Evidence mapPaperPMID 40556014Full record

ArticleEuropean psychiatry : the journal of the Association of European Psychiatrists2025

Does treatment of adolescent depression reduce risk of later psychosis: A quasi-experimental study of selective serotonin reuptake inhibitor treatment in a total population cohort.

Colm Healy, Kirsite O'Hare, Ulla Lång, Martta Kerkelä, Jonah Byrne, Juha Veijola, Anna Pulakka, Johanna Metsälä, Eero Kajantie, Ian Kelleher

Erratum issuedAbstract read
In one paragraph

Article in European psychiatry : the journal of the Association of European Psychiatrists, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
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

6 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors.

Colm HealyCentre for Clinical Brain Sciences, Division of Psychiatry, https://ror.org/01nrxwf90University of Edinburgh, Edinburgh, UK.
Kirsite O'HareCentre for Clinical Brain Sciences, Division of Psychiatry, https://ror.org/01nrxwf90University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-1166-9792
Ulla LångCentre for Clinical Brain Sciences, Division of Psychiatry, https://ror.org/01nrxwf90University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-1399-0635
Martta KerkeläFaculty of Medicine, https://ror.org/01nrxwf90University of Oulu, Oulu, Finland.ORCID https://orcid.org/0000-0002-1181-2632
Jonah ByrneCentre for Clinical Brain Sciences, Division of Psychiatry, https://ror.org/01nrxwf90University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0002-7046-0630
Juha VeijolaFaculty of Medicine, https://ror.org/01nrxwf90University of Oulu, Oulu, Finland.
Anna PulakkaPopulation Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.ORCID https://orcid.org/0000-0002-0602-8632
Johanna MetsäläPopulation Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.ORCID https://orcid.org/0000-0003-3806-1020
Eero KajantieResearch Unit of Population Health, University of Oulu, Oulu, Finland.
Ian KelleherCentre for Clinical Brain Sciences, Division of Psychiatry, https://ror.org/01nrxwf90University of Edinburgh, Edinburgh, UK.ORCID https://orcid.org/0000-0003-1484-651X

Funding

Academy of Medical Sciences F-115142Department for Business, Energy and Industrial Strategy, UK Government F-115143Health Research Board F-115141
6 · The paper itself

Abstract

backgroundPsychotic disorders are frequently preceded by depressive disorders, and it has been hypothesized that treatment of depression in youth may reduce risk for later psychosis. Using quasi-experimental methods, we estimated the causal relationship between the treatment of adolescent depression with selective serotonin reuptake inhibitors (SSRIs) and the risk of later psychosis.

methodsWe used data linkage from multiple national Finnish registries for all individuals (

resultsOur final sample included 22,666 individuals diagnosed with depression in adolescence, of whom 60.2% (

conclusionsOur quasi-experimental investigation does not support the hypothesis that treatment of adolescent depression reduces the subsequent risk of psychosis. Our findings question the assumption that treatment of common mental health disorders in youth may impact the risk of developing severe mental illnesses in adulthood.

Indexed as

Depressive DisorderPsychotic DisordersRegistriesSelective Serotonin Reuptake InhibitorsAdolescentAdultCohort StudiesFemaleFinlandHumansMaleYoung AdultSelective Serotonin Reuptake Inhibitorsdepressionemulated target trialpreventionpsychosisschizophreniaSSRIs

Identifiers

PMID40556014
PMCPMC12188345

What Socratic holds

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Read underepoch 390

Registered trials

None linked

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.