Evidence map›Paper›PMID 25329791›Full record

SynthesisBipolar disorders2015

International Society for Bipolar Disorders Task Force on Suicide: meta-analyses and meta-regression of correlates of suicide attempts and suicide deaths in bipolar disorder.

Ayal Schaffer, Erkki T Isometsä, Leonardo Tondo, Doris H Moreno, Gustavo Turecki, Catherine Reis, Frederick Cassidy, Mark Sinyor, Jean-Michel Azorin, Lars Vedel Kessing and 10 more

Open access · greenAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Bipolar disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 106 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
106citing papers in PubMed, 11 pooled it
26.6field-weighted citation impact, top 1% 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

106 citing papers in PubMed, 11 syntheses or guidelines pooled it, 328 citations in OpenAlex.

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  9. Guideline
  10. History of Bipolar Disorder and the Risk of Dementia: A Systematic Review and Meta-Analysis.The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry · 2017
    Pooled it
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46 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 19 institutions in 10 countries.

Ayal SchafferDepartment of Psychiatry, Sunnybrook Health Sciences Centre and Department of Psychiatry, University of Toronto, Toronto, ON, Canada.
Erkki T Isometsä
Leonardo Tondo
Doris H Moreno
Gustavo Turecki
Catherine Reis
Frederick Cassidy
Mark Sinyor
Jean-Michel Azorin
Lars Vedel Kessing
Kyooseob Ha
Tina Goldstein
Abraham Weizman
Annette Beautrais
Yuan-Hwa Chou
Nancy Diazgranados
Anthony J Levitt
Carlos A Zarate
Zoltán Rihmer
Lakshmi N Yatham
Health Sciences Centre · CAAix-Marseille Université · FRDuke University · USMcGill University · CAMcLean Hospital · USNational Institute of Mental Health · USNational Institute on Alcohol Abuse and Alcoholism · USSemmelweis University · HUSeoul National University Bundang Hospital · KRSunnybrook Health Science Centre · CATaipei Veterans General Hospital · TWTel Aviv University · ILUniversidade de São Paulo · BRUniversity of British Columbia · CAUniversity of Copenhagen · DKUniversity of Helsinki · FIUniversity of Pittsburgh · USUniversity of Toronto · CAYale University · US

Funding

Target validation of novel therapeutic agents in mood disordersZIAMH002927 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI ZARATE, CARLOS · 2010 to 2025
$37.1M
Intramural NIH HHS Z99 MH999999
6 · The paper itself

Abstract

objectivesBipolar disorder is associated with a high risk of suicide attempts and suicide death. The main objective of the present study was to identify and quantify the demographic and clinical correlates of attempted and completed suicide in people with bipolar disorder.

methodsWithin the framework of the International Society for Bipolar Disorders Task Force on Suicide, a systematic review of articles published since 1980, characterized by the key terms bipolar disorder and 'suicide attempts' or 'suicide', was conducted, and data extracted for analysis from all eligible articles. Demographic and clinical variables for which ≥ 3 studies with usable data were available were meta-analyzed using fixed or random-effects models for association with suicide attempts and suicide deaths. There was considerable heterogeneity in the methods employed by the included studies.

resultsVariables significantly associated with suicide attempts were: female gender, younger age at illness onset, depressive polarity of first illness episode, depressive polarity of current or most recent episode, comorbid anxiety disorder, any comorbid substance use disorder, alcohol use disorder, any illicit substance use, comorbid cluster B/borderline personality disorder, and first-degree family history of suicide. Suicide deaths were significantly associated with male gender and first-degree family history of suicide.

conclusionsThis paper reports on the presence and magnitude of the correlates of suicide attempts and suicide deaths in bipolar disorder. These findings do not address causation, and the heterogeneity of data sources should limit the direct clinical ranking of correlates. Our results nonetheless support the notion of incorporating diagnosis-specific data in the development of models of understanding suicide in bipolar disorder.

Indexed as

Bipolar DisorderSocieties, MedicalSuicideSuicide, AttemptedSuicide PreventionAnxiety DisordersComorbidityFemaleHumansInternational CooperationMaleMiddle AgedPersonality DisordersPreventive PsychiatryPsychiatric Status Rating ScalesRisk Assessmentbipolar disordermeta-analysissuicide

Identifiers

PMID25329791
PMCPMC6296224
OpenAlexW2135640692

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.