TY - JOUR PY - 2011// TI - Clinical and statistical assessment of suicidal ideation and behavior in pharmaceutical trials JO - Clinical pharmacology and therapeutics A1 - Gassmann-Mayer, C. A1 - Jiang, K. A1 - McSorley, P. A1 - Arani, R. A1 - Dubrava, S. A1 - Suryawanshi, S. A1 - Webb, D. M. A1 - Nilsson, M. SP - 554 EP - 560 VL - 90 IS - 4 N2 - In the past two decades, the potential association between the risk of suicidal ideation and behavior and the clinical use of pharmaceutical products has been debated among industry, regulators, and academia. A better understanding of the possible effects-favorable, unfavorable, or neutral-of pharmaceuticals on the risk of suicidal ideation and behavior may be required, especially for trials typically designed for other primary objectives. Here, a cross-industry statistical team provides recommendations that address the assessment, statistical analysis, interpretation, and utility of suicide-related data in pharmaceutical clinical trials. These recommendations are to evaluate suicidal ideation, suicidal behavior, and the two combined as end points; utilize standard scales to collect data prospectively; and analyze the data using several statistical methods. A more accurate assessment of the potential association between the use of pharmaceutical products and risk of suicide-related events will contribute to estimating the benefit/risk ratio and result in safer medicines for patients.

Language: en

LA - en SN - 0009-9236 UR - http://dx.doi.org/10.1038/clpt.2011.144 ID - ref1 ER -