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Record W3001099232 · doi:10.4088/jcp.20f13238

Angiotensin Receptor Blockers and the Risk of Suicide

2020· letter· en· W3001099232 on OpenAlexaboutno aff
Chittaranjan Andrade

Bibliographic record

VenueThe Journal of Clinical Psychiatry · 2020
Typeletter
Languageen
FieldMedicine
TopicElectroconvulsive Therapy Studies
Canadian institutionsnot available
Fundersnot available
KeywordsAngiotensin Receptor BlockersSuicide RiskMedicinePsychologyPsychiatryPharmacologySuicide preventionInternal medicinePoison controlRenin–angiotensin systemMedical emergency

Abstract

fetched live from OpenAlex

Angiotensin receptor blockers (ARBs), used in the treatment of hypertension, may modulate neurotransmission in the central nervous system. One previous very small case-control study had suggested that ARBs increase the odds of suicide. In a recent, large, population-based, nested case-control study conducted in Ontario, Canada, completed suicide was associated with significantly increased odds of an ARB prescription during the 100 days preceding the suicide; in this analysis, confounding by indication was reduced by comparing ARB exposure with angiotensin-converting enzyme inhibitor exposure. The results of this new study were widely disseminated in the scientific and mass media. However, at least some of the data presented in the study appeared implausible, and at least one important calculation was incorrect. Furthermore, important subgroup analyses were not conducted. These incongruities diminish the confidence of the reader in the data and in the analyses presented in the study. A generous conclusion is that, at best, ARB use is a marker of suicide risk that merits examination in studies that include a follow-up, in which absolute risks and dose-dependent and treatment duration-dependent effects can be examined. A parsimonious conclusion is that there is no association proven between ARB exposure and suicide.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.004
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesResearch integrity
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: Not applicable
GenreCandidate signal: Commentary · Consensus signal: Commentary
Teacher disagreement score0.061
Threshold uncertainty score0.995

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0040.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0020.001
Bibliometrics0.0000.000
Science and technology studies0.0000.002
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.007
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.038
GPT teacher head0.360
Teacher spread0.322 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designNot applicable
Domainnot available
GenreCommentary

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations4
Published2020
Admission routes1
Has abstractyes

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