TY - JOUR
PY - 2022//
TI - Suicidality risk factors across the CARE-HD, 2CARE, and CREST-E clinical trials in Huntington disease
JO - Neurology. Clinical practice
A1 - McGarry, Andrew
A1 - Auinger, Peggy
A1 - Kieburtz, Karl D.
A1 - Bredlau, Amy-Lee
A1 - Hersch, Steven M.
A1 - Rosas, H. Diana
SP - 131
EP - 138
VL - 12
IS - 2
N2 - BACKGROUND AND OBJECTIVES: Suicidality is a common concern in the routine care of persons with Huntington disease (HD) and for the many participants in HD clinical trials. In a previous analysis, we identified baseline and time-dependent factors associated with suicidal ideation and attempts from 2CARE, a large, randomized, double-blind clinical trial.
METHODS: The present analysis extends our prior methodology to 2 other large interventional HD clinical trials, CARE-HD and CREST-E.
RESULTS: We observed relationships across studies between suicidality events and prior suicidal ideation at baseline, antidepressant/anxiolytic use, chorea, increasing age, and several domains in the Unified Huntington Disease Rating Scale (UHDRS) Behavioral Assessment (depressed mood, low self-esteem, aggression, and active suicidality).
DISCUSSION: These data may form the basis for a subscale of demographic and UHDRS items with the potential for prospectively identifying suicidality risk in HD clinics and clinical trials. TRIAL REGISTRATION INFORMATION: 2CARE and CREST are registered at clinicaltrials.gov. 2CARE NCT00608881, registered February 6, 2008; first enrollment March 2008. CREST-E NCT00712426, registered July 10, 2008; first enrollment September 2009. CARE-HD, not registered; first enrollment July 1997.
Language: en
LA - en SN - 2163-0402 UR - http://dx.doi.org/10.1212/CPJ.0000000000001161 ID - ref1 ER -