Evidence map›Paper›PMID 29703993›Full record

ArticleNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2018

Cortical inhibitory markers of lifetime suicidal behavior in depressed adolescents.

Charles P Lewis, Paul A Nakonezny, Caren J Blacker, Jennifer L Vande Voort, John D Port, Gregory A Worrell, Hang Joon Jo, Zafiris J Daskalakis, Paul E Croarkin

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04502758 (A Randomized Controlled Trial of Sequential Bilateral Accelerated Theta Burst Stimulation in Adolescents With Suicidal Ideation Associated With Major Depressive Disorder), which is not on this map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
1.7field-weighted citation impact, top 16% 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.

NCT04502758 nacompletednot on this mapstarted 2022, after this paper: background citation

A Randomized Controlled Trial of Sequential Bilateral Accelerated Theta Burst Stimulation in Adolescents With Suicidal Ideation Associated With Major Depressive Disorder

TypeinterventionalSponsorMayo ClinicRan2022 to 2026Enrolled58ConditionsSuicidal Ideation, Major Depressive DisorderArmsMagVenture TMS Therapy System w/Theta Burst Stimulation, Sham MagVenture TMS Therapy System w/Theta Burst Stimulation
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Left prefrontal transcranial magnetic stimulation for treatment-resistant depression in adolescents: a double-blind, randomized, sham-controlled trial.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2021
    Trial
  6. Review
  7. Article
  8. 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
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. GABACurrent topics in behavioral neurosciences · 2022
    Article
  17. Structural-functional decoupling predicts suicide attempts in bipolar disorder patients with a current major depressive episode.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2020
    Article
  18. Article
  19. 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

9 authors at 4 institutions in 2 countries.

Charles P LewisDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0001-8791-657X
Paul A NakoneznyDepartment of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Caren J BlackerDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Jennifer L Vande VoortDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
John D PortDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.ORCID http://orcid.org/0000-0002-4237-7776
Gregory A WorrellDepartment of Neurology, Mayo Clinic, Rochester, MN, USA.
Hang Joon JoDepartment of Neurologic Surgery, Neural Engineering Lab, Mayo Clinic, Rochester, MN, USA.
Zafiris J DaskalakisDepartment of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
Paul E CroarkinDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA. croarkin.paul@mayo.edu.ORCID http://orcid.org/0000-0001-6843-6503
Mayo Clinic · USCentre for Addiction and Mental Health · CAMayo Clinic in Arizona · USThe University of Texas Southwestern Medical Center · US

Funding

Glutamatergic and GABAergic Biomarkers in rTMS for Adolescent DepressionR01MH113700 · NIMH · MAYO CLINIC ROCHESTER · PI CROARKIN, PAUL E · 2017 to 2021
$2.5M
Glutamate Probes in Adolescent DepressionK23MH100266 · NIMH · MAYO CLINIC ROCHESTER · PI CROARKIN, PAUL E · 2014 to 2017
$685k
NIMH NIH HHS K23 MH100266NIMH NIH HHS R01 MH113700
6 · The paper itself

Abstract

Although suicide is the second-leading cause of death in adolescents and young adults worldwide, little progress has been made in developing reliable biological markers of suicide risk and suicidal behavior. Converging evidence suggests that excitatory and inhibitory cortical processes mediated by the neurotransmitters glutamate and γ-aminobutyric acid (GABA) are dysregulated in suicidal individuals. This study utilized single- and paired-pulse transcranial magnetic stimulation (TMS) to assess excitatory and inhibitory cortical functioning in healthy control adolescents (n = 20), depressed adolescents without any history of suicidal behavior ("Depressed", n = 37), and depressed adolescents with lifetime history of suicidal behavior ("Depressed+SB", n = 17). In a fixed-effects general linear model analysis, with age, sex, and depression severity as covariates, no significant group main effects emerged for resting motor threshold, intracortical facilitation, short-interval intracortical inhibition, or cortical silent period. However, group main effects were significant for long-interval intracortical inhibition (LICI) at interstimulus intervals (ISIs) of 100 ms and 150 ms, but not 200 ms. Depressed+SB adolescents demonstrated impaired LICI compared to healthy control and Depressed adolescents, while healthy control and Depressed participants did not differ in LICI. Multiple linear robust regression revealed significant positive linear relationships between lifetime suicidal behavior severity and impairment in LICI at 100-ms and 150-ms ISIs. In a post hoc receiver operating characteristic analysis, LICI significantly discriminated Depressed from Depressed+SB youth in 100-ms and 150-ms paradigms. These findings suggest that GABA

Indexed as

SuicideAdolescentCerebral CortexChildDepressive DisorderEvoked Potentials, MotorFemaleHumansMaleNeural InhibitionReceptors, GABA-BROC CurveTranscranial Magnetic StimulationYoung AdultReceptors, GABA-B

Identifiers

PMID29703993
PMCPMC6046050
OpenAlexW2789867326

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.