Evidence map›Paper›PMID 34036738›Full record

ArticleAlzheimer's & dementia : the journal of the Alzheimer's Association2022

Suicide risk in first year after dementia diagnosis in older adults.

Timothy Schmutte, Mark Olfson, Donovan T Maust, Ming Xie, Steven C Marcus

Open access · bronzeAbstract read
In one paragraph

Article in Alzheimer's & dementia : the journal of the Alzheimer's Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 2 pooled it
7.9field-weighted citation impact, top 2% 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

33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 72 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Suicidal Ideation in Spinocerebellar Ataxia.The Journal of neuropsychiatry and clinical neurosciences · 2026
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  11. Observational
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  15. Suicides in degenerative neurocognitive disorders and traumatic brain injuries.European psychiatry : the journal of the Association of European Psychiatrists · 2024
    Article
  16. Review
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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

5 authors at 4 institutions in 1 country.

Timothy SchmutteDepartment of Psychiatry, Yale University, New Haven, Connecticut, USA.ORCID 0000-0003-1711-1906
Mark OlfsonDepartment of Psychiatry, Columbia University, New York State Psychiatric Institute, New York, New York, USA.
Donovan T MaustDepartment of Psychiatry, University of Michigan, Ann Arbor, Michigan, USA.
Ming XieDepartment of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Steven C MarcusSchool of Social Policy & Practice, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
University of Pennsylvania · USNew York Psychoanalytic Society and Institute · USUniversity of Michigan · USYale University · US

Funding

Improving the Emergency Department Management of Deliberate Self-HarmR01MH107452 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI MARCUS, STEVEN C, OLFSON, MARK · 2016 to 2020
$4.3M
Patient, Caregiver, and Regional Drivers of Potentially Inappropriate Medical Care for Dementia: Building the Foundation for State Dementia PolicyR01AG056407 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MAUST, DONOVAN T · 2018 to 2021
$2.1M
NIA NIH HHS R01 AG056407NIMH NIH HHS R01 MH107452
6 · The paper itself

Abstract

introductionReceiving a diagnosis of Alzheimer's disease or related dementias (ADRD) can be a pivotal and stressful period. We examined the risk of suicide in the first year after ADRD diagnosis relative to the general geriatric population.

methodsWe identified a national cohort of Medicare fee-for-service beneficiaries aged ≥ 65 years with newly diagnosed ADRD (n = 2,667,987) linked to the National Death Index.

resultsThe suicide rate for the ADRD cohort was 26.42 per 100,000 person-years. The overall standardized mortality ratio (SMR) for suicide was 1.53 (95% confidence interval [CI] = 1.42, 1.65) with the highest risk among adults aged 65 to 74 years (SMR = 3.40, 95% CI = 2.94, 3.86) and the first 90 days after ADRD diagnosis. Rural residence and recent mental health, substance use, or chronic pain conditions were associated with increased suicide risk. DISCUSSION: Results highlight the importance of suicide risk screening and support at the time of newly diagnosed dementia, particularly for patients aged < 75 years.

Indexed as

Alzheimer DiseaseDementiaSuicideAgedCohort StudiesHumansMedicareUnited StatesAlzheimer's diseasedementiamental disordersuicide

Identifiers

PMID34036738
PMCPMC8613307
OpenAlexW3164575615

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.