Evidence map›Paper›PMID 42059933›Full record

ReviewThe world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry2026

Inflammation and treatment strategies for suicidal behavior.

Chittaranjan Behera, Srishti Gupta, Richard Shelton, Yogesh Dwivedi

Abstract readReview
In one paragraph

Review in The world journal of biological psychiatry : the official journal of the World Federation of Societies of Biological Psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Review
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

4 authors.

Chittaranjan BeheraDepartment of Forensic Medicine & Toxicology, All India Institute of Medical Sciences, New Delhi, India.ORCID 0000-0003-3280-4778
Srishti GuptaDepartment of Forensic Medicine & Toxicology, All India Institute of Medical Sciences, New Delhi, India.
Richard SheltonDepartment of Psychiatry and Behavioral Neurobiology, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, USA.
Yogesh DwivediDepartment of Psychiatry and Behavioral Neurobiology, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, USA.ORCID 0000-0002-5359-4717

Funding

Novel regulatory role of nuclear miRNAs in repatterning the transcriptional and post-transcriptional dynamics in MDD brainR01MH128994 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Yogesh Dwivedi · 2022 to 2026
$3.5M
Plasma Exosomal MicroRNAs as Promising Novel Biomarkers for Suicidality and Treatment OutcomeR01MH107183 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DWIVEDI, YOGESH, SHELTON, RICHARD CHARLES · 2015 to 2019
$3.5M
MicroRNA Correlates of Childhood Maltreatment and SuicidalityR01MH124248 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DWIVEDI, YOGESH, SHELTON, RICHARD CHARLES · 2021 to 2025
$3.4M
Epitranscriptomic Mapping of Novel N6-Adenosine-based RNA Methylation in MDD BrainR01MH118884 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DWIVEDI, YOGESH · 2019 to 2023
$3.0M
Neural-Derived Plasma Exosomal MicroRNAs As Promising Novel Biomarkers for Suicidality and Treatment Outcome in AdolescentsR01MH130539 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DWIVEDI, YOGESH, SHELTON, RICHARD CHARLES · 2022 to 2024
$2.2M
Neural-Derived Plasma Exosomal MicroRNAs As Promising Novel Biomarkers for Suicidality and Treatment Outcome in AdolescentsRF1MH130539 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DWIVEDI, YOGESH, SHELTON, RICHARD CHARLES · 2025 to 2025
$1.5M
Novel cell type-specific epigenetic role of nuclear lncRNAs in 3D heterochromatization and transcriptional repatterning in the MDD brainR56MH138596 · NIMH · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DWIVEDI, YOGESH · 2025 to 2025
$730k
NIMH NIH HHS R01 MH107183NIMH NIH HHS R01 MH118884NIMH NIH HHS R01 MH124248NIMH NIH HHS R01 MH128994NIMH NIH HHS R01 MH130539NIMH NIH HHS R56 MH138596NIMH NIH HHS RF1 MH130539
6 · The paper itself

Abstract

objectivesSuicide is a major global health problem. Growing evidence shows that immune dysregulation and inflammation contribute to suicidality. This review summarises inflammatory mechanisms associated with suicidal behaviour and evaluates emerging therapeutic strategies targeting these pathways.

methodsA narrative literature review was conducted using a combination of keywords, including suicide, therapy, pharmacotherapy, and inflammation, with Boolean operators across PubMed and Google Scholar, emphasising risk factors and interventions aimed at reducing inflammatory activity and consequent suicidal behaviour.

resultsIndividuals with suicidal behaviour exhibit elevated pro-inflammatory cytokines (interleukin-6, interleukin-1β, tumour necrosis factor-α), C-reactive protein (CRP), and chemokines in blood, CSF, and brain tissue. These markers alter the hypothalamic-pituitary-adrenal (HPA) axis, monoamine systems, and glutamatergic signalling. Inflammatory activation of indoleamine 2,3-dioxygenase shifts tryptophan metabolism towards neurotoxic kynurenine metabolites, such as quinolinic acid, reducing serotonin and promoting NMDA-mediated excitotoxicity, potentially increasing impulsivity and acute suicidal ideation. Neuroinflammation also disrupts glutamate signalling through microglial/astrocytic dysfunction and altered Mammalian target of Rapamycin Complex 1 (mTORC1) pathways. Several immunomodulatory treatments - including lithium, ketamine/esketamine, cyclooxygenase-2 (COX-2) inhibitors, cytokine antagonists, and kynurenine-pathway modulators - show promise in reducing inflammation-linked to suicidal risk.

conclusionsPrecision-based approaches integrating inflammatory biomarkers, genetics, and clinical profiles may help identify individuals most likely to benefit from immunomodulatory therapies, supporting more personalised, biologically informed suicide-prevention strategies.

Indexed as

InflammationSuicidal IdeationFemaleHumansHypothalamo-Hypophyseal SystemMalePituitary-Adrenal Systemantidepressantsanti-inflammatoryinflammationketaminelithiumpharmacotherapySuicidetreatment

Identifiers

PMID42059933
PMCPMC13231395

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.