Evidence map›Paper›PMID 27688124›Full record

ArticleBMC psychiatry2016

Association between abnormal default mode network activity and suicidality in depressed adolescents.

Shuang Zhang, Jian-Mei Chen, Li Kuang, Jun Cao, Han Zhang, Ming Ai, Wo Wang, Shu-Dong Zhang, Su-Ya Wang, Shi-Jing Liu and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC psychiatry, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 59 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed, 4 pooled it
6.7field-weighted citation impact, top 3% 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

59 citing papers in PubMed, 4 syntheses or guidelines pooled it, 163 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Aperiodic Signatures of Stress Sensitivity and Depression Recurrence in Adolescents.Biological psychiatry. Cognitive neuroscience and neuroimaging · 2026
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  15. Differences in Functional Connectivity between Patients with Depression with and without Nonsuicidal Self-injury.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2024
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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

11 authors at 3 institutions in 1 country.

Shuang ZhangMental Health Center, University-Town Hospital of Chongqing Medical University, Chongqing, 401331, China.
Jian-Mei ChenDepartment of Psychiatry, First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Li KuangDepartment of Psychiatry, First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China. kuangli0308@163.com.ORCID http://orcid.org/0000-0001-6468-5553
Jun CaoDepartment of Psychiatry, First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Han ZhangCenter for Cognition and Brain Disorders and the Affiliated Hospital, Hangzhou Normal University, Hangzhou, 310015, China.
Ming AiDepartment of Psychiatry, First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Wo WangMental Health Center, University-Town Hospital of Chongqing Medical University, Chongqing, 401331, China.
Shu-Dong ZhangDepartment of Psychiatry, First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Su-Ya WangDepartment of Psychiatry, First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Shi-Jing LiuDepartment of Psychiatry, First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Wei-Dong FangDepartment of Radiology, First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
The Affiliated Yongchuan Hospital of Chongqing Medical University · CNAffiliated Hospital of Hangzhou Normal University · CNChongqing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuicide is the second leading cause of death among 15- to 29-year-olds in China, and 60 % of suicidal patients have a history of depression. Previous brain imaging studies have shown that depression and suicide may be associated with abnormal activity in default mode network (DMN) regions. However, no study has specifically investigated the relationship between DMN functional activity and suicidal behavior in depressed individuals. Therefore, in the present study, we directly investigated features of DMN brain activity in adolescent patients with histories of depression and attempted suicide.

methodsA total of 35 sex- and age-matched suicidal depressed patients were compared with 18 non-suicidal depressed patients and 47 healthy controls. We explored functional activity changes in DMN regions that could be associated with suicidal behavior by comparing resting-state functional magnetic resonance imaging (rs-fMRI) signals using independent component analysis (ICA). Scores on six clinical scales that measure depression severity (Hamilton Depression Scale (HDRS) and Beck Depression Inventory (BDI)) and suicidal traits (Barratt Impulsiveness Scale (BIS-11), Suicide Attitude Questionnaire (SAQ), Beck Hopelessness Scale (BHS), and Scale for Suicide Ideation (SSI)) were compared in the three groups.

resultsCompared with the healthy controls, all of the evaluated depressed patients showed increased functional connectivity in select DMN regions. The suicidal patients showed increased connectivity in the left cerebellum and decreased connectivity in the right posterior cingulate cortex (PCC), whereas the non-suicidal depressed patients showed increased connectivity in the left superior frontal gyrus, left lingual gyrus and right precuneus and decreased connectivity in the left cerebellum. Compared to the non-suicidal patients, the suicidal patients showed increased connectivity in the left cerebellum and the left lingual gyrus and decreased connectivity in the right precuneus. No differences in the scores of any clinical scales were found between the suicidal and non-suicidal depressed patients.

conclusionsCollectively, our results highlight the importance of the DMN in the pathophysiology of depression and suggest that suicidal behavior in depressed adolescents may be related to abnormal functional connectivity in the DMN. In particular, abnormal connectivity in the PCC/precuneus and left cerebellum might be a predictor of suicidal behavior in depressed adolescent patients.

Indexed as

AdolescentsAttempted suicideDefault mode networkDepressionrs-fMRI

Identifiers

PMID27688124
PMCPMC5041526
OpenAlexW2524432712

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.