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Abstract Details

Activity Number: 272
Type: Invited
Date/Time: Tuesday, July 31, 2012 : 8:30 AM to 10:20 AM
Sponsor: Section on Statistics in Epidemiology
Abstract - #303590
Title: Causal Link Between Antiepileptic Drugs and Suicide Attempts: A Propensity Score Matching Analysis in Patients with Bipolar Disorder
Author(s): Bo Lu*+
Companies: The Ohio State University
Address: 244 Cunz Hall, Columbus, OH, 43235,
Keywords: Propensity Score ; Matching ; Difference-in-difference ; AED
Abstract:

In 2008, the Food and Drug Administration (FDA) issued an alert regarding increased risk of suicidal thoughts and behavior related to use of antiepileptic drugs (AEDs). The FDA scientific advisory committee concluded a significant positive association between AEDs and suicidality, but voted against placing a black box warning on AEDs for suicidality. To investigate the causal relationship between use of AEDs and risk of suicide attempts, we implement a propensity score matching analysis for a cohort of patients with bipolar disorder. To accommodate a person-year suicide attempt rate outcome, we modify the potential outcome framework, compare different estimation strategies and elaborate their causal interpretations. The important information on pre-treatment suicide attempts is incorporated in several ways, including matching, regression modeling and a difference-in-difference type of adjustment.


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