Evidence map›Paper›PMID 28942743›Full record

ArticlePsychological medicine2018

Genetic risk scores and family history as predictors of schizophrenia in Nordic registers.

Y Lu, J G Pouget, O A Andreassen, S Djurovic, T Esko, C M Hultman, A Metspalu, L Milani, T Werge, P F Sullivan

Open access · greenAbstract readMulticenter Study
In one paragraph

Article in Psychological medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 2 pooled it
2.6field-weighted citation impact, top 10% 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

32 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
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  9. Neighborhood social fragmentation in relation to impaired mismatch negativity among youth at clinical high risk for psychosis and healthy comparisons.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
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  19. Unique prediction of developmental psychopathology from genetic and familial risk.Journal of child psychology and psychiatry, and allied disciplines · 2022
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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

10 authors at 7 institutions in 6 countries.

Y LuDepartment of Medical Epidemiology and Biostatistics,Karolinska Institutet,SE-17177 Stockholm,Sweden.
J G PougetCampbell Family Mental Health Research Institute,Centre for Addiction and Mental Health,Toronto,Ontario,Canada.
O A AndreassenNORMENT,KG Jebsen Centre for Psychosis Research,Institute of Clinical Medicine,University of Oslo and Oslo University Hospital,0424 Oslo,Norway.
S DjurovicDepartment of Medical Genetics,Oslo University Hospital,Oslo,Norway.
T EskoEstonian Genome Center,University of Tartu,Tartu,Estonia.
C M HultmanDepartment of Medical Epidemiology and Biostatistics,Karolinska Institutet,SE-17177 Stockholm,Sweden.
A MetspaluEstonian Genome Center,University of Tartu,Tartu,Estonia.
L MilaniEstonian Genome Center,University of Tartu,Tartu,Estonia.
T WergeThe Lundbeck Foundation Initiative for Integrative Psychiatric Research,iPSYCH,Denmark.
P F SullivanDepartment of Medical Epidemiology and Biostatistics,Karolinska Institutet,SE-17177 Stockholm,Sweden.
University of Tartu · EEKarolinska Institutet · SECentre for Addiction and Mental Health · CALundbeck Foundation · DKOslo University Hospital · NOUniversity of Bergen · NOUniversity of North Carolina at Chapel Hill · US

Funding

A Large-Scale Schizophrenia Association Study in SwedenR01MH077139 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SULLIVAN, PATRICK F · 2007 to 2018
$9.9M
1/7 Psychiatric Genomics Consortium: Finding actionable variationU01MH109528 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI SULLIVAN, PATRICK F · 2016 to 2020
$2.5M
NIMH NIH HHS R01 MH077139NIMH NIH HHS U01 MH109528
6 · The paper itself

Abstract

backgroundFamily history is a long-standing and readily obtainable risk factor for schizophrenia (SCZ). Low-cost genotyping technologies have enabled large genetic studies of SCZ, and the results suggest the utility of genetic risk scores (GRS, direct assessments of inherited common variant risk). Few studies have evaluated family history and GRS simultaneously to ask whether one can explain away the other.

methodsWe studied 5959 SCZ cases and 8717 controls from four Nordic countries. All subjects had family history data from national registers and genome-wide genotypes that were processed through the quality control procedures used by the Psychiatric Genomics Consortium. Using external training data, GRS were estimated for SCZ, bipolar disorder (BIP), major depression, autism, educational attainment, and body mass index. Multivariable modeling was used to estimate effect sizes.

resultsUsing harmonized genomic and national register data from Denmark, Estonia, Norway, and Sweden, we confirmed that family history of SCZ and GRS for SCZ and BIP were risk factors for SCZ. In a joint model, the effects of GRS for SCZ and BIP were essentially unchanged, and the effect of family history was attenuated but remained significant. The predictive capacity of a model including GRS and family history neared the minimum for clinical utility.

conclusionsCombining national register data with measured genetic risk factors represents an important investigative approach for psychotic disorders. Our findings suggest the potential clinical utility of combining GRS and family history for early prediction and diagnostic improvements.

Indexed as

Genetic Predisposition to DiseaseMedical History TakingAdultCase-Control StudiesEstoniaFemaleGenome-Wide Association StudyHumansLogistic ModelsMaleMiddle AgedMultivariate AnalysisRegistriesRisk AssessmentRisk FactorsScandinavian and Nordic CountriesFamily historygenetic risk scoregenome-wide associationGWASschizophrenia

Identifiers

PMID28942743
PMCPMC6953171
OpenAlexW2759527221

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.