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Discontinuing Psychiatric Medications: A Survey of Long-Term Users

Overview of attention for article published in Psychiatric Services, December 2017
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • Among the highest-scoring outputs from this source (#18 of 2,893)
  • High Attention Score compared to outputs of the same age (98th percentile)
  • High Attention Score compared to outputs of the same age and source (94th percentile)

Mentioned by

news
12 news outlets
blogs
6 blogs
twitter
80 tweeters
facebook
6 Facebook pages
googleplus
1 Google+ user

Citations

dimensions_citation
11 Dimensions

Readers on

mendeley
48 Mendeley
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Title
Discontinuing Psychiatric Medications: A Survey of Long-Term Users
Published in
Psychiatric Services, December 2017
DOI 10.1176/appi.ps.201700070
Pubmed ID
Authors

Laysha Ostrow, Lauren Jessell, Manton Hurd, Sabrina M. Darrow, David Cohen

Abstract

Individuals undergoing long-term psychiatric treatment frequently choose to stop taking psychiatric medications. To enhance service user choice and prevent undesirable outcomes, this first U.S. survey of a large sample of longer-term users sought to increase knowledge about users' experience of medication discontinuation. A sample of 250 U.S. adults with a diagnosis of serious mental illness and a recent goal to stop up to two prescribed psychiatric medications, which they had taken for at least nine months, completed a web-based survey about experiences, strategies, and supports during discontinuation. About half (54%) met their goal of completely discontinuing one or more medications; 46% reported another outcome (use was reduced, use increased, or use stayed the same). Concerns about medications' effects (for example, long-term effects and side effects) prompted the decision to discontinue for 74% of respondents. They used various strategies to cope with withdrawal symptoms, which 54% rated as severe. Self-education and contact with friends and with others who had discontinued or reduced medications were most frequently cited as helpful. Although more than half rated the initial medication decision with prescribers as largely collaborative, only 45% rated prescribers as helpful during discontinuation. Of respondents who completely discontinued, 82% were satisfied with their decision. Discontinuing psychiatric medication appears to be a complicated and difficult process, although most respondents reported satisfaction with their decision. Future research should guide health care systems and providers to better support patient choice and self-determination regarding the use and discontinuation of psychiatric medication.

Twitter Demographics

The data shown below were collected from the profiles of 80 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 48 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 48 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 10 21%
Researcher 9 19%
Student > Doctoral Student 7 15%
Other 5 10%
Unspecified 4 8%
Other 13 27%
Readers by discipline Count As %
Medicine and Dentistry 11 23%
Unspecified 9 19%
Psychology 9 19%
Social Sciences 7 15%
Nursing and Health Professions 6 13%
Other 6 13%

Attention Score in Context

This research output has an Altmetric Attention Score of 193. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 August 2019.
All research outputs
#68,988
of 13,481,034 outputs
Outputs from Psychiatric Services
#18
of 2,893 outputs
Outputs of similar age
#2,882
of 215,285 outputs
Outputs of similar age from Psychiatric Services
#2
of 37 outputs
Altmetric has tracked 13,481,034 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 99th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,893 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.9. This one has done particularly well, scoring higher than 99% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 215,285 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 98% of its contemporaries.
We're also able to compare this research output to 37 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 94% of its contemporaries.