation of Cocaine AbusersK23DA034883 · NIDA · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KALAPATAPU, RAJKUMAR KIRAN · 2013 to 2017
$900k
NIDA NIH HHS K23 DA034883NIDA NIH HHS K23DA034883
6 · The paper itself

Abstract

The very strong relationship between suicide, depressive disorders, and substance use disorders is well recognized. Certain pain syndromes are significantly associated with suicide, irrespective of co-occurring medical or psychiatric diagnosis. Chronic pain, depression, substance use disorders, and suicide appear to involve overlapping neural pathways and brain regions that function in the processing of emotional and physical pain, as well as maintaining reward and anti-reward circuitry. In this article, we employ a clinical case to illustrate how various stressors disrupted the balance between pain and opioid-facilitated analgesia. This disruption resulted in excessive use of short-acting opioids to treat pain with ensuing allostatic overload and culmination in chronic suicidal ideation with a suicide attempt. Sublingual buprenorphine was selected to treat the opioid use disorder. We propose that the unique pharmacodynamics of this drug served to stabilize dysregulated neural circuits, neurotransmitters, and neuropeptides, allowing the mitigation of pain, assuaging opioid cravings, easing depression, and resolving suicidal ideation. To our knowledge, this is the first case report to describe the possible anti-suicidal effect of sublingual buprenorphine.

Indexed as

Suicide PreventionAdministration, SublingualAllosteric RegulationAnalgesics, OpioidBrainBuprenorphineChronic PainComorbidityDepressive Disorder, Treatment-ResistantDrug InteractionsFemaleHumansMiddle AgedNarcotic AntagonistsOpioid-Related DisordersSubstance Abuse Treatment CentersAnalgesics, OpioidBuprenorphineNarcotic Antagonistsbuprenorphinedepressionpainsuicidality

Identifiers

PMID25084802
PMCPMC4120471
OpenAlexW2031713694

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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.