TY - JOUR PY - 2021// TI - Study designs and statistical approaches to suicide and prevention research in real-world data JO - Suicide and life-threatening behavior A1 - Lavigne, Jill E. A1 - Lagerberg, Tyra A1 - Ambrosi, John W. A1 - Chang, Zheng SP - 127 EP - 136 VL - 51 IS - 1 N2 - OBJECTIVE: To provide researchers, clinicians and policy makers with a primer to study designs, statistical approaches and graphical reporting methods for suicide research in real world data (RWD).

METHODS: Study designs, statistical method and graphical reporting standards are detailed with examples from the recently published literature.

RESULTS: Data sources and codes for identifying suicidal behavior are described. Study designs are described in detail for post-market surveillance, retrospective cohort studies, case control and nested case-control studies, and self-controlled (within-individual) studies including applications of marginal structural models. Graphical reporting of designs is described using an original research study.

CONCLUSIONS: Compared to RCTs, RWE studies offer larger sample sizes, greater generalizability, and real-world validity. However, these non-experimental data risk uncontrolled confounding and potential introduction of bias unless data, design and statistical approaches are rigorously aligned.

Language: en

LA - en SN - 0363-0234 UR - http://dx.doi.org/10.1111/sltb.12677 ID - ref1 ER -