Evidence map›Paper›PMID 28192765›Full record

ArticleJournal of affective disorders2017

Neurophysiological correlates of suicidal ideation in major depressive disorder: Hyperarousal during sleep.

Emily A Dolsen, Philip Cheng, J Todd Arnedt, Leslie Swanson, Melynda D Casement, Hyang Sook Kim, Jennifer R Goldschmied, Robert F Hoffmann, Roseanne Armitage, Patricia J Deldin

Abstract read
In one paragraph

Article in Journal of affective disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
–field-weighted citation impact
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

38 citing papers in PubMed.

  1. Trial
  2. Association between irritability and suicidal ideation in three clinical trials of adults with major depressive disorder.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Trial
  3. Trial
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  7. Review
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  9. Review: Suicide and its relationship to aggression and impulsivity.Cognitive, affective & behavioral neuroscience · 2025
    Review
  10. Article
  11. Article
  12. [Insomniac symptoms and suicidality-link and management].Neuropsychiatrie : Klinik, Diagnostik, Therapie und Rehabilitation : Organ der Gesellschaft Osterreichischer Nervenarzte und Psychiater · 2024
    Review
  13. From trenches to technology: a narrative review of sleep medicine in the military.Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine · 2024
    Review
  14. Article
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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

10 authors.

Emily A DolsenDepartment of Psychology, University of California, Berkeley, CA 94720, USA. Electronic address: mdolsen@berkeley.edu.
Philip ChengSleep Disorders and Research Center, Henry Ford Hospital, Detroit, MI 48202, USA.
J Todd ArnedtDepartment of Psychiatry, University of Michigan, Ann Arbor, MI 48109, USA.
Leslie SwansonDepartment of Psychiatry, University of Michigan, Ann Arbor, MI 48109, USA.
Melynda D CasementDepartment of Psychology, University of Oregon, Eugene, OR 97405, USA.
Hyang Sook KimDepartment of Psychology, Sogang University, Seoul 121-742, Korea.
Jennifer R GoldschmiedDepartment of Psychology, University of Michigan, Ann Arbor, MI 48109, USA.
Robert F HoffmannDepartment of Psychiatry, University of Michigan, Ann Arbor, MI 48109, USA.
Roseanne ArmitageDepartment of Psychiatry, University of Michigan, Ann Arbor, MI 48109, USA.
Patricia J DeldinDepartment of Psychology, University of Michigan, Ann Arbor, MI 48109, USA.

Funding

PREDOCTORAL TRAINING CONSORTIUM IN AFFECTIVE SCIENCET32MH020006 · NIMH · UNIVERSITY OF CALIFORNIA BERKELEY · PI GROSS, JAMES J, JOHNSON, SHERI L · 1998 to 2018
$5.9M
SEX DIFFERENCES IN SLEEP REGULATION IN DEPRESSIONR01MH061515 · NIMH · UNIVERSITY OF TEXAS SW MED CTR/DALLAS · PI ARMITAGE, ROSEANNE · 2001 to 2005
$2.1M
Repeated Partial Sleep Deprivation to Augment SSRI Response in DepressionR01MH077690 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ARNEDT, J. TODD · 2009 to 2012
$1.5M
NIMH NIH HHS R01 MH061515NIMH NIH HHS R01 MH077690NIMH NIH HHS T32 MH020006
6 · The paper itself

Abstract

backgroundSuicide is a major public health concern, and a barrier to reducing the suicide rate is the lack of objective predictors of risk. The present study considers whether quantitative sleep electroencephalography (EEG) may be a neurobiological correlate of suicidal ideation.

methodsParticipants included 84 (45 female, mean age=26.6) adults diagnosed with major depressive disorder (MDD). The item that measures thoughts of death or suicide on the Quick Inventory of Depressive Symptomatology (QIDS) was used to classify 47 participants as low suicidal ideation (24 females, mean age=26.1) and 37 as high suicidal ideation (21 females, mean age=27.3). Data were obtained from archival samples collected at the University of Michigan and University of Texas Southwestern Medical Center between 2004 and 2012. Sleep EEG was quantified using power spectral analysis, and focused on alpha, beta, and delta frequencies.

resultsResults indicated that participants with high compared to low suicidal ideation experienced 1) increased fast frequency activity, 2) decreased delta activity, and 3) increased alpha-delta sleep after adjusting for age, sex, depression, and insomnia symptoms. LIMITATIONS: Limitations include the exclusion of imminent suicidal intent, a single suicidal ideation item, and cross-sectional archival data.

conclusionsThis is one of the first studies to provide preliminary support that electrophysiological brain activity during sleep is associated with increased suicidal ideation in MDD, and may point toward central nervous system (CNS) hyperarousal during sleep as a neurobiological correlate of suicidal ideation.

Indexed as

Suicidal IdeationAdultCentral Nervous SystemCross-Sectional StudiesElectroencephalographyFemaleHumansMajor Depressive DisorderMaleRiskSleepSleep Wake DisordersDepressionHyperarousalPolysomnographySpectral analysisSuicide

Identifiers

PMID28192765
PMCPMC5361570

What OpenQuestion holds

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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.