Risk of repeated suicide attempt after redeeming prescriptions for antidepressants: a register-based study in Denmark. 2023

Sarah Grube Jakobsen, and Christina Petrea Larsen, and Elsebeth Stenager, and Erik Christiansen
Centre for Suicide Research, Odense, Denmark.

It remains unclear how SSRIs and other antidepressants are associated with the risk of repeated suicide attempts. We aimed to analyse the association between redeemed antidepressant prescriptions and the risk of repeated suicide attempts, hypothesising that antidepressant treatment is associated with increased risk of repeated suicide attempts. The study was based on Danish register data and a validated cohort of 1842 suicide attempts. We used three Cox regression models (crude, adjusted and propensity score matched) to analyse the data; these models included both static and dynamic time-dependent factors. 1842 individuals attempted suicide in the study period, with a total of 210 repeated attempts. Individuals redeeming antidepressant prescriptions were more likely to repeat a suicide attempt. All crude models showed all antidepressants to be significant risk factors (HR around 1.39), whereas all adjusted models showed all antidepressants to be insignificant risk factors. We found no significant increased risk of repeated suicide attempts in individuals redeeming a prescription for any antidepressant (or only SSRIs) when considering the individuals' baseline risk of repetition. This study is based on validated suicide attempts, register data, and strong epidemiology designs, but it still has some limitations, and the results should be replicated and confirmed in other studies.

UI MeSH Term Description Entries
D003718 Denmark A country in northern Europe, bordering the Baltic Sea and the North Sea. The capital is Copenhagen. Faeroe Islands,Faroe Islands
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000928 Antidepressive Agents Mood-stimulating drugs used primarily in the treatment of affective disorders and related conditions. Several MONOAMINE OXIDASE INHIBITORS are useful as antidepressants apparently as a long-term consequence of their modulation of catecholamine levels. The tricyclic compounds useful as antidepressive agents (ANTIDEPRESSIVE AGENTS, TRICYCLIC) also appear to act through brain catecholamine systems. A third group (ANTIDEPRESSIVE AGENTS, SECOND-GENERATION) is a diverse group of drugs including some that act specifically on serotonergic systems. Antidepressant,Antidepressant Drug,Antidepressant Medication,Antidepressants,Antidepressive Agent,Thymoanaleptic,Thymoanaleptics,Thymoleptic,Thymoleptics,Antidepressant Drugs,Agent, Antidepressive,Drug, Antidepressant,Medication, Antidepressant
D012307 Risk Factors An aspect of personal behavior or lifestyle, environmental exposure, inborn or inherited characteristic, which, based on epidemiological evidence, is known to be associated with a health-related condition considered important to prevent. Health Correlates,Risk Factor Scores,Risk Scores,Social Risk Factors,Population at Risk,Populations at Risk,Correlates, Health,Factor, Risk,Factor, Social Risk,Factors, Social Risk,Risk Factor,Risk Factor Score,Risk Factor, Social,Risk Factors, Social,Risk Score,Score, Risk,Score, Risk Factor,Social Risk Factor
D013406 Suicide, Attempted The unsuccessful attempt to kill oneself. Parasuicide,Suicide Attempt,Attempt, Suicide,Attempted Suicide,Parasuicides
D017367 Selective Serotonin Reuptake Inhibitors Compounds that specifically inhibit the reuptake of serotonin in the brain. 5-HT Uptake Inhibitor,5-HT Uptake Inhibitors,5-Hydroxytryptamine Uptake Inhibitor,5-Hydroxytryptamine Uptake Inhibitors,SSRIs,Selective Serotonin Reuptake Inhibitor,Serotonin Reuptake Inhibitor,Serotonin Reuptake Inhibitors,Serotonin Uptake Inhibitor,Serotonin Uptake Inhibitors,Inhibitors, 5-HT Uptake,Inhibitors, 5-Hydroxytryptamine Uptake,Inhibitors, Serotonin Reuptake,Inhibitors, Serotonin Uptake,Reuptake Inhibitors, Serotonin,Uptake Inhibitors, 5-HT,Uptake Inhibitors, 5-Hydroxytryptamine,Uptake Inhibitors, Serotonin,Inhibitor, 5-HT Uptake,Inhibitor, 5-Hydroxytryptamine Uptake,Inhibitor, Serotonin Reuptake,Inhibitor, Serotonin Uptake,Reuptake Inhibitor, Serotonin,Uptake Inhibitor, 5-HT,Uptake Inhibitor, 5-Hydroxytryptamine,Uptake Inhibitor, Serotonin
D055656 Prescriptions Directions written for the obtaining and use of PHARMACEUTICAL PREPARATIONS; MEDICAL DEVICES; corrective LENSES; and a variety of other medical remedies. Prescriptions, Non-Drug,Prescriptions, Nondrug,Non-Drug Prescription,Non-Drug Prescriptions,Nondrug Prescription,Nondrug Prescriptions,Prescription,Prescription, Non-Drug,Prescription, Nondrug,Prescriptions, Non Drug

Related Publications

Sarah Grube Jakobsen, and Christina Petrea Larsen, and Elsebeth Stenager, and Erik Christiansen
February 2013, Acta psychiatrica Scandinavica,
Sarah Grube Jakobsen, and Christina Petrea Larsen, and Elsebeth Stenager, and Erik Christiansen
March 2007, The Australian and New Zealand journal of psychiatry,
Sarah Grube Jakobsen, and Christina Petrea Larsen, and Elsebeth Stenager, and Erik Christiansen
November 2008, BMJ (Clinical research ed.),
Sarah Grube Jakobsen, and Christina Petrea Larsen, and Elsebeth Stenager, and Erik Christiansen
January 1986, Acta psychiatrica Belgica,
Sarah Grube Jakobsen, and Christina Petrea Larsen, and Elsebeth Stenager, and Erik Christiansen
September 2022, Scandinavian journal of work, environment & health,
Sarah Grube Jakobsen, and Christina Petrea Larsen, and Elsebeth Stenager, and Erik Christiansen
December 2021, Social psychiatry and psychiatric epidemiology,
Sarah Grube Jakobsen, and Christina Petrea Larsen, and Elsebeth Stenager, and Erik Christiansen
January 2012, Toxicology international,
Sarah Grube Jakobsen, and Christina Petrea Larsen, and Elsebeth Stenager, and Erik Christiansen
October 2023, The Lancet. Public health,
Sarah Grube Jakobsen, and Christina Petrea Larsen, and Elsebeth Stenager, and Erik Christiansen
November 2019, Acta psychiatrica Scandinavica,
Sarah Grube Jakobsen, and Christina Petrea Larsen, and Elsebeth Stenager, and Erik Christiansen
February 2017, European journal of public health,
Copied contents to your clipboard!