Obesity

Association of semaglutide with risk of suicidal ideation in a real-world cohort

Nat MedPublished Retrospective cohort study

Authors' conclusion

Our findings do not support higher risks of suicidal ideation with semaglutide compared with non-GLP1R agonist anti-obesity or anti-diabetes medications.

Study context

Population
Patients with overweight or obesity prescribed semaglutide or non-GLP1R agonist anti-obesity medications (mean age 50.1 years, 72.6% female); replication in patients with T2D (mean age 57.5 years, 49.2% female)overweight/obesity cohort
Participants
240,618 patients
Exposure
Semaglutide vs non-GLP1R agonist anti-obesity or anti-diabetes medications
Outcome
Incident and recurrent suicidal ideation
Follow-up
6-month follow-up
Methodological detailspropensity score-matched, electronic health records (TriNetX Analytics Network)
  • Propensity score-matched
  • Electronic health records (TriNetX Analytics Network)

Main finding

As reported in the abstract

Semaglutide vs Non-GLP1R agonistHazard ratio (95% CI)
Recurrent suicidal ideation
0.44(0.32–0.60)
Incident suicidal ideation; CI not legibly printed
HR 0.27

Observational data: associations, not effects.

Further findings

Suicidal ideation by sex, age and ethnicity

Lower risk consistent across sex, age and ethnicity stratification

Suicidal ideation, T2D cohort (replication)

T2D cohort size
1,589,855 patients
Similar findings replicated in patients with T2D

Original publication

Association of semaglutide with risk of suicidal ideation in a real-world cohort. Nat Med. Published 5 January 2024. doi:10.1038/s41591-023-02672-2

Composed by AI from the published abstract and checked against it. How Briefs are made →

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