Sultan Lab for Mental Health Informatics

Columbia University Irving Medical Center

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The Sultan Lab for Mental Health Informatics at Columbia University conducts NIH-funded research on ADHD, cannabis use disorders, and digital therapeutics, using computational psychiatry methods and large-scale data analysis to improve youth mental health treatment, directed by Dr. Ryan Sultan.

Dr. Ryan S. Sultan, M.D.

About the Lab

Director: Dr. Ryan S. Sultan, MD
Institution: Columbia University Irving Medical Center, Department of Psychiatry
Affiliation: New York State Psychiatric Institute (NYSPI)
Founded: 2021
Funding: $670K+ NIH/NIDA active grants
Team: 7 researchers (faculty, postdocs, research assistants)

The Sultan Lab for Mental Health Informatics bridges clinical psychiatry and computational science to address critical gaps in youth mental health treatment. Our research leverages electronic health records, large-scale epidemiologic datasets, and advanced computational methods to translate population-level risk signals into clinically safe, developmentally informed, and scalable interventions.

Mission: To improve mental health outcomes for adolescents and young adults through rigorous research combining psychiatry, informatics, and public health epidemiology.

Official Lab Page: Columbia Psychiatry - Sultan Lab


Research Areas

1. ADHD Treatment Patterns & Outcomes ⭐ PRIMARY FOCUS

Focus: Understanding who receives ADHD treatment, how medications are prescribed, and real-world outcomes in children, adolescents, and adults.

Key Questions:

  • What are national trends in ADHD medication prescribing?
  • Which youth receive appropriate vs. questionable psychotropic combinations?
  • Do ADHD medications protect against real-world adverse outcomes (accidents, arrests, substance use)?
  • How do treatment patterns differ by demographics, insurance, and region?

Methods:

  • Analysis of large administrative claims databases (IQVIA, MarketScan, Medicaid)
  • Electronic health record (EHR) natural language processing
  • Psychopharmacoepidemiology

Major Finding: Swedish study analysis showing ADHD medications linked with 30-50% lower rates of accidents and arrests—landmark evidence for protective effects beyond symptom control.

Publications:

Funding: NIH/NIMH, Columbia Research Stabilization Fund


2. Cannabis Use Disorders in Adolescents ⭐ PRIMARY FOCUS

Focus: Examining patterns of cannabis use among U.S. adolescents, mental health consequences, and intervention strategies, particularly addressing "nondisordered" use below diagnostic thresholds.

Key Questions:

  • What are the mental health risks of cannabis use even without meeting addiction criteria?
  • How does cannabis access vary by retailer type (licensed vs. unlicensed)?
  • What product labeling issues exist in the current cannabis market?
  • How can we intervene early before cannabis use disorder develops?

Groundbreaking Discovery: "Casual" or "recreational" cannabis use—without meeting addiction criteria—affects 2.5 million US teens and carries significant mental health risks (2x higher depression, 2x higher suicidal ideation, 4x higher arrests) previously overlooked by researchers.

Publications:

Funding: NIDA K12 Career Development Award (2021-2026, $670K)


3. Digital Therapeutics: PAWS Project ⭐ MAJOR INITIATIVE

Project Name: PAWS (Pawsitive Companion)
Role: Dr. Sultan is Multi-Principal Investigator (MPI)
Grant: UG3/UH3 (NIH/NIDA)
Focus: AI-based digital therapeutic for cannabis use disorder in youth

Innovation: PAWS transforms evidence-based cannabis use disorder (CUD) treatment into engaging acts of caring for a digital pet—specifically designed to reach youth in underserved areas where specialized addiction care is inaccessible.

Dr. Sultan's Responsibilities as MPI:

  • Clinical-Informatics Integration: Translating CUD treatment protocols into algorithmic logic for the AI agent
  • Youth Engagement: Overseeing recruitment and retention at NYSPI, leveraging dual training in child and adult psychiatry
  • Data Analysis: Co-leading analysis of both feasibility (UG3) and efficacy (UH3) trials

Why This Matters: This project represents a pivotal step in applying scalable technology to resolve critical access barriers in youth addiction treatment. Adolescents using cannabis "casually" have been invisible to screening and intervention—this research reveals an at-risk population 4x larger than those with diagnosed cannabis use disorder.

Collaborators:

  • Dr. Xu - Technical Architecture Lead
  • Dr. Frances Levin - Clinical Trial Regulatory Framework Lead

4. Psychopharmacology Safety & Prescribing

Focus: Improving safety and understanding of psychiatric medications through research on prescribing patterns, adverse events, and regulatory changes.

Key Contributions:

Clozapine Monitoring Research: Dr. Sultan's work on clozapine-associated hematologic events contributed to FDA policy changes dismantling restrictive clozapine REMS (Risk Evaluation and Mitigation Strategy) guidelines, potentially increasing access to this uniquely effective medication for treatment-resistant schizophrenia.

Publications:


5. Evolutionary Psychiatry

Focus: Understanding psychiatric conditions through an evolutionary lens—examining why traits that cause impairment in modern environments may have been adaptive in ancestral contexts.

Key Questions:

  • Why do ADHD traits persist at high rates despite their challenges?
  • What is the mismatch between modern environments and human evolutionary history?
  • How can understanding evolutionary origins inform treatment?

Public Engagement: Dr. Sultan discussed evolutionary ADHD on the Hacking Your ADHD podcast, explaining the hunter-gatherer hypothesis and mismatch theory.

Lab Page: Evolutionary Psychiatry Research Area

Related Content: Is ADHD Evolutionary? The Hunter-Gatherer Theory


Research Methods & Expertise

The Sultan Lab employs cutting-edge computational psychiatry methods:

Mental Health Informatics

Epidemiologic Methods

Clinical Trial Design


Research Impact

Publications & Citations

Metric Count
Total Citations 411+
Peer-Reviewed Publications 40+
H-Index 15+
First-Author Papers 15+
JAMA/JAACAP/Pediatrics Pubs 5

Most Cited Work: Antipsychotic Treatment Among Youths with ADHD (JAMA Network Open, 2019) - 411 citations, establishing foundational evidence for prescribing practices in pediatric populations.

View Complete Publication List →

Policy Impact

Media & Public Engagement

View Media Coverage → | Listen to Podcast Appearances →


Active Funding

Total Active Funding: $670,000+

Research Stabilization Fund (Columbia University) - PI

Period: 06/2025-06/2026
Purpose: Bridge funding for early-career research; supports ongoing analyses of ADHD treatment patterns in large datasets

NIDA K12 Substance Use Clinical Scientist Career Development Award - Scholar/PI

Period: 07/2021-06/2026
Institutions: Columbia University & Mass General/Harvard
Focus: Patterns and outcomes of adolescent substance use and ADHD-related risk behaviors
Mentor: Frances Levin, MD

Past Funding

NIMH T32 Translational Research Fellowship (2016-2019)
Postdoctoral training in child psychiatry research at Columbia

AACAP Elaine Schlosser Lewis Award (2016-2017)
Pilot research on attention disorders and disruptive behavior

View Complete Grant History →


Lab Team

Current Team Size: 7 researchers

Principal Investigator

Ryan S. Sultan, MD
Assistant Professor of Clinical Psychiatry
Columbia University Irving Medical Center
Director, Sultan Lab for Mental Health Informatics

Training:

Board Certifications:

Collaborators

Internal (Columbia):

External:

Lab positions (postdoc, research assistant) occasionally available - contact lab for opportunities


Lab Resources & Databases

Data Sources

Computational Resources


Contact & Opportunities

Research Inquiries

Lab Director: rs0000@columbia.edu
Institution: Columbia University Irving Medical Center, Department of Psychiatry
Address: 1051 Riverside Drive, New York, NY 10032

Collaboration Opportunities

The Sultan Lab welcomes collaborations with:

Training Opportunities

The lab occasionally has positions for:

Contact lab director for current availability



ADHD Resources

ADHD Expertise
ADHD Guide
Evolutionary ADHD
ADHD Paralysis
ADHD Assessment

Research & Lab

Sultan Lab
Publications
Research Grants
Columbia Role

Media & Contact

Podcasts
Media Coverage
About Dr. Sultan
Contact