Evidence map›Paper›PMID 40119329›Full record

ArticleBMC psychiatry2025

Attitudes of Australian patients receiving inpatient mental health care towards deprescribing: a cross-sectional survey.

Rachel Law, Neeraj Gupta, Aili V Langford, Emily Reeve

Abstract read
In one paragraph

Article in BMC psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Rachel LawRural and Remote Mental Health Services, Older Persons Mental Health Specialised Services, Adelaide, SA, South Australia, Australia.
Neeraj GuptaRural and Remote Mental Health Services, Older Persons Mental Health Specialised Services, Adelaide, SA, South Australia, Australia.
Aili V LangfordSydney Pharmacy School, Faculty of Medicine and Health, The University of Sydney, Camperdown, Australia.
Emily ReeveCentre for Medicine Use and Safety, Faculty of Pharmacy and Pharmaceutica l Sciences, Monash University, 381 Royal Parade, Parkville, VIC, 3052, Australia. Emily.reeve@monash.edu.au.

Funding

Optimal Medication Management in Alzheimer's Disease and DementiaR33AG057289 · NIA · KAISER FOUNDATION RESEARCH INSTITUTE · PI BAYLISS, ELIZABETH A, BOYD, CYNTHIA MELINDA · 2019 to 2021
$2.2M
Generating Evidence on Deprescribing SafetyR01AG070047 · NIA · KAISER FOUNDATION RESEARCH INSTITUTE · PI BAYLISS, ELIZABETH A, BOYD, CYNTHIA MELINDA · 2024 to 2024
$542k
National Health and Medical Research Council 1195460National Health and Medical Research Council 2025289NIA NIH HHS R01 AG070047NIA NIH HHS R33 AG057289NIH HHS R33-AG057289 and R01-AG070047-01
6 · The paper itself

Abstract

backgroundPsychotropic polypharmacy is common, increasing, and associated with higher risks of adverse effects, hospitalisations and mortality. This study aimed to explore the attitudes and beliefs of people receiving inpatient mental health care toward deprescribing (discontinuing a medication when the current or potential risk outweighs the current or potential benefit) and determine any patient characteristics associated with these attitudes and beliefs.

methodsA cross-sectional survey of patients admitted to two open acute psychiatric inpatient units was conducted over a 6-month period in the Australian metropolitan city of Adelaide. Individuals were eligible to participate regardless of their reason for admission, if they were at least 18 years old and able to converse, read and write in English, and provide informed consent. Participant characteristics and responses to the validated revised Patients' Attitudes Towards Deprescribing (rPATD) questionnaire were collected. The rPATD includes questions grouped into four factors: (i) perceived burden of medications, (ii) involvement in medication management, (iii) belief in appropriateness of medications, and (iv) concerns about stopping, plus two global questions. Participants were encouraged to think about medications that they use for their mental health conditions when completing the questionnaire.

resultsOne hundred participants were recruited, with a mean age of 41.6 (SD = 13.7). 65% of participants agreed that they would be willing to stop one or more of their psychotropic medications if their doctor said it was possible. In a binary logistic regression model, willingness to have a medication deprescribed was mostly strongly predicted by Involvement factor score (odds ratio [OR] = 5.92, 95% confidence interval [CI] = 2.10-15-16.70, p < 0.001).

conclusionsA majority of participants were open to having one or more medication deprescribed. When medically justified, mental health professionals should feel comfortable initiating conversations about deprescribing to understand patient attitudes and preferences, fostering shared decision-making for psychotropic medication management. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

DeprescriptionsHealth Knowledge, Attitudes, PracticeInpatientsMental DisordersPsychotropic DrugsAdultAgedAustraliaCross-Sectional StudiesFemaleHumansMaleMiddle AgedPolypharmacySurveys and QuestionnairesYoung AdultPsychotropic DrugsDeprescribingMental healthPatient attitudes

Identifiers

PMID40119329
PMCPMC11929355

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.