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Semaglutide Tied to Fewer Psychiatric Crises in 13-Year Swedish Study

The data offer a new signal for clinicians weighing benefits against known risks.

Overview

  • The Lancet Psychiatry published an analysis of Swedish health registers that followed nearly 100,000 people from 2009 to 2022 using a within-person design.
  • During periods on semaglutide, patients saw a 42% lower risk of mental health hospitalization and a lower risk of self-harm.
  • The study also found 44% fewer episodes of worsening depression, 38% fewer worsening anxiety cases, and a 47% drop in substance use–related hospital care or sick leave.
  • The strongest associations centered on semaglutide, with a smaller signal for liraglutide, while exenatide and dulaglutide did not show the same benefits.
  • Researchers said the findings do not prove cause and pointed to possible drivers such as better blood-sugar control, weight loss, or brain reward changes, while noting known risks like nausea, vomiting, pancreatitis, and bowel or gallbladder problems.