Page last updated: 2024-10-31

mirtazapine and Suicidal Ideation

mirtazapine has been researched along with Suicidal Ideation in 12 studies

Mirtazapine: A piperazinoazepine tetracyclic compound that enhances the release of NOREPINEPHRINE and SEROTONIN through blockage of presynaptic ALPHA-2 ADRENERGIC RECEPTORS. It also blocks both 5-HT2 and 5-HT3 serotonin receptors and is a potent HISTAMINE H1 RECEPTOR antagonist. It is used for the treatment of depression, and may also be useful for the treatment of anxiety disorders.

Suicidal Ideation: A risk factor for suicide attempts and completions, it is the most common of all suicidal behavior, but only a minority of ideators engage in overt self-harm.

Research Excerpts

ExcerptRelevanceReference
"This report used acute treatment data from a clinically representative sample of outpatients with nonpsychotic major depressive disorder (N = 665) participating in the Combining Medications to Enhance Depression Outcomes trial, who received up to 12 weeks of escitalopram, escitalopram plus bupropion SR, or venlafaxine XR plus mirtazapine."5.30The Concise Health Risk Tracking Self-Report (CHRT-SR) assessment of suicidality in depressed outpatients: A psychometric evaluation. ( Carmody, TJ; De La Garza, N; Grannemann, BD; Killian, MO; Rush, AJ; Trivedi, MH, 2019)
"Prior studies have suggested that major depressive disorder (MDD) with pre-adult onset represents a distinct subtype with greater symptom severity and higher rates of suicidal ideation."2.78Does early-onset chronic or recurrent major depression impact outcomes with antidepressant medications? A CO-MED trial report. ( Balasubramani, GK; Kurian, B; Rush, AJ; Sung, SC; Trivedi, MH; Warden, D; Wisniewski, SR; Zisook, S, 2013)
"Baseline suicidal ideation was associated with greater depressive severity, childhood neglect, childhood abuse, early major depressive disorder onset, greater psychiatric comorbidity, and worse functioning and quality of life."2.76Effect of antidepressant medication treatment on suicidal ideation and behavior in a randomized trial: an exploratory report from the Combining Medications to Enhance Depression Outcomes Study. ( Fava, M; Kallenberg, G; Lebowitz, B; Lesser, IM; Luther, JF; Morris, DW; Nierenberg, AA; Rush, AJ; Trivedi, MH; Wisniewski, SR; Zisook, S, 2011)
"Major depressive disorders have a significant impact on children and adolescents, including on educational and vocational outcomes, interpersonal relationships, and physical and mental health and well-being."2.72New generation antidepressants for depression in children and adolescents: a network meta-analysis. ( Badcock, PB; Bailey, AP; Cox, GR; Hetrick, SE; McKenzie, JE; Meader, N; Merry, SN; Moller, CI; Sharma, V, 2021)
"Sertraline was the antidepressant most likely to reduce suicidality in our sample."1.36Was Cipriani right? Audits to compare discharge rates and suicidality between antidepressant monotherapies used in a British community mental health team. ( Agius, M; Gardner, J; Liu, K; Zaman, R, 2010)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's9 (75.00)24.3611
2020's3 (25.00)2.80

Authors

AuthorsStudies
Wu, S1
Lin, M1
Rice, T1
Coffey, BJ1
Lim, SY1
Bodagh, N1
Scott, G1
Hill, NE1
Yang, L1
Wu, Z1
Cao, L1
Wang, Y2
Su, Y1
Huang, J1
Fang, M1
Yao, Z1
Wang, Z1
Wang, F1
Zhu, Y1
Chen, J1
Peng, D1
Fang, Y1
Hetrick, SE1
McKenzie, JE1
Bailey, AP1
Sharma, V1
Moller, CI1
Badcock, PB1
Cox, GR1
Merry, SN1
Meader, N1
Gandotra, K1
Chen, P1
Jaskiw, GE1
Konicki, PE1
Strohl, KP1
De La Garza, N1
Rush, AJ3
Killian, MO1
Grannemann, BD1
Carmody, TJ1
Trivedi, MH3
Agius, M3
Gardner, J1
Liu, K1
Zaman, R3
Holt, C2
Butler, S2
Zisook, S2
Lesser, IM1
Lebowitz, B1
Kallenberg, G1
Wisniewski, SR2
Nierenberg, AA1
Fava, M1
Luther, JF1
Morris, DW1
Estabrook, KR1
Pheister, M1
Sung, SC1
Balasubramani, GK1
Kurian, B1
Warden, D1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Sequenced Treatment Alternatives to Relieve Adolescent Depression (STAR-AD) a Multicentre Open-label Randomized Controlled Trial Protocol[NCT05814640]Phase 1/Phase 2520 participants (Anticipated)Interventional2023-02-20Recruiting
Combining Medications to Enhance Depression Outcomes[NCT00590863]Phase 4665 participants (Actual)Interventional2008-03-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Quality of Life Inventory

The Quality of Life Inventory (QOLI) is a 32-item comprehensive self-report of satisfaction in 16 areas of life, such as love, work, and health. Each area is rated in terms of satisfaction and the relationship of that area to overall quality of life. It yields an overall raw score and satisfaction ratings for the 16 individual areas of life. The QOLI raw score is an average of weighted satisfaction ratings computed only over areas of life judged to be Important or Extremely Important to the respondent. Higher scores indicate higher reported quality of life. (NCT00590863)
Timeframe: Measured at Month 7

Interventionunits on a scale (Mean)
Escitalopram + Bupropion SR0.6
Venlafaxine XR + Mirtazapine0.4
Escitalopram + Placebo0.4

Quick Inventory of Depressive Symptoms

Percentage of patients that achieve remission, as defined as QIDS total score below 6 for last 2 study visits. QIDS depression scores range from 0 (normal) to 27 (very severe). (NCT00590863)
Timeframe: Measured at Month 7

Interventionpercentage of participants (Number)
Escitalopram + Bupropion SR46.6
Venlafaxine XR + Mirtazapine41.8
Escitalopram + Placebo46.0

Reviews

1 review available for mirtazapine and Suicidal Ideation

ArticleYear
New generation antidepressants for depression in children and adolescents: a network meta-analysis.
    The Cochrane database of systematic reviews, 2021, 05-24, Volume: 5

    Topics: Adolescent; Antidepressive Agents; Bias; Child; Citalopram; Depressive Disorder, Major; Desvenlafaxi

2021

Trials

4 trials available for mirtazapine and Suicidal Ideation

ArticleYear
Predictors and moderators of quality of life in patients with major depressive disorder: An AGTs-MDD study report.
    Journal of psychiatric research, 2021, Volume: 138

    Topics: Citalopram; Depressive Disorder, Major; Female; Humans; Male; Mirtazapine; Quality of Life; Suicidal

2021
The Concise Health Risk Tracking Self-Report (CHRT-SR) assessment of suicidality in depressed outpatients: A psychometric evaluation.
    Depression and anxiety, 2019, Volume: 36, Issue:4

    Topics: Adult; Aged; Bupropion; Citalopram; Depression; Depressive Disorder, Major; Drug Therapy, Combinatio

2019
Effect of antidepressant medication treatment on suicidal ideation and behavior in a randomized trial: an exploratory report from the Combining Medications to Enhance Depression Outcomes Study.
    The Journal of clinical psychiatry, 2011, Volume: 72, Issue:10

    Topics: Adolescent; Adult; Aged; Antidepressive Agents; Bupropion; Citalopram; Cyclohexanols; Delayed-Action

2011
Does early-onset chronic or recurrent major depression impact outcomes with antidepressant medications? A CO-MED trial report.
    Psychological medicine, 2013, Volume: 43, Issue:5

    Topics: Adolescent; Adult; Age of Onset; Aged; Antidepressive Agents, Second-Generation; Bupropion; Child Ab

2013

Other Studies

7 other studies available for mirtazapine and Suicidal Ideation

ArticleYear
Case Report: When Time is of the Essence-Benefits of Mirtazapine in an Adolescent with Major Depressive Disorder and Insomnia, Suicidal Thoughts, and Catatonic Features.
    Journal of child and adolescent psychopharmacology, 2022, Volume: 32, Issue:3

    Topics: Adolescent; Depression; Depressive Disorder, Major; Humans; Mirtazapine; Sleep Initiation and Mainte

2022
Hyponatraemia: the importance of obtaining a detailed history and corroborating point-of-care analysis with laboratory testing.
    BMJ case reports, 2019, Dec-09, Volume: 12, Issue:12

    Topics: Aged; Confusion; Humans; Hyponatremia; Inappropriate ADH Syndrome; Male; Medical History Taking; Mir

2019
Effective Treatment of Insomnia With Mirtazapine Attenuates Concomitant Suicidal Ideation.
    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 2018, 05-15, Volume: 14, Issue:5

    Topics: Adult; Aged; Antidepressive Agents; Depressive Disorder; Humans; Male; Middle Aged; Mirtazapine; Sle

2018
Was Cipriani right? Audits to compare discharge rates and suicidality between antidepressant monotherapies used in a British community mental health team.
    Psychiatria Danubina, 2010, Volume: 22 Suppl 1

    Topics: Antidepressive Agents; Citalopram; Community Mental Health Services; Cyclohexanols; Depressive Disor

2010
An audit to compare patient factors (age, sex, social background & associated physical diagnoses) in people with refractory depression in a Bedfordshire Community Mental Health Team (BCMHT) being augmented with (A) mirtazepine, (B) atypical antipsychotics
    Psychiatria Danubina, 2011, Volume: 23 Suppl 1

    Topics: Adult; Age Distribution; Alcoholism; Antidepressive Agents, Tricyclic; Antipsychotic Agents; Combine

2011
An audit to compare the efficacy of treatment (as indicated by discharge rates and reduction in suicidality) among patients with refractory depression in a Bedfordshire Community Mental Health Team receiving augmentation therapy with either mirtazepine or
    Psychiatria Danubina, 2011, Volume: 23 Suppl 1

    Topics: Adult; Age Distribution; Antidepressive Agents, Tricyclic; Antipsychotic Agents; Combined Modality T

2011
A case of quetiapine XR and divalproex-associated neutropenia followed by successful use of ziprasidone.
    Journal of clinical psychopharmacology, 2012, Volume: 32, Issue:3

    Topics: Adult; Anti-Anxiety Agents; Antimanic Agents; Antipsychotic Agents; Anxiety Disorders; Bipolar Disor

2012