Evidence mapPaperPMID 38355513Full record

ArticleBMC medicine2024

Exploration of the potential association between GLP-1 receptor agonists and suicidal or self-injurious behaviors: a pharmacovigilance study based on the FDA Adverse Event Reporting System database.

Jianxing Zhou, You Zheng, Baohua Xu, Songjun Long, Li-E Zhu, Yunhui Liu, Chengliang Li, Yifan Zhang, Maobai Liu, Xuemei Wu

Abstract read
In one paragraph

Article in BMC medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 3 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

43 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Depressive symptoms at short-, medium-, and long-term follow-up after bariatric surgical procedures: A systematic review and meta-analysis.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2025
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  20. Progress and challenges in obesity pharmacotherapy: semaglutide as a milestone.Naunyn-Schmiedeberg's archives of pharmacology · 2025
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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

10 authors.

Jianxing ZhouDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
You ZhengDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Baohua XuDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Songjun LongSchool of Medical Imaging, Fujian Medical University, Fuzhou, Fujian, China.
Li-E ZhuDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Yunhui LiuDepartment of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Chengliang LiDepartment of Respiratory, Shanghai Electric Power Hospital, Shanghai, China.
Yifan ZhangShanghai Institute of Materia Medica, Chinese Academy of Sciences, Shanghai, China.
Maobai Liu *Department of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China. liumb0591@fjmu.edu.cn.
Xuemei Wu *Department of Pharmacy, Fujian Medical University Union Hospital, Fuzhou, Fujian, China. wuxuemei@fjmu.edu.cn.ORCID 0000-0003-1640-7385

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEstablishing whether there is a potential relationship between glucagon-like peptide 1 receptor agonists (GLP-1RAs) and suicidal or self-injurious behaviors (SSIBs) is crucial for public safety. This study investigated the potential association between GLP-1RAs and SSIBs by exploring the FDA Adverse Event Reporting System (FAERS) database.

methodsA disproportionality analysis was conducted using post-marketing data from the FAERS repository (2018 Q1 to 2022 Q4). SSIB cases associated with GLP-1RAs were identified and analyzed through disproportionality analysis using the information component. The parametric distribution with a goodness-of-fit test was employed to analyze the time-to-onset, and the Ω shrinkage was used to evaluate the potential effect of co-medication on the occurrence of SSIBs.

resultsIn total, 204 cases of SSIBs associated with GLP-1RAs, including semaglutide, liraglutide, dulaglutide, exenatide, and albiglutide, were identified in the FAERS database. Time-of-onset analysis revealed no consistent mechanism for the latency of SSIBs in patients receiving GLP-1RAs. The disproportionality analysis did not indicate an association between GLP-1RAs and SSIBs. Co-medication analysis revealed 81 cases with antidepressants, antipsychotics, and benzodiazepines, which may be proxies of mental health comorbidities.

conclusionsWe found no signal of disproportionate reporting of an association between GLP-1RA use and SSIBs. Clinicians need to maintain heightened vigilance on patients premedicated with neuropsychotropic drugs. This contributes to the greater acceptance of GLP-1RAs in patients with type 2 diabetes mellitus or obesity.

Indexed as

Diabetes Mellitus, Type 2Glucagon-Like Peptide-1 Receptor AgonistsHumansHypoglycemic AgentsPharmacovigilanceSuicidal IdeationGlucagon-Like Peptide-1 Receptor AgonistsHypoglycemic AgentsFAERS databaseGLP-1RAsObesityPharmacovigilanceSuicidal or self-injurious behaviorsType 2 diabetes

Identifiers

PMID38355513
PMCPMC10865629

What Socratic holds

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Registered trials

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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 Socratic graph.