{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T15:26:47Z","timestamp":1788276407415,"version":"build-2803163510"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T00:00:00Z","timestamp":1780617600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100023670","name":"Nyckelfonden","doi-asserted-by":"publisher","award":["961230"],"award-info":[{"award-number":["961230"]}],"id":[{"id":"10.13039\/501100023670","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Psychiatr Scand"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>There is evidence that electroconvulsive therapy (ECT) can augment the effects of antipsychotics in schizophrenia. However, there is limited evidence from Western populations on whether ECT reduces the risk of relapse compared to non\u2010ECT treatment in schizophrenia. This study aimed to compare time to psychiatric readmission or suicide among inpatients with schizophrenia treated with or without ECT, as well as those receiving index series with or without continuation ECT (C\u2010ECT).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Register\u2010based study utilizing data from Swedish nationwide registers. Patients with schizophrenia who received both inpatient ECT and non\u2010ECT treatment between 2011 and 2020 were included. Each patient served as their own control, contributing one admission with and without ECT. Admissions with or without ECT, as well as index series with or without C\u2010ECT, were compared in univariate Cox regression analyses regarding time to psychiatric readmission or suicide within 30\u2009days, 90\u2009days, 180\u2009days, and 1\u2009year from discharge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 351 patients were included. Of these patients, 64.1% were male and the mean (SD) age was 48.2 (14.4) years. ECT was associated with longer time to readmission or suicide compared to non\u2010ECT treatment within 30\u2009days (HR: 0.66; 95% CI: 0.50\u20130.87;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003), 90\u2009days (HR: 0.70; 95% CI: 0.56\u20130.87;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.001), 180\u2009days (HR: 0.68; 95% CI: 0.56\u20130.82;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009&lt;\u20090.001), and 1\u2009year from discharge (HR: 0.77; 95% CI: 0.65\u20130.91;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.003). Furthermore, 15 patients received C\u2010ECT, which was associated with longer time to readmission or suicide compared to index series without C\u2010ECT within 90\u2009days (HR: 0.13; 95% CI: 0.02\u20130.91;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.040) and 180\u2009days from discharge (HR: 0.26; 95% CI: 0.08\u20130.81;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.021).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study suggests that ECT can be associated with a longer time to relapse compared to non\u2010ECT treatment in schizophrenia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/acps.70115","type":"journal-article","created":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T07:41:42Z","timestamp":1780645302000},"page":"277-285","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Electroconvulsive Therapy and Time to Psychiatric Readmission in Schizophrenia"],"prefix":"10.1111","volume":"154","author":[{"given":"Linnea","family":"Stenmark","sequence":"first","affiliation":[{"name":"Faculty of Medicine and Health \u00d6rebro University  \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mussie","family":"Msghina","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health \u00d6rebro University  \u00d6rebro Sweden"},{"name":"Department of Clinical Neuroscience Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Axel","family":"Nordenskj\u00f6ld","sequence":"additional","affiliation":[{"name":"Faculty of Medicine and Health \u00d6rebro University  \u00d6rebro Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,5]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.0020141"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.56.3.241"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-019-01055-4"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-021-03634-z"},{"key":"e_1_2_13_6_1","volume-title":"Practice Guideline for the Treatment of Patients With Schizophrenia","author":"American Psychiatric Association","year":"2020"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0156510"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2018.08.002"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/schbul\/sbx136"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.brs.2021.05.010"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-020-02515-1"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCT.0000000000000589"},{"issue":"3","key":"e_1_2_13_13_1","doi-asserted-by":"crossref","first-page":"283","DOI":"10.1002\/brb3.37","article-title":"Contemporary Use and Practice of Electroconvulsive Therapy Worldwide","volume":"2","author":"Leiknes K. 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