Table 1. Characteristics of Children and Youths Who Were New Users of Antipsychotic or Control Medications Before Propensity Score Adjustment.
Characteristic | %a | ||
---|---|---|---|
Control Treatment | Antipsychotic Treatment | ||
≤50 mg | >50 mg | ||
New users, No. | 189 361 | 28 377 | 30 120 |
Prescriptions during follow-up, No. | 1 745 206 | 232 981 | 414 741 |
Age at prescription fill, mean (SD), y | 12.0 (5.1) | 11.7 (4.4) | 14.5 (4.8) |
Female sex | 43.4 | 32.3 | 39.2 |
White race/ethnicity | 72.3 | 60.8 | 60.6 |
Disability-related Medicaid enrollment | 11.3 | 25.8 | 29.7 |
Standard metropolitan statistical area | 55.8 | 57.7 | 61.4 |
Psychiatric conditions in past year | |||
ADHD, conduct disorder, or impulsivity | 71.4 | 76.3 | 64.1 |
Major depression | 6.0 | 8.7 | 14.7 |
Other mood disorder | 18.6 | 25.8 | 34.6 |
Bipolar disorder | 2.7 | 11.1 | 21.9 |
Anxiety, including panic disorder | 13.2 | 15.2 | 19.5 |
Mild or moderate intellectual disability | 0.9 | 2.8 | 4.2 |
Autism or Asperger syndrome | 1.4 | 6.4 | 6.2 |
Alcohol or drug abuse | 2.5 | 3.1 | 7.8 |
Suicidal tendencies or ideation | 1.6 | 4.3 | 8.0 |
Self-harm | 1.2 | 1.9 | 3.8 |
Psychiatric inpatient stay | 2.5 | 7.7 | 15.0 |
Learning disability | 5.6 | 7.0 | 5.3 |
Sleep disorder | 5.5 | 6.0 | 7.2 |
Other psychiatric diagnosisb | 5.3 | 7.8 | 10.1 |
Psychoactive medications in past 90 d | |||
ADHD medication: psychostimulant, SNRI, or α2-agonist | 66.2 | 61.0 | 45.1 |
Study antidepressant: SSRI, SNRI, or mirtazapine | 26.9 | 24.8 | 30.2 |
Mood stabilizerc | 6.6 | 13.3 | 25.0 |
Cyclic antidepressant | 2.6 | 5.4 | 3.8 |
Trazodone | 3.9 | 5.0 | 8.2 |
Benzodiazepine or selective benzodiazepine receptor agonist | 4.7 | 3.8 | 9.8 |
Anticonvulsants, occasional use as mood stabilizersd | 1.8 | 2.5 | 5.9 |
Opioid | 11.4 | 8.7 | 14.4 |
Cardiovascular conditions in past year | |||
Arrhythmia | 1.2 | 1.4 | 1.9 |
Diabetese | 1.9 | 1.6 | 2.7 |
Cardiovascular diagnosis | |||
Other majorf | 3.5 | 3.4 | 3.5 |
Other | 2.7 | 2.3 | 4.0 |
Smoker | 4.3 | 3.0 | 8.1 |
Obesity | 3.5 | 2.3 | 4.0 |
Cardiovascular medication | |||
Majorg | 1.2 | 1.0 | 1.3 |
Other | 3.1 | 2.3 | 5.0 |
Other conditions or medical care in past year | |||
Seizure disorder or convulsionsh | 2.9 | 5.1 | 6.0 |
Migraine or other neuropathic pain | 7.1 | 5.6 | 9.6 |
Asthmai | 28.1 | 23.8 | 25.1 |
Pneumonia | 3.1 | 2.3 | 2.6 |
Sleep apnea | 1.2 | 0.7 | 0.9 |
Somatic inpatient stay | 9.0 | 6.5 | 10.1 |
Pregnancy | 4.8 | 1.7 | 4.3 |
Emergency department injury visit | 25.3 | 26.6 | 30.5 |
Previous adverse drug reaction | 1.8 | 2.8 | 4.3 |
≤2 Outpatient visits | 63.9 | 41.6 | 43.7 |
Abbreviations: ADHD, attention-deficit/hyperactivity disorder; SNRI, selective norepinephrine reuptake inhibitor; SSRI, selective serotonin reuptake inhibitor.
Weighted according to the number of prescriptions written during follow-up. Age, calendar year, and psychoactive medication use were determined as of the date of each prescription fill; values of the other variables were fixed at the beginning of follow-up.
Includes antisocial and other personality disorders, dissociative disorder, eating disorder, sexual dysfunction, organic psychoses, and other psychiatric diagnoses.
Lithium and anticonvulsant mood stabilizers (carbamazepine, divalproex sodium, lamotrigine, oxcarbazepine, valproate sodium, and valproic acid).
Gabapentin, pregabalin, lacosamide, levetiracetam, tiagabine, topiramate, and zonisamide.
Diagnosis of diabetes or prescription for insulin.
Angina, revascularization, myocardial infarction or other coronary heart disease, valve disease, heart failure, cerebrovascular disease, peripheral vascular disease, malignant hypertension, and congenital cardiac anomaly.
Anticoagulant, antiarrhythmic, digoxin, loop diuretic, nitrate, other antianginal, peripheral vasodilator, and platelet inhibitor.
Diagnosis of convulsion or seizure disorder, or prescription for anticonvulsant.
Diagnosis of asthma or prescription for inhaled corticosteroid, bronchodilator, or β-agonist.