权益分类	功能权益	普通用户	{{item.name}}会员
{{category.name}}	{{benefitItem.name}}

Antidepressant Treatment and Suicidality: Biostatistical/Methodological Solutions

抗抑郁治疗和自杀：生物统计/方法学解决方案

基本信息

批准号：
8089395
负责人：
ROBERT D GIBBONS
金额：
$ 67.29万
依托单位：
UNIVERSITY OF CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-25 至 2014-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8089395
关键词：
Accounting Address Adolescent Adolescent Psychiatry Adult Adverse event Age Antidepressive Agents Area Autacoids Biological Biostatistical Methods Blood Circulation Boxing Cause of Death Centers for Disease Control and Prevention (U.S.)Cessation of life Child Child Psychiatry Clinical Code Collaborations Computerized Medical Record Country County Cross-Cultural Comparison Data Data Files Data Set Data Sources Databases Development Drug Prescriptions Electronics Epidemiology Etiology Europe European Event General Population Goals Grant Health Health Policy Health Services Health Status Human Hylobates Genus Individual Information Management Information Systems International Laboratories Lead Link Major Depressive Disorder Managed Care Maps Medical Medical Records Mental Depression Methodology Methods Modeling Molecular Mood Disorders Natural experiment Netherlands Outcome Patients Persons Pharmaceutical Preparations Pharmacoepidemiology Pharmacy facility Population Population Database Population Surveillance Positioning Attribute Prevention Research Property Psychiatrist Psychiatry Public Health Public Policy Race Recording of previous events Records Relative (related person)Reporting Research Research Personnel Research Project Grants Resources Risk Robin bird Role Safety Sampling Science Screening procedure Selective Serotonin Reuptake Inhibitor Series Solutions Statistical Methods Subgroup Suicide Suicide attempt Suicide prevention Surveillance Methods System Testing Time United States United States Department of Veterans Affairs United States National Center for Health Statistics Vertebral column Violence Vital Statistics Woman Work Youth accomplished suicide age group base cost design disorder prevention expectation experience health economics improved indexing male member multidisciplinary novel population based prevent psychologic sex social statistics suicidal behavior suicidal morbidity suicidal risk suicide mortality suicide rate suicide victim trend young adult

项目摘要

DESCRIPTION (provided by applicant): ABSTRACT The purpose of this proposal is to develop, test, and apply new statistical methodologies that can be used to identify low base rate drug adverse event (AE) interactions. These new methods will then be applied to a wide range of existing non- experimental datasets to examine the relationship between antidepressants and suicide attempts and completion. We have designed this research project as an integral collaboration between biostatisticians, research psychiatrists and clinicians, economists, and pharmacoepidemiologists, working with large ecological and medical records/claims electronic patient databases covering years where antidepressant use is varying dramatically. Three major specific aims are proposed: (a) the development of new statistical surveillance methods for detecting drug-AE interactions, (b) the development and application of analytic methods for ecological and population data, and (c) the development of and application of statistical methods for analysis of person-level data from large scale medical records/claims databases both in the U.S. and in Europe. The datasets that we have been granted access to include the FDA spontaneous reporting system (SRS/AERS/MedWatch), electronic medical record/claims databases in the U.S. (VA, and PHARMetrics), and similar data from the Netherlands (PHARMO). The work in this proposal will be carried out by a research consortium that will study national and international drug safety issues. The multidisciplinary group includes the areas of statistics (Drs. Gibbons, (PI), Brown (co-PI), Bhaumik, Hur, Marcus, and Rosenbaum), psychiatry from adult (Mann), and child (Brent) perspectives, health economics/econometrics (Heckman), and pharmacoepidemiology (Valuck). Collaboration with members of the VA (Cunningham), and PHARMO (Erkens, Herings) is an integral part of the proposal. PUBLIC HEALTH RELEVANCE: The enormous human cost of suicide makes research and prevention a national priority. Traditional approaches to drug safety have proved inadequate to address current public health issues. Providing statistical and methodological advances for the active surveillance of Drug-AE interactions, such as antidepressants and suicide, is a necessary first step in the establishment of a science-based health policy system, and is the primary goal of this proposal.

描述(由申请人提供)：本提案的目的是开发、测试和应用可用于识别低基准率药物不良事件(AE)相互作用的新的统计方法。然后，这些新方法将被应用于广泛的现有非实验数据集，以检查抗抑郁药与自杀企图和自杀完成之间的关系。我们将这一研究项目设计为生物统计学家、研究精神病学家和临床医生、经济学家和药物流行病学家之间的整体合作，使用涵盖抗抑郁药物使用变化巨大的多年的大型生态和医疗记录/索赔电子患者数据库。提出了三个主要的具体目标：(A)开发用于检测药物-AE相互作用的新的统计监测方法，(B)开发和应用生态和人口数据的分析方法，以及(C)开发和应用统计方法来分析来自美国和欧洲的大规模医疗记录/索赔数据库中的个人水平的数据。我们已获准访问的数据集包括FDA自发报告系统(SRS/AERS/MedWatch)、美国的电子医疗记录/索赔数据库(Va和PHARMetrics)以及荷兰的类似数据(PHARMO)。这项提案中的工作将由一个研究联盟进行，该联盟将研究国内和国际药物安全问题。多学科小组包括统计学(Gibbons博士、(Pi)、Brown(co-Pi)、Bhaumik、Hur、Marcus和Rosenbaum)、成人精神病学(Mann)和儿童精神病学(Brent)、卫生经济学/计量经济学(Heckman)和药物流行病学(Valuck)。与退伍军人事务部(坎宁安)和PHARMO(Erkens，Herings)成员的合作是该提案不可或缺的一部分。与公共卫生相关：自杀的巨大人类成本使研究和预防成为国家优先事项。事实证明，传统的药物安全方法不足以解决当前的公共卫生问题。为积极监测药物-AE相互作用，如抗抑郁药物和自杀，提供统计学和方法学上的进展，是建立以科学为基础的卫生政策体系的必要的第一步，也是本提案的主要目标。

项目成果

期刊论文数量（8）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Balancing Treatment Comparisons in Longitudinal Studies.

DOI：
10.3928/00485713-20081201-05
发表时间：
2008-12-01
期刊：
Psychiatric annals
影响因子：
0.5
作者：
Marcus SM;Siddique J;Have TR;Gibbons RD;Stuart E;Normand SL
通讯作者：
Normand SL

Proper studies of selective serotonin reuptake inhibitors are needed for youth with depression.

对于患有抑郁症的青少年，需要对选择性血清素再摄取抑制剂进行适当的研究。

DOI：
10.1503/cmaj.081989
发表时间：
2009
期刊：
CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
影响因子：
0
作者：
Gibbons,Robert;Mann,JJohn
通讯作者：
Mann,JJohn

Suicide attempts in patients with bipolar disorder tend to precede, not follow, initiation of antiepileptic drugs.

双相情感障碍患者的自杀企图往往发生在开始服用抗癫痫药物之前，而不是之后。