Evidence map›Paper›PMID 27622931›Full record

SynthesisTranslational psychiatry2016

Biological risk factors for suicidal behaviors: a meta-analysis.

B P Chang, J C Franklin, J D Ribeiro, K R Fox, K H Bentley, E M Kleiman, M K Nock

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in Translational psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 4 pooled it
20.1field-weighted citation impact, top 1% 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

43 citing papers in PubMed, 4 syntheses or guidelines pooled it, 116 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Review
  6. Understanding the emergence of suicidal thoughts and behaviors in adolescence from a brain and behavioral developmental perspective.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
  7. Article
  8. Time to take diet and mental health research seriously.The American journal of clinical nutrition · 2025
    Article
  9. Article
  10. Genomic links between symptoms of eating disorders and suicidal ideation.European psychiatry : the journal of the Association of European Psychiatrists · 2025
    Article
  11. Article
  12. Article
  13. Article
  14. Embers of the Past: Early Childhood Traumas Interact with Variation inInternational journal of molecular sciences · 2024
    Article
  15. Article
  16. Suicide and its risk factors - An ecological study.Journal of education and health promotion · 2024
    Article
  17. Article
  18. Article
  19. Impulsivity in Major Depressive Disorder Patients with Suicidal Ideation: Event-related Potentials in a GoNogo Task.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2023
    Article
  20. Article
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 4 institutions in 1 country.

B P ChangDepartment of Emergency Medicine, Columbia University Medical Center, New York, NY, USA.
J C FranklinDepartment of Psychology, Vanderbilt University, Nashville, TN, USA.
J D RibeiroDepartment of Psychology, Vanderbilt University, Nashville, TN, USA.
K R FoxDepartment of Psychology, Harvard University, Cambridge, MA, USA.
K H BentleyDepartment of Psychology, Boston University, Boston, MA, USA.
E M KleimanDepartment of Psychology, Harvard University, Cambridge, MA, USA.
M K NockDepartment of Psychology, Harvard University, Cambridge, MA, USA.
Harvard University · USBoston University · USColumbia University Irving Medical Center · USVanderbilt University · US

Funding

LIFE-SPAN DEVELOPMENT OF NORMAL AND ABNORMAL BEHAVIORT32MH018921 · NIMH · VANDERBILT UNIVERSITY · PI HUMPHREYS, KATHRYN LEIGH · 1989 to 2024
$6.7M
NIMH NIH HHS T32 MH018921
6 · The paper itself

Abstract

Prior studies have proposed a wide range of potential biological risk factors for future suicidal behaviors. Although strong evidence exists for biological correlates of suicidal behaviors, it remains unclear if these correlates are also risk factors for suicidal behaviors. We performed a meta-analysis to integrate the existing literature on biological risk factors for suicidal behaviors and to determine their statistical significance. We conducted a systematic search of PubMed, PsycInfo and Google Scholar for studies that used a biological factor to predict either suicide attempt or death by suicide. Inclusion criteria included studies with at least one longitudinal analysis using a biological factor to predict either of these outcomes in any population through 2015. From an initial screen of 2541 studies we identified 94 cases. Random effects models were used for both meta-analyses and meta-regression. The combined effect of biological factors produced statistically significant but relatively weak prediction of suicide attempts (weighted mean odds ratio (wOR)=1.41; CI: 1.09-1.81) and suicide death (wOR=1.28; CI: 1.13-1.45). After accounting for publication bias, prediction was nonsignificant for both suicide attempts and suicide death. Only two factors remained significant after accounting for publication bias-cytokines (wOR=2.87; CI: 1.40-5.93) and low levels of fish oil nutrients (wOR=1.09; CI: 1.01-1.19). Our meta-analysis revealed that currently known biological factors are weak predictors of future suicidal behaviors. This conclusion should be interpreted within the context of the limitations of the existing literature, including long follow-up intervals and a lack of tests of interactions with other risk factors. Future studies addressing these limitations may more effectively test for potential biological risk factors.

Indexed as

Blood GlucoseBlood PressureCholesterolDietary FatsFatty AcidsHumansNeurotransmitter AgentsOxytocinReceptors, SerotoninRisk FactorsSerotonin Plasma Membrane Transport ProteinsSuicideSuicide, AttemptedTryptophan HydroxylaseVital CapacityBlood GlucoseCholesterolDietary FatsFatty AcidsNeurotransmitter AgentsOxytocinReceptors, SerotoninSerotonin Plasma Membrane Transport ProteinsTryptophan Hydroxylase

Identifiers

PMID27622931
PMCPMC5048204
OpenAlexW2519735404

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.