Evidence map›Paper›PMID 27567115›Full record

ArticlePsychoneuroendocrinology2016

CSF and plasma testosterone in attempted suicide.

Jon Stefansson, Andreas Chatzittofis, Peter Nordström, Stefan Arver, Marie Åsberg, Jussi Jokinen

Abstract read
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In one paragraph

Article in Psychoneuroendocrinology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
11.1field-weighted citation impact, top 2% 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

16 citing papers in PubMed, 52 citations in OpenAlex.

  1. Review: Suicide and its relationship to aggression and impulsivity.Cognitive, affective & behavioral neuroscience · 2025
    Review
  2. Article
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  4. Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Frontiers in psychiatry · 2021
    Review
  10. Article
  11. Lipids and Suicide Risk.Current topics in behavioral neurosciences · 2020
    Article
  12. GABAFrontiers in neuroscience · 2020
    Article
  13. Article
  14. Article
  15. Article
  16. Ambient temperature, testosterone, and suicide.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999)
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Jon StefanssonDepartment of Clinical Neuroscience/Psychiatry, Karolinska Institutet, Stockholm, Sweden.
Andreas ChatzittofisDepartment of Clinical Neuroscience/Psychiatry, Karolinska Institutet, Stockholm, Sweden.
Peter NordströmDepartment of Clinical Neuroscience/Psychiatry, Karolinska Institutet, Stockholm, Sweden.
Stefan ArverDepartment of Medicine, Karolinska Institutet, Stockholm, Sweden.
Marie ÅsbergDepartment of Clinical Sciences, Karolinska Institutet, Stockholm, Sweden.
Jussi JokinenDepartment of Clinical Neuroscience/Psychiatry, Karolinska Institutet, Stockholm, Sweden; Department of Clinical Sciences, Umeå University, Umeå, Sweden. Electronic address: jussi.jokinen@ki.se.
Karolinska Institutet · SEUmeå University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Very few studies have assessed testosterone levels in the cerebrospinal fluid in suicide attempters. Aggressiveness and impulsivity are common behavioural traits in suicide attempters. Dual-hormone serotonergic theory on human impulsive aggression implies high testosterone/cortisol ratio acting on the amygdala and low serotonin in the prefrontal cortex. Our aim was to examine the CSF and plasma testosterone levels in suicide attempters and in healthy volunteers. We also assessed the relationship between the testosterone/cortisol ratio, aggressiveness and impulsivity in suicide attempters. 28 medication-free suicide attempters and 19 healthy volunteers participated in the study. CSF and plasma testosterone sulfate and cortisol levels were assessed with specific radio-immunoassays. The Karolinska Scales of Personality was used to assess impulsivity and aggressiveness. All patients were followed up for cause of death. The mean follow-up period was 21 years. Male suicide attempters had higher CSF and plasma testosterone levels than age- matched male healthy volunteers. There were no significant differences in CSF testosterone levels in female suicide attempters and healthy female volunteers. Testosterone levels did not differ significantly in suicide victims compared to survivors. In male suicide attempters, the CSF testosterone/cortisol ratio showed a significant positive correlation with both impulsivity and aggressiveness. Higher CSF testosterone levels may be associated with attempted suicide in young men through association with both aggressiveness and impulsivity, a key endophenotype in young male suicide attempters.

Indexed as

RegistriesSuicide, AttemptedAdultAgedAggressionCause of DeathFemaleFollow-Up StudiesHumansHydrocortisoneImpulsive BehaviorMaleMiddle AgedSex FactorsTestosteroneYoung AdultHydrocortisoneTestosteroneAggressionCortisolImpulsivitySuicide attemptTestosterone

Identifiers

PMID27567115
OpenAlexW2518383142

What OpenQuestion holds

Textmetadata
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.