Evidence map›Paper›PMID 34403969›Full record

ArticleJournal of psychiatric research2021

Suicide prediction among men and women with depression: A population-based study.

Tammy Jiang, Dávid Nagy, Anthony J Rosellini, Erzsébet Horváth-Puhó, Katherine M Keyes, Timothy L Lash, Sandro Galea, Henrik T Sørensen, Jaimie L Gradus

Abstract read
In one paragraph

Article in Journal of psychiatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
–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

11 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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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

9 authors.

Tammy JiangDepartment of Epidemiology, Boston University School of Public Health, Boston, MA, USA. Electronic address: tjiang1@bu.edu.
Dávid NagyDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
Anthony J RoselliniCenter for Anxiety and Related Disorders, Department of Psychological and Brain Sciences, Boston University, Boston, MA, USA.
Erzsébet Horváth-PuhóDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
Katherine M KeyesDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Timothy L LashDepartment of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark; Department of Epidemiology, Rollins School of Public Health, Emory University, Atlanta, GA, USA.
Sandro GaleaDepartment of Epidemiology, Boston University School of Public Health, Boston, MA, USA; Department of Family Medicine, Boston University School of Medicine, Boston, MA, USA.
Henrik T SørensenDepartment of Epidemiology, Boston University School of Public Health, Boston, MA, USA; Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark.
Jaimie L GradusDepartment of Epidemiology, Boston University School of Public Health, Boston, MA, USA; Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark; Department of Psychiatry, Boston University School of Medicine, Boston, MA, USA.

Funding

Risk Profiles for Suicidal Behavior in the General PopulationR01MH109507 · NIMH · BOSTON UNIVERSITY MEDICAL CAMPUS · PI GRADUS, JAIMIE L. · 2016 to 2019
$1.3M
Characterizing Trauma Outcomes: From Pre-trauma Risk to Post-trauma SequelaeR01MH110453 · NIMH · BOSTON UNIVERSITY MEDICAL CAMPUS · PI GRADUS, JAIMIE L. · 2017 to 2020
$1.3M
NIMH NIH HHS R01 MH109507NIMH NIH HHS R01 MH110453
6 · The paper itself

Abstract

backgroundAccurate identification of persons at risk of suicide is challenging because suicide is a rare outcome with a multifactorial origin. The purpose of this study was to predict suicide among persons with depression using machine learning methods.

methodsA case-cohort study was conducted in Denmark between January 1, 1995 and December 31, 2015. Cases were all persons who died by suicide and had an incident depression diagnosis in Denmark (n = 2,774). The comparison subcohort was a 5% random sample of all individuals in Denmark at baseline, restricted to persons with an incident depression diagnosis during the study period (n = 11,963). Classification trees and random forests were used to predict suicide.

resultsIn men with depression, there was a high risk of suicide among those who were prescribed other analgesics and antipyretics (i.e., non-opioid analgesics such as acetaminophen), prescribed hypnotics and sedatives, and diagnosed with a poisoning (n = 96; risk = 81%). In women with depression, there was an elevated risk of suicide among those who were prescribed other analgesics and antipyretics, anxiolytics, and hypnotics and sedatives, but were not diagnosed with poisoning nor cerebrovascular diseases (n = 338; risk = 58%). DISCUSSION: Psychiatric disorders and their associated medications were strongly indicative of suicide risk. Notably, anti-inflammatory medications (e.g., acetaminophen) prescriptions, which are used to treat chronic pain and illnesses, were associated with suicide risk in persons with depression. Machine learning may advance our ability to predict suicide deaths.

Indexed as

Analgesics, Non-NarcoticMental DisordersSuicideCohort StudiesDepressionFemaleHumansMaleAnalgesics, Non-NarcoticDenmarkDepressionMachine learningPredictionRegistrySuicide

Identifiers

PMID34403969
PMCPMC8456450

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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.