Evidence map›Paper›PMID 30658209›Full record

ArticlePsychiatry research2019

Hypoxia-related risk factors for death by suicide in a national clinical sample.

Natalie B Riblet, Daniel J Gottlieb, Bradley V Watts, Sarah L Cornelius, Vincent S Fan, Xun Shi, Brian Shiner

Abstract readEvaluation Study
In one paragraph

Article in Psychiatry research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. A History of Suicide Attempt Is Associated with Increased Sympathetic Activation in Bipolar Disorder.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2024
    Article
  3. Article
  4. Article
  5. Article
  6. The Effect of Meteorological, Pollution, and Geographic Exposures on Death by Suicide: A Scoping Review.International journal of environmental research and public health · 2021
    Article
  7. Article
  8. Review
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

7 authors.

Natalie B RibletVeterans Affairs Medical Center, White River Junction VT, USA; Geisel School of Medicine at Dartmouth College, Hanover, NH, USA; The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon NH, USA. Electronic address: Natalie.Riblet@dartmouth.edu.
Daniel J GottliebVeterans Affairs Medical Center, White River Junction VT, USA; The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon NH, USA.
Bradley V WattsGeisel School of Medicine at Dartmouth College, Hanover, NH, USA; National Center for Patient Safety, Ann Arbor MI, USA.
Sarah L CorneliusVeterans Affairs Medical Center, White River Junction VT, USA.
Vincent S FanVA Puget Sound Health Care System, Seattle, WA, USA; University of Washington, Seattle, WA, USA.
Xun ShiDartmouth College, Hanover NH, USA.
Brian ShinerVeterans Affairs Medical Center, White River Junction VT, USA; Geisel School of Medicine at Dartmouth College, Hanover, NH, USA; The Dartmouth Institute for Health Policy and Clinical Practice, Lebanon NH, USA.

Funding

HSRD VA IK2 HX000854Intramural VA VA999999
6 · The paper itself

Abstract

The relationship between three markers of chronic hypoxia (altitude, smoking and chronic obstructive pulmonary disease (COPD)) and suicide risk has not been well-studied. We conducted a population-based cohort study evaluating the association between chronic hypoxia and suicide risk. Patients entered the cohort in their first year with a documented healthcare encounter and remained in the cohort until their death or the end of the study period. Generalized estimating equation (GEE) methodology was used to assess the association between suicide and three risk markers of chronic hypoxia. Findings were summarized using odds ratio (OR) and 95% confidence intervals (CI). Among the 9,620,944 patients in the cohort, there were 22,403 suicide deaths. There was a statistically significant progression of suicide risk as altitude rose in increments of 1000 m (OR: 1.22). There was a strong association between the number of hypoxic conditions and the odds of suicide. Patients with three markers of chronic hypoxia was nearly four times more likely to die by suicide than patients with no markers (OR: 3.96). Chronic hypoxia is a risk factor for suicide and having multiple indicators of hypoxia confers a greater risk for suicide, indicating a dose-response relationship.

Indexed as

AdultAltitudeChronic DiseaseCohort StudiesFemaleHumansHypoxiaMaleMiddle AgedOdds RatioPulmonary Disease, Chronic ObstructiveRisk FactorsSmokingSuicideAltitudeNicotinePulmonary disease

Identifiers

PMID30658209
PMCPMC8801295

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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.