Evidence map›Paper›PMID 28478783›Full record

ArticlePsychological medicine2017

Genetic and other risk factors for suicidal ideation and the relationship with depression.

R Dutta, H A Ball, S H Siribaddana, A Sumathipala, S Samaraweera, P McGuffin, M Hotopf

Abstract readTwin Study
In one paragraph

Article in Psychological medicine, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
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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

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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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

7 authors.

R DuttaDepartment of Psychological Medicine,Institute of Psychiatry, Psychology and Neurosciences, King's College London,London SE5 9RJ,UK.
H A BallDepartment of Psychological Medicine,Institute of Psychiatry, Psychology and Neurosciences, King's College London,London SE5 9RJ,UK.
S H SiribaddanaSri Lanka Twin Registry, Institute of Research and Development,Battaramulla,Sri Lanka.
A SumathipalaDepartment of Psychological Medicine,Institute of Psychiatry, Psychology and Neurosciences, King's College London,London SE5 9RJ,UK.
S SamaraweeraSri Lanka Twin Registry, Institute of Research and Development,Battaramulla,Sri Lanka.
P McGuffinDepartment of Psychological Medicine,Institute of Psychiatry, Psychology and Neurosciences, King's College London,London SE5 9RJ,UK.
M HotopfDepartment of Psychological Medicine,Institute of Psychiatry, Psychology and Neurosciences, King's College London,London SE5 9RJ,UK.

Funding

Medical Research Council G0601686Wellcome Trust
6 · The paper itself

Abstract

backgroundThere is a genetic contribution to the risk of suicide, but sparse prior research on the genetics of suicidal ideation.

methodsActive and passive suicidal ideation were assessed in a Sri Lankan population-based twin registry (n = 3906 twins) and a matched non-twin sample (n = 2016). Logistic regression models were used to examine associations with socio-demographic factors, environmental exposures and psychiatric symptoms. The heritability of suicidal ideation was assessed using structural equation modelling.

resultsThe lifetime prevalence of any suicidal ideation was 13.0% (11.7-14.3%) for men; 21.8% (20.3-23.2%) for women, with no significant difference between twins and non-twins. Factors that predicted suicidal ideation included female gender, termination of marital relationship, low education level, urban residence, losing a parent whilst young, low standard of living and stressful life events in the preceding 12 months. Suicidal ideation was strongly associated with depression, but also with abnormal fatigue and alcohol and tobacco use. The best fitting structural equation model indicated a substantial contribution from genetic factors (57%; CI 47-66) and from non-shared environmental factors (43%; CI 34-53) in both men and women. In women this genetic component was largely mediated through depression, but in men there was a significant heritable component to suicidal ideation that was independent of depression.

conclusionsThese are the first results to show a genetic contribution to suicidal ideation that is independent of depression outside of a high-income country. These phenomena may be generalizable, because previous research highlights similarities between the aetiology of mental disorders in Sri Lanka and higher-income countries.

Indexed as

Suicidal IdeationAdolescentAdultAgedDepressive DisorderFemaleGenetic Predisposition to DiseaseHumansMaleMiddle AgedPrevalenceRegistriesRisk FactorsSri LankaYoung AdultDepressiongeneticssuicidal ideationtwin study

Identifiers

PMID28478783
PMCPMC5964447

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