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Effect of psychotropic medications on suicide-related outcomes: a systematic review and meta-analysis of observational studies - PubMed

5 hours ago
  • #meta-analysis
  • #suicide-prevention
  • #psychotropic-medications
  • Psychiatric disorders increase suicide risk, and the impact of psychotropic medications on these outcomes is uncertain.
  • Systematic review and meta-analysis of observational studies involving over 6 million people from 13 countries.
  • Second-generation antipsychotics like clozapine, olanzapine, quetiapine, and zuclopenthixol reduce suicide mortality in schizophrenia spectrum disorders.
  • Lithium and valproic acid lower suicide risks in bipolar disorder; SSRIs and tricyclic antidepressants reduce suicide mortality in depression.
  • Benzodiazepines are associated with higher suicide mortality in most diagnostic categories, except depression.
  • Evidence suggests varying effects of psychotropic medications on suicide-related outcomes across different psychiatric disorders.
  • Observational study limitations include residual confounding, high heterogeneity, and moderate evidence quality.