Evidence map›Paper›PMID 39580937›Full record

ArticlePsychiatry research2024

Comparisons of mental health treatment frequency and risk of suicidal thoughts and behaviors among youth.

Gareth J Parry, Lindsay Overhage, Peyton Williams, Katie Holmes, Akhil Reddy, Gabriel E Rios Perez, Albert Y H Lo, Abigail Thomas, Brian Mullin, Sanam Bhakta and 6 more

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Psychiatry research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

16 authors.

Gareth J ParryHealth Equity Research Lab, Cambridge Health Alliance, Cambridge, MA, USA; Harvard Medical School, Boston, MA, USA. Electronic address: gparry@challiance.org.
Lindsay OverhageHealth Equity Research Lab, Cambridge Health Alliance, Cambridge, MA, USA; Harvard Medical School, Boston, MA, USA.
Peyton WilliamsHealth Equity Research Lab, Cambridge Health Alliance, Cambridge, MA, USA.
Katie HolmesHealth Equity Research Lab, Cambridge Health Alliance, Cambridge, MA, USA.
Akhil ReddyHealth Equity Research Lab, Cambridge Health Alliance, Cambridge, MA, USA.
Gabriel E Rios PerezHealth Equity Research Lab, Cambridge Health Alliance, Cambridge, MA, USA.
Albert Y H LoHealth Equity Research Lab, Cambridge Health Alliance, Cambridge, MA, USA; Harvard Medical School, Boston, MA, USA.
Abigail ThomasHealth Equity Research Lab, Cambridge Health Alliance, Cambridge, MA, USA; Massachusetts Institute of Technology, Cambridge, MA, USA.
Brian MullinHealth Equity Research Lab, Cambridge Health Alliance, Cambridge, MA, USA.
Sanam BhaktaHealth Equity Research Lab, Cambridge Health Alliance, Cambridge, MA, USA.
Sharon-Lise NormandHarvard Medical School, Boston, MA, USA; Harvard School of Public Health, Boston, MA, USA.
Marcela Horvitz-LennonHealth Equity Research Lab, Cambridge Health Alliance, Cambridge, MA, USA; Harvard Medical School, Boston, MA, USA; RAND Corporation (Health), Boston, MA, USA.
Phil WangHarvard Medical School, Boston, MA, USA; Center for Learning Health Systems, Brigham and Women's Hospital, Boston, MA, USA.
Matthew K NockDepartment of Psychology, Harvard University, Cambridge, MA, USA.
Benjamin Lê CookHealth Equity Research Lab, Cambridge Health Alliance, Cambridge, MA, USA; Harvard Medical School, Boston, MA, USA.
Nicholas J CarsonHealth Equity Research Lab, Cambridge Health Alliance, Cambridge, MA, USA; Harvard Medical School, Boston, MA, USA.

Funding

Medical Scientist Training ProgramT32GM144273 · NIGMS · HARVARD MEDICAL SCHOOL · PI David Shumway Jones, Jacqueline A. Lees · 2022 to 2026
$14.7M
Health Policy Training Program: Promoting Outcomes, Quality, Equity and Diffusion of AdvancesT32MH019733 · NIMH · HARVARD UNIVERSITY (MEDICAL SCHOOL) · PI Benjamin Le Cook, Haiden A Huskamp · 1993 to 2026
$7.0M
Understanding the Role of Trauma Over the Lifecourse in Order to Improve Trauma-informed TreatmentP50MH126283 · NIMH · CAMBRIDGE HEALTH ALLIANCE · PI COOK, BENJAMIN LE, WANG, PHILIP S · 2021 to 2024
$6.6M
MD-PhD Training Program in Aging and the Social/Behavioral SciencesT32AG051108 · NIA · HARVARD MEDICAL SCHOOL · PI MCWILLIAMS, JOHN MICHAEL · 2015 to 2025
$2.1M
AHRQ HHS R01 HS021486NIA NIH HHS T32 AG051108NIGMS NIH HHS T32 GM144273NIMH NIH HHS P50 MH126283NIMH NIH HHS T32 MH019733
6 · The paper itself

Abstract

Suicide is a leading cause of death for adolescents and young adults, or transitional age youth, and suicidal thoughts and behaviors (STBs) are among the top predictors of suicide. This study aimed to compare the effectiveness of low versus high frequency mental health (MH) specialist visits at preventing suicidal thoughts and behaviors (STBs) among adolescents and transitional age youth receiving combined psychotherapy and psychotropic medication treatment in a culturally-diverse community health system in the United States. Between 2010-2020, we identified 4,888 individuals (12-25 years) with MH disorders who received at least one outpatient psychotherapy visit and one psychotropic medication order during their index treatment month. In the 10-12 months following the index month, unadjusted STBs were higher (3.20 %; 95 % CI 0.49 %, 5.89 %; p < 0.001) in youth with consistently high frequency MH specialist visits (4.40 %) relative to low (1.20 %). After balancing time-varying covariates, STBs were lower, but not statistically different in the consistently high relative to low group (Diff=-1.93 %; 95 % CI -4.56 %, 0.70 %; p = 0.150). Such adjustment for confounding by mental health severity indicators may strengthen evaluations of community-based treatment in diverse populations, where conventional randomization is impossible.

Indexed as

Suicidal IdeationAdolescentAdultChildFemaleHumansMaleMental DisordersMental Health ServicesPsychotherapyPsychotropic DrugsSuicide, AttemptedUnited StatesYoung AdultPsychotropic DrugsChild and adolescent healthCommunity health systemElectronic health recordsMental healthPsychotherapySuicideYoung adultYouth

Identifiers

PMID39580937
PMCPMC11651294

What OpenQuestion holds

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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.