Behavioral and Brain Functions | |
No association between serum cholesterol and death by suicide in patients with schizophrenia, bipolar affective disorder, or major depressive disorder | |
Subin Park2  Ki Kyoung Yi1  Riji Na1  Ahyoung Lim1  Jin Pyo Hong1  | |
[1] Department of Psychiatry, Asan Medical Center, Ulsan University College of Medicine, 388-1 Pungnap-2dong Songpa-gu, Seoul 138-736, South Korea | |
[2] Department of Psychiatry, Seoul National University Hospital, Seoul, Korea | |
关键词: Depressive disorder; Bipolar affective disorder; Schizophrenia; Laboratory markers; Suicide; | |
Others : 792062 DOI : 10.1186/1744-9081-9-45 |
|
received in 2013-06-19, accepted in 2013-11-23, 发布年份 2013 | |
【 摘 要 】
Background
Previous research on serum total cholesterol and suicidality has yielded conflicting results. Several studies have reported a link between low serum total cholesterol and suicidality, whereas others have failed to replicate these findings, particularly in patients with major affective disorders. These discordant findings may reflect the fact that studies often do not distinguish between patients with bipolar and unipolar depression; moreover, definitions and classification schemes for suicide attempts in the literature vary widely.
Methods
Subjects were patients with one of the three major psychiatric disorders commonly associated with suicide: schizophrenia, bipolar affective disorder, and major depressive disorder (MDD). We compared serum lipid levels in patients who died by suicide (82 schizophrenia, 23 bipolar affective disorder, and 67 MDD) and non-suicide controls (200 schizophrenia, 49 bipolar affective disorder, and 175 MDD).
Results
Serum lipid profiles did not differ between patients who died by suicide and control patients in any diagnostic group.
Conclusions
Our results do not support the use of biological indicators such as serum total cholesterol to predict suicide risk among patients with a major psychiatric disorder.
【 授权许可】
2013 Park et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20140705023905880.pdf | 157KB | download |
【 参考文献 】
- [1]Currier D, Mann JJ: Stress, genes and the biology of suicidal behavior. Psychiatr Clin North Am 2008, 31:247-269.
- [2]Coryell W, Schlesser M: Combined biological tests for suicide prediction. Psychiatry Res 2007, 150:187-191.
- [3]Ellison LF, Morrison HI: Low serum cholesterol concentration and risk of suicide. Epidemiology 2001, 12:168-172.
- [4]Lester D: Serum cholesterol levels and suicide: a meta-analysis. Suicide Life Threat Behav 2002, 32:333-346.
- [5]Ghaemi SN, Shields GS, Hegarty JD, Goodwin FK: Cholesterol levels in mood disorders: high or low? Bipolar Disord 2000, 2:60-64.
- [6]Engelberg H: Low serum cholesterol and suicide. Lancet 1992, 339:727-729.
- [7]Papakostas GI, Petersen T, Mischoulon D, Hughes ME, Alpert JE, Nierenberg AA, Rosenbaum JF, Fava M: Serum cholesterol and serotonergic function in major depressive disorder. Psychiatry Res 2003, 118:137-145.
- [8]Freemantle E, Mechawar N, Turecki G: Cholesterol and phospholipids in frontal cortex and synaptosomes of suicide completers: relationship with endosomal lipid trafficking genes. J Psychiatr Res 2013, 47:272-279.
- [9]Fiedorowicz JG, Coryell WH: Cholesterol and suicide attempts: a prospective study of depressed inpatients. Psychiatry Res 2007, 152:11-20.
- [10]Wolfersdorfa MMA, Kellera F, Maierc V, Fröscherb W, Kaschkaa WP: Serum cholesterol, triglyceride and suicide in depressed patients: results of a controlled group comparison of depressed patients who committed violent suicide with non-suicidal depressives and lower backpain patients. Arch Suicide Res 1996, 161-170.
- [11]Fritze J, Schneider B, Lanczik M: Autoaggressive behaviour and cholesterol. Neuropsychobiology 1992, 26:180-181.
- [12]Pompili M, Innamorati M, Lester D, Girardi P, Tatarelli R: Nearly lethal resuscitated suicide attempters have no low serum levels of cholesterol and triglycerides. Psychol Rep 2010, 106:785-790.
- [13]Mann JJ: A current perspective of suicide and attempted suicide. Ann Intern Med 2002, 136:302-311.
- [14]Deisenhammer EA, Kramer-Reinstadler K, Liensberger D, Kemmler G, Hinterhuber H, Fleischhacker WW: No evidence for an association between serum cholesterol and the course of depression and suicidality. Psychiatry Res 2004, 121:253-261.
- [15]Melkersson K, Dahl ML: Adverse metabolic effects associated with atypical antipsychotics - literature review and clinical implications. Drugs 2004, 64:701-723.
- [16]Papadopoulou A, Markianos M, Christodoulou C, Lykouras L: Plasma total cholesterol in psychiatric patients after a suicide attempt and in follow-up. J Affect Disord 2013, 148:440-443.
- [17]Tsai SY, Kuo CJ, Chen CC, Lee HC: Risk factors for completed suicide in bipolar disorder. J Clin Psychiatry 2002, 63:469-476.
- [18]Singh GM, Danaei G, Pelizzari PM, Lin JK, Cowan MJ, Stevens GA, Farzadfar F, Khang YH, Lu Y, Riley LM, et al.: The age associations of blood pressure, cholesterol, and glucose: analysis of health examination surveys from international populations. Circulation 2012, 125:2204-2211.
- [19]Kim YK, Lee HJ, Kim JY, Yoon DK, Choi SH, Lee MS: Low serum cholesterol is correlated to suicidality in a Korean sample. Acta Psychiatr Scand 2002, 105:141-148.
- [20]Lee HJ, Kim YK: Serum lipid levels and suicide attempts. Acta Psychiatr Scand 2003, 108:215-221.
- [21]Olie E, Picot MC, Guillaume S, Abbar M, Courtet P: Measurement of total serum cholesterol in the evaluation of suicidal risk. J Affect Disord 2011, 133:234-238.
- [22]Pompili M, Lester D, Grispini A, Innamorati M, Calandro F, Iliceto P, De Pisa E, Tatarelli R, Girardi P: Completed suicide in schizophrenia: evidence from a case-control study. Psychiatry Res 2009, 167:251-257.