Evidence map›Paper›PMID 25012416›Full record

ArticleJournal of affective disorders2014

Association of testosterone levels and future suicide attempts in females with bipolar disorder.

Leo Sher, Michael F Grunebaum, Gregory M Sullivan, Ainsley K Burke, Thomas B Cooper, J John Mann, Maria A Oquendo

Open access · greenAbstract read
In one paragraph

Article in Journal of affective disorders, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
4.3field-weighted citation impact, top 6% 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

20 citing papers in PubMed, 53 citations in OpenAlex.

  1. Article
  2. Biological Basis for the Formation of Suicidal Behavior: A Review.Medical journal of the Islamic Republic of Iran · 2025
    Review
  3. Review
  4. Article
  5. Article
  6. Testosterone and Suicidal Behavior in Bipolar Disorder.International journal of environmental research and public health · 2023
    Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Lipids and Suicide Risk.Current topics in behavioral neurosciences · 2020
    Article
  12. Review
  13. Article
  14. Article
  15. Comparison of salivary testosterone levels in different phases of bipolar I disorder and control group.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2018
    Article
  16. Article
  17. Article
  18. Article
  19. Review
  20. Observational
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

7 authors at 2 institutions in 1 country.

Leo SherNew York State Psychiatric Institute and Columbia University College of Physicians and Surgeons, New York, NY, USA; James J. Peters Veterans' Administration Medical Center and Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address: Leo.Sher@mssm.edu.
Michael F GrunebaumNew York State Psychiatric Institute and Columbia University College of Physicians and Surgeons, New York, NY, USA.
Gregory M SullivanNew York State Psychiatric Institute and Columbia University College of Physicians and Surgeons, New York, NY, USA.
Ainsley K BurkeNew York State Psychiatric Institute and Columbia University College of Physicians and Surgeons, New York, NY, USA.
Thomas B CooperNew York State Psychiatric Institute and Columbia University College of Physicians and Surgeons, New York, NY, USA.
J John MannNew York State Psychiatric Institute and Columbia University College of Physicians and Surgeons, New York, NY, USA.
Maria A OquendoNew York State Psychiatric Institute and Columbia University College of Physicians and Surgeons, New York, NY, USA.
Columbia University · USIcahn School of Medicine at Mount Sinai · US

Funding

THE NEUROBIOLOGY OF SUICIDAL BEHAVIORP50MH062185 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MANN, JOSEPH JOHN · 2000 to 2009
$21.7M
PSYCHOBIOLOGICAL PREDICTORS OF SUICIDAL BEHAVIOR IN MDER01MH048514 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI OQUENDO, MARIA A · 1992 to 2013
$3.6M
PHARMACOTHERAPY OF HIGH-RISK BIPOLAR DISORDERR01MH059710 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE · PI OQUENDO, MARIA A. · 2000 to 2004
$3.1M
NIMH NIH HHS P50 MH062185NIMH NIH HHS P50MH62185NIMH NIH HHS R01 MH048514NIMH NIH HHS R01 MH059710NIMH NIH HHS R01 MH48514NIMH NIH HHS R01MH59710
6 · The paper itself

Abstract

backgroundConsiderable evidence suggests that testosterone may play a role in the pathophysiology of mood disorders in females. This is the first prospective study to examine whether blood testosterone levels predict suicide attempts in females with bipolar disorder.

methodsFemales with a DSM-IV diagnosis of a bipolar disorder in a depressive or mixed episode with at least one past suicide attempt were enrolled. Demographic and clinical parameters were assessed and recorded. Plasma testosterone was assayed using a double antibody radioimmunoassay procedure. Patients were followed up prospectively for up to 2.5 years.

resultsAt baseline, testosterone levels positively correlated with the number of previous major depressive episodes and suicide attempts. Cox proportional hazards regression analysis found that higher baseline testosterone levels predicted suicide attempts during the follow-up period. LIMITATIONS: A limitation of the study is that the sample size is modest. Another limitation is that we did not have a bipolar nonattempter or healthy volunteer control group for comparison.

conclusionTestosterone levels may predict suicidal behavior in women with bipolar disorder.

Indexed as

Suicide, AttemptedAdultBipolar DisorderDiagnostic and Statistical Manual of Mental DisordersFemaleHumansLongitudinal StudiesMaleProspective StudiesRadioimmunoassayTestosteroneYoung AdultTestosteroneBipolarFemaleSuicideTestosterone

Identifiers

PMID25012416
PMCPMC4329970
OpenAlexW2074316217

What OpenQuestion 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 OpenQuestion graph.