Evidence map›Paper›PMID 29102223›Full record

ArticleSchizophrenia research2018

Predictors of aggression in 3.322 patients with affective disorders and schizophrenia spectrum disorders evaluated in an emergency department setting.

Emily A Blanco, Laura M Duque, Vivekananda Rachamallu, Eunice Yuen, John M Kane, Juan A Gallego

Open access · greenAbstract read
In one paragraph

Article in Schizophrenia research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.3field-weighted citation impact, top 12% 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

5 citing papers in PubMed, 18 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. 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 5 institutions in 1 country.

Emily A BlancoWeill Cornell Medical College, New York, NY, USA.
Laura M DuqueUniversidad CES, Medellín, Antioquia, Colombia.
Vivekananda RachamalluTexas Tech University, Lubbock, TX, USA.
Eunice YuenYale University, New Haven, CT, USA.
John M KaneHofstra Northwell School of Medicine, Hempstead, NY, USA; The Feinstein Institute for Medical Research, Manhasset, NY, USA; The Zucker Hillside Hospital, Glen Oaks, NY, USA.
Juan A GallegoHofstra Northwell School of Medicine, Hempstead, NY, USA; The Feinstein Institute for Medical Research, Manhasset, NY, USA; The Zucker Hillside Hospital, Glen Oaks, NY, USA. Electronic address: jug9069@med.cornell.edu.
Cornell University · USFeinstein Institute for Medical Research · USHofstra University · USTexas Tech University · USYale University · US

Funding

Research Training for Medical Students & Physician-Scientists in Child PsychiatryR25MH077823 · NIMH · YALE UNIVERSITY · PI ANDRES S MARTIN · 2006 to 2026
$4.0M
MicroRNAs as Biomarkers in First-episode SchizophreniaK23MH100264 · NIMH · WEILL MEDICAL COLL OF CORNELL UNIV · PI GALLEGO, JUAN ANDRES · 2013 to 2017
$893k
NIMH NIH HHS K23 MH100264NIMH NIH HHS R25 MH077823
6 · The paper itself

Abstract

introductionThe aim of this study is to determine odds of aggression and associated factors in patients with schizophrenia-spectrum disorders (SSD) and affective disorders who were evaluated in an emergency department setting.

methodsA retrospective study was conducted using de-identified data from electronic medical records from 3.322 patients who were evaluated at emergency psychiatric settings. Data extracted included demographic information, variables related to aggression towards people or property in the past 6months, and other factors that could potentially impact the risk of aggression, such as comorbid diagnoses, physical abuse and sexual abuse. Bivariate analyses and multivariate regression analyses were conducted to determine the variables significantly associated with aggression.

resultsAn initial multivariate regression analysis showed that SSD had 3.1 times the odds of aggression, while bipolar disorder had 2.2 times the odds of aggression compared to unipolar depression. A second regression analysis including bipolar subtypes showed, using unipolar depression as the reference group, that bipolar disorder with a recent mixed episode had an odds ratio (OR) of 4.3, schizophrenia had an OR of 2.6 and bipolar disorder with a recent manic episode had an OR of 2.2. Generalized anxiety disorder was associated with lower odds in both regression analyses.

conclusionAs a whole, the SSD group had higher odds of aggression than the bipolar disorder group. However, after subdividing the groups, schizophrenia had higher odds of aggression than bipolar disorder with a recent manic episode and lower odds of aggression than bipolar disorder with a recent mixed episode.

Indexed as

Schizophrenic PsychologyAdolescentAdultAgedAggressionEmergency Service, HospitalFemaleHumansMaleMiddle AgedMood DisordersPredictive Value of TestsPsychiatric Status Rating ScalesRegression AnalysisRetrospective StudiesSchizophreniaAggressionBipolar disorderEmergency departmentSchizophreniaUnipolar depression

Identifiers

PMID29102223
PMCPMC6510030
OpenAlexW2767658401

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.