Evidence map›Paper›PMID 25555415›Full record

Trial reportPsychiatry research2015

Treatment-related improvement in neuropsychological functioning in suicidal depressed patients: paroxetine vs. bupropion.

Marianne Gorlyn, John Keilp, Ainsley Burke, Maria Oquendo, J John Mann, Michael Grunebaum

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychiatry research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Pharmacologic Approaches to Suicide Prevention.Focus (American Psychiatric Publishing) · 2023
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. 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

6 authors at 2 institutions in 1 country.

Marianne GorlynDepartment of Psychiatry, Columbia University, College of Physicians and Surgeons, New York, NY, USA; Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, NY, USA. Electronic address: Mg643@columbia.edu.
John KeilpDepartment of Psychiatry, Columbia University, College of Physicians and Surgeons, New York, NY, USA; Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, NY, USA.
Ainsley BurkeDepartment of Psychiatry, Columbia University, College of Physicians and Surgeons, New York, NY, USA; Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, NY, USA.
Maria OquendoDepartment of Psychiatry, Columbia University, College of Physicians and Surgeons, New York, NY, USA; Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, NY, USA.
J John MannDepartment of Psychiatry, Columbia University, College of Physicians and Surgeons, New York, NY, USA; Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, NY, USA.
Michael GrunebaumDepartment of Psychiatry, Columbia University, College of Physicians and Surgeons, New York, NY, USA; Department of Molecular Imaging and Neuropathology, New York State Psychiatric Institute, New York, NY, USA.
New York Psychoanalytic Society and Institute · USColumbia University · US

Funding

THE NEUROBIOLOGY OF SUICIDAL BEHAVIORP50MH062185 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MANN, JOSEPH JOHN · 2000 to 2009
$21.7M
PSYCHOBIOLOGICAL PREDICTORS OF SUICIDAL BEHAVIOR IN MDER01MH048514 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI OQUENDO, MARIA A · 1992 to 2013
$3.6M
Paroxetine/Bupropion in Suicide Attempters/Ideators with Major DepressionK23MH076049 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI GRUNEBAUM, MICHAEL F · 2006 to 2010
$884k
NIMH NIH HHS K23 MH076049NIMH NIH HHS K23-MH076049NIMH NIH HHS MH48514NIMH NIH HHS MH62185NIMH NIH HHS P50 MH062185NIMH NIH HHS R01 MH048514
6 · The paper itself

Abstract

Neuropsychological dysfunction is associated with risk for suicidal behavior, but it is unknown if antidepressant medication treatment is effective in reducing this dysfunction, or if specific medications might be more beneficial. A comprehensive neuropsychological battery was administered at baseline and after 8 weeks of treatment within a randomized, double-blind clinical trial comparing paroxetine and bupropion in patients with DSM-IV Major Depressive Disorder and either past suicide attempt or current suicidal thoughts. Change in neurocognitive performance was compared between assessments and between medication groups. Treatment effects on the Hamilton Depression Rating Scale and Scale for Suicide Ideation were compared with neurocognitive improvement. Neurocognitive functioning improved after treatment in all patients, without clear advantage for either medication. Improvement in memory performance was associated with a reduction in suicidal ideation independent of the improvement of depression severity. Overall, antidepressant medication improved neurocognitive performance in patients with major depression and suicide risk. Reduced suicidal ideation was best predicted by a combination of the independent improvements in both depression symptomatology and verbal memory. Targeted treatment of neurocognitive dysfunction in these patients may augment standard medication treatment for reducing suicidal behavior risk.

Indexed as

Suicidal IdeationAdultAntidepressive Agents, Second-GenerationBupropionCognition DisordersDouble-Blind MethodFemaleHumansMajor Depressive DisorderMaleMiddle AgedParoxetineSuicide, AttemptedTreatment OutcomeAntidepressive Agents, Second-GenerationBupropionParoxetineAntidepressant treatmentCognitionMajor depressionSuicide

Identifiers

PMID25555415
PMCPMC4314330
OpenAlexW2122266354

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.