Evidence map›Paper›PMID 33388702›Full record

ArticleJournal of psychiatric research2021

Relationships between inflammatory markers and suicide risk status in major depression.

Licínia Ganança, Hanga C Galfalvy, Sebastian Cisneros-Trujillo, Zahra Basseda, Thomas B Cooper, Xinguo Ren, Maria Luisa Figueira, Maria A Oquendo, J John Mann, M Elizabeth Sublette

Open access · greenAbstract read
In one paragraph

Article in Journal of psychiatric research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 22% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.

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  20. Suicide and Inflammation.Advances in experimental medicine and biology · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 7 institutions in 2 countries.

Licínia GanançaDepartment of Neurosciences and Mental Health, Psychiatry Department, Hospital de Santa Maria (CHULN), Lisbon, Portugal; Faculdade de Medicina, Universidade de Lisboa, Portugal.
Hanga C GalfalvyDepartment of Psychiatry, Columbia University, New York, NY, USA; Molecular Imaging & Neuropathology Area, New York State Psychiatric Institute, New York, NY, USA; Department of Biostatistics, Mailman School of Public Health, Columbia University, New York, NY, USA.
Sebastian Cisneros-TrujilloNew York Presbyterian Hospital, Weill Cornell Medical Center/Columbia University Irving Medical Center, New York, NY, USA.
Zahra BassedaDepartment of Psychiatry, Rutgers University, Newark, NJ, USA.
Thomas B CooperDepartment of Psychiatry, Columbia University, New York, NY, USA; Nathan S. Kline Institute for Psychiatric Research, Orangeburg, NY, USA.
Xinguo RenUniversity of Illinois at Chicago, Department of Psychiatry, Chicago, IL, USA.
Maria Luisa FigueiraFaculdade de Medicina, Universidade de Lisboa, Portugal.
Maria A OquendoPsychiatry Department, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
J John MannDepartment of Psychiatry, Columbia University, New York, NY, USA; Molecular Imaging & Neuropathology Area, New York State Psychiatric Institute, New York, NY, USA; Department of Radiology, Columbia University, New York, NY, USA.
M Elizabeth SubletteDepartment of Psychiatry, Columbia University, New York, NY, USA; Molecular Imaging & Neuropathology Area, New York State Psychiatric Institute, New York, NY, USA. Electronic address: Elizabeth.Sublette@nyspi.columbia.edu.
New York Psychoanalytic Society and Institute · USUniversity of Lisbon · PTNathan Kline Institute for Psychiatric Research · USNewYork–Presbyterian Hospital · USRutgers, The State University of New Jersey · USUniversity of Illinois Chicago · USUniversity of Pennsylvania · US

Funding

Suicidal Behavior: Aggression Subtypes, Childhood Adversity and Stress ResponseP50MH090964 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI OCHSNER, KEVIN N · 2013 to 2022
$23.6M
PSYCHOBIOLOGICAL PREDICTORS OF SUICIDAL BEHAVIOR IN MDER01MH048514 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI OQUENDO, MARIA A · 1992 to 2013
$3.6M
NIMH NIH HHS P50 MH090964NIMH NIH HHS R01 MH048514
6 · The paper itself

Abstract

Pro-inflammatory status has been implicated in depression and suicidal behaviors. Polyunsaturated fatty acids (PUFAs) and cytokines, two types of inflammatory biomarkers, have been associated with suicide, independent of depression severity. How these biomarkers relate to each other is less clear. We measured plasma phospholipid levels of arachidonic acid (AA%), docosahexaenoic acid (DHA%), and eicosapentaenoic acid (EPA%) as a percentage of total phospholipids, as well as serum interleukin-6 (IL-6), interleukin-1β (IL-1β) and tumor necrosis factor α (TNF-α), in 80 patients with major depressive disorder (MDD) and 24 healthy controls (HC). Individual PUFA and cytokine species were compared using ANOVA across four suicide risk-stratified groups: 1) highest-risk, recent (within 5 years) suicide attempters (n = 20); 2) high-risk, severe current suicidal ideators (having intent or plan) with no recent attempt history (n = 22); 3) low-risk, current non-ideators who were also lifetime non-attempters (n = 38); and 4) HC (n = 24). None of the participants were enrolled following an acute suicide attempt. Of biomarkers studied, only DHA% (p = 0.012) and IL-1β (p = 0.002) differed between groups. In post-hoc testing, DHA% was lower in attempters than ideators (p = 0.018) or MDD non-ideators (trend level, p = 0.073). IL-1β was lowest in attempters, differentiating them from ideators (p = 0.009) and HC (p = 0.004). Recent suicide attempt, one of the most powerful predictors of suicide risk, was also most closely tied to inflammatory indices in this study. Low DHA% as an indicator of suicide risk is consistent with previous reports; however, lower IL-1β was unexpected and may relate to acuity/chronicity of inflammation. There is a need for prospective studies of immune status with respect to suicidal behaviors.

Indexed as

Major Depressive DisorderBiomarkersDepressionHumansProspective StudiesSuicide, AttemptedBiomarkersCytokinesDepressionInflammationOmega-3 polyunsaturated fatty acids (PUFA)Suicide

Identifiers

PMID33388702
PMCPMC8830592
OpenAlexW3113305471

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.