Evidence map›Paper›PMID 41302345›Full record

ReviewHealthcare (Basel, Switzerland)2025

Evaluating Suicidal Risk in GLP-1RA Therapy: An Umbrella Review of Meta-Analytic Evidence.

Cristina Ștefănescu, Elena Alexandra Bratu, Ana Maria Pelin, Denisa Boroi, Bianca Daniela Crecan-Suciu, Victorița Ștefănescu

Abstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  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

6 authors.

Cristina ȘtefănescuFaculty of Medicine and Pharmacy, Doctoral School, "Dunarea de Jos" University, 800008 Galati, Romania.
Elena Alexandra BratuFaculty of Medicine and Pharmacy, Doctoral School, "Dunarea de Jos" University, 800008 Galati, Romania.
Ana Maria PelinFaculty of Medicine and Pharmacy, Doctoral School, "Dunarea de Jos" University, 800008 Galati, Romania.
Denisa BoroiFaculty of Psychology and Educational Sciences, University of Bucharest, 050663 Bucharest, Romania.
Bianca Daniela Crecan-SuciuDepartment of Neurosciences, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400012 Cluj-Napoca, Romania.ORCID 0000-0001-9456-3119
Victorița ȘtefănescuFaculty of Medicine and Pharmacy, Doctoral School, "Dunarea de Jos" University, 800008 Galati, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis is the first umbrella review to integrate the available research syntheses on the associations between glucagon-like peptide-1 receptor agonists (GLP-1RAs) and suicidality.

methodsA systematic search within the main databases (MedLine, PubMed, PsychInfo, Web of Science, Science Direct, Sage, Wiley, Scopus, Google Scholar, Proquest, and Cochrane Library) was performed using the main key words. Out of a total of 50 initial studies, a final number of 12 reviews and meta-analyses were included in the study.

resultsExcept for two observational studies, the results consistently found no significant association between GLP-1RAs and suicidality, though improvements in symptomatology (as found in five studies), quality of life (three studies), and diabetes distress (one study) were highlighted. Although no causal effect could be yielded, an association was observed between suicidality and having unrealistic treatment expectations, being underweighted, and being treated with semaglutide and liraglutide (as indicated by two studies).

conclusionGLP-1RA treatment represents a safe option when treating diabetes/obesity. However, a careful assessment of treatment expectations and of suicide risk is needed in order to attenuate potential suicidal tendencies that already exist.

Indexed as

GLP-1RAsglucagon-like peptide-1 receptor agonistsobesityself-harm behaviorssuicidal attemptssuicidal ideationtype 2 diabetes

Identifiers

PMID41302345
PMCPMC12652309

What OpenQuestion holds

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LicenceCC BY
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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.