[
  {
    "phenotype_id": "PH704",
    "phenotype_version_id": 1408,
    "name": "Other Adds",
    "definition": "Background:\n\nLittle is known about the precursors of suicide risk among primary-care patients. This study aimed to examine suicide risk in relation to patterns of clinical consultation, psychotropic drug prescribing, and psychiatric diagnoses.\n\n\nMethod: \n\nNested case-control study in the Clinical Practice Research Datalink (CPRD), England. Patients aged516 years who died by suicide during 2002–2011 (N = 2384) were matched on gender, age and practice with up to 20 living control patients (N = 46 899).\n\n\nResults: \n\nRisk was raised among non-consulting patients, and increased sharply with rising number of consultations in the preceding year [512 consultations v. 1: unadjusted odds ratio (OR) 6.0, 95% confidence interval (CI) 4.9–7.3]. Markedly elevated risk was also associated with the prescribing of multiple psychotropic medication types (55 types v. 0: OR 62.6, CI 44.3–88.4) and with having several psychiatric diagnoses (54 diagnoses v. 0: OR 31.1, CI 19.3–50.1). Risk was also raised among patients living in more socially deprived localities. The confounding effect of multiple psychotropic drug types largely accounted for the rising risk gradient observed with increasing consultation frequency.\n\n\nConclusions: \n\nA greater proportion of patients with several psychiatric diagnoses, those prescribed multiple psychotropic medication types, and those who consult at very high frequency might be considered for referral to mental health services by their general practitioners. Non-consulters are also at increased risk, which suggests that conventional models of primary care may not be effective in meeting the needs of all people in the community experiencing major psychosocial difficulties.\n\n\n\n\n\n\n\n\n",
    "implementation": "",
    "publications": [
      {
        "doi": null,
        "details": "K Windfuhr, D While, N Kapur, D M Ashcroft, E Kontopantelis, M J Carr, J Shaw, L Appleby, R T Webb, Suicide risk linked with clinical consultation frequency, psychiatric diagnoses and psychotropic medication prescribing in a national study of primary-care patients. Psychological Medicine, 46, 3407-3417, 2016."
      }
    ],
    "validation": "",
    "citation_requirements": "",
    "created": "2021-10-06T16:30:54.027325Z",
    "author": "K Windfuhr, D While, N Kapur, D M Ashcroft, E Kontopantelis, M J Carr, J Shaw, L Applyby, R T Webb",
    "collections": [
      {
        "name": "ClinicalCodes Repository",
        "value": 25
      },
      {
        "name": "Phenotype Library",
        "value": 18
      }
    ],
    "tags": null,
    "organisation": null,
    "world_access": 1,
    "updated": "2021-10-06T16:30:54.027354Z",
    "sex": [
      {
        "name": "Both",
        "value": "3"
      }
    ],
    "type": [
      {
        "name": "Drug",
        "value": "3"
      }
    ],
    "ontology": null,
    "phenoflowid": "",
    "data_sources": [
      {
        "name": "CPRD GOLD",
        "value": 5,
        "uid": "a29feafa-7bdd-44e9-b977-c9d26425e67f",
        "url": "https://healthdatagateway.org/en/dataset/694",
        "datasource_id": 694
      }
    ],
    "coding_system": [
      {
        "name": "Multilex codes",
        "value": 16
      }
    ],
    "event_date_range": "01/01/2002 - 31/12/2011",
    "concept_information": [
      {
        "concept_id": 2124,
        "concept_version_id": 5386,
        "concept_name": "Other Adds - Primary Care",
        "coding_system": {
          "id": 16,
          "name": "Multilex codes",
          "description": "Multilex codes"
        },
        "phenotype_id": "PH704",
        "phenotype_version_id": 1408,
        "phenotype_name": "Other Adds",
        "code_attribute_header": [
          "Entity type",
          "Coding System (Multilex)",
          "Category"
        ],
        "codes": [
          {
            "code": "10967020",
            "description": "Duloxetine 60mg gastro-resistant capsules (Sigma Pharmaceuticals Plc)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "21206020",
            "description": "Mirtazapine 15mg/ml oral solution sugar free (A A H Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "35355020",
            "description": "Venlafaxine 150mg/5ml oral solution",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "35357020",
            "description": "Venlafaxine 37.5mg/5ml oral solution",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "35359020",
            "description": "Venlafaxine 75mg/5ml oral solution",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "3818020",
            "description": "Fluanxol 1mg tablets (Sigma Pharmaceuticals Plc)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "38595020",
            "description": "Mirtazapine 15mg tablets (Medreich Plc)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "3942020",
            "description": "Venlafaxine 37.5mg tablets (Ranbaxy (UK) Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "3965020",
            "description": "Venlablue XL 75mg capsules (Bluefish Pharmaceuticals AB)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "3966020",
            "description": "Alventa XL 75mg capsules (Consilient Health Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "3970020",
            "description": "Efexor XL 150mg capsules (Waymade Healthcare Plc)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "3976020",
            "description": "Venlablue XL 150mg capsules (Bluefish Pharmaceuticals AB)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "3977020",
            "description": "Alventa XL 150mg capsules (Consilient Health Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "41252020",
            "description": "Mirtazapine 15mg orodispersible tablets sugar free",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "41253020",
            "description": "Mirtazapine 15mg orodispersible tablets sugar free (Sandoz Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "41254020",
            "description": "Mirtazapine 45mg orodispersible tablets sugar free",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "48376020",
            "description": "Efexor 37.5mg tablets (Wyeth Pharmaceuticals)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "48377020",
            "description": "Efexor 75mg tablets (Wyeth Pharmaceuticals)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "49502020",
            "description": "Fluanxol 500microgram tablets (Lundbeck Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "49503020",
            "description": "Fluanxol 1mg tablets (Lundbeck Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "50286020",
            "description": "Marplan 10mg Tablet (Cambridge Laboratories Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "50620020",
            "description": "Nardil 15mg tablets (Archimedes Pharma UK Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "50868020",
            "description": "Optimax 500mg tablets (Merck Serono Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "50957020",
            "description": "Pacitron 500mg Tablet (Rorer Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "51010020",
            "description": "Parnate 10mg Tablet (Goldshield Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "51013020",
            "description": "Parstelin Tablet (GlaxoSmithKline Consumer Healthcare)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "54686020",
            "description": "Venlafaxine 37.5mg tablets",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "54687020",
            "description": "Venlafaxine 75mg tablets",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "54978020",
            "description": "Optimax wv Tablet (E. Merck)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "59180020",
            "description": "Isocarboxazid 10mg Tablet (Cambridge Laboratories Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "62025020",
            "description": "Flupentixol 500microgram tablets",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "62026020",
            "description": "Flupentixol 1mg tablets",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "63638020",
            "description": "Isocarboxazid 10mg tablets",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "63795020",
            "description": "Moclobemide 150mg tablets (Teva UK Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "65266020",
            "description": "Tranylcypromine 10mg tablets (AMCo)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "65635020",
            "description": "Phenelzine 15mg tablets",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "67145020",
            "description": "Tranylcypromine 10mg tablets",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "67148020",
            "description": "Tranylcypromine with trifluoperazine Tablet",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "67310020",
            "description": "Tryptophan 500mg tablets",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "67314020",
            "description": "Tryptophan with ascorbic acid and pyridoxine powder",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "68128020",
            "description": "Mirtazapine 15mg/ml oral solution sugar free (Rosemont Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "68213020",
            "description": "Mirtazapine 30mg tablets (Actavis UK Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "68484020",
            "description": "Mirtazapine 30mg tablets (A A H Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "69003020",
            "description": "Trifluoperazine with tranylcypromine 1mg + 10mg Tablet",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "69827020",
            "description": "Mirtazapine 15mg tablets (A A H Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "69832020",
            "description": "Mirtazapine 45mg tablets (A A H Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "70353020",
            "description": "Mirtazapine 15mg tablets (Arrow Generics Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "71074020",
            "description": "Mirtazapine 15mg tablets (Genus Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "71994020",
            "description": "Manerix 150mg tablets (Meda Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "71995020",
            "description": "Manerix 300mg tablets (Meda Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "72031020",
            "description": "Moclobemide 150mg tablets",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "72032020",
            "description": "Moclobemide 300mg tablets",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "74026020",
            "description": "Mirtazapine 15mg orodispersible tablets (Teva UK Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "74033020",
            "description": "Mirtazapine 45mg orodispersible tablets (Teva UK Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "74665020",
            "description": "Mirtazapine 30mg orodispersible tablets (Actavis UK Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "74668020",
            "description": "Mirtazapine 45mg orodispersible tablets (Actavis UK Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "74684020",
            "description": "Mirtazapine 15mg orodispersible tablets (Focus Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "74689020",
            "description": "Mirtazapine 45mg orodispersible tablets (Focus Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "74702020",
            "description": "Mirtazapine 15mg orodispersible tablets (A A H Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "74705020",
            "description": "Mirtazapine 30mg orodispersible tablets (A A H Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "74708020",
            "description": "Mirtazapine 45mg orodispersible tablets (A A H Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "74967020",
            "description": "Mirtazapine 15mg orodispersible tablets (Genus Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "74977020",
            "description": "Mirtazapine 45mg orodispersible tablets (Genus Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "75309020",
            "description": "Mirtazapine 15mg tablets (Teva UK Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "76425020",
            "description": "Mirtazapine 15mg tablets (Actavis UK Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "76512020",
            "description": "Mirtazapine 15mg orodispersible tablets (Aurobindo Pharma Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "78577020",
            "description": "Mirtazapine 30mg orodispersible tablets (Almus Pharmaceuticals Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "84955020",
            "description": "Reboxetine 4mg tablets",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "84961020",
            "description": "Edronax 4mg tablets (Pfizer Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "85108020",
            "description": "Venlafaxine 75mg modified-release capsules",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "85109020",
            "description": "Venlafaxine 150mg modified-release capsules",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "85163020",
            "description": "Efexor XL 75mg capsules (Pfizer Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "85164020",
            "description": "Efexor XL 150mg capsules (Pfizer Ltd)",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "85247020",
            "description": "Mirtazapine 30mg tablets",
            "attributes": {
              "Entity type": "res38: Other ADDs",
              "Coding System (Multilex)": "Multilex",
              "Category": "drug"
            }
          },
          {
            "code": "85251020",
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