Evidence map›Paper›PMID 30292987›Full record

ArticleJournal of affective disorders2019

Preliminary evidence of an association between increased cortical inhibition and reduced suicidal ideation in adolescents treated for major depression.

Charles P Lewis, Deniz Doruk Camsari, A Irem Sonmez, Aiswarya Lakshmi Nandakumar, Marjorie A Gresbrink, Zafiris J Daskalakis, Paul E Croarkin

Registry-linked trialAbstract read
In one paragraph

Article in Journal of affective disorders, 2019. 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 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
–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.

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

10 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. 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
  5. Article
  6. Article
  7. Article
  8. Physiologically informed neuromodulation.Journal of the neurological sciences · 2022
    Article
  9. GABACurrent topics in behavioral neurosciences · 2022
    Article
  10. 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.

Charles P LewisDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Deniz Doruk CamsariDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
A Irem SonmezDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Aiswarya Lakshmi NandakumarDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Marjorie A GresbrinkDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.
Zafiris J DaskalakisDepartment of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, ON, Canada; Temerty Centre for Therapeutic Brain Intervention, Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, University of Toronto, Toronto, ON, Canada.
Paul E CroarkinDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA. Electronic address: croarkin.paul@mayo.edu.

Funding

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

Abstract

backgroundSuicide is a leading cause of death among youth. Prior research using transcranial magnetic stimulation (TMS) has implicated deficits in GABAergic cortical inhibition in adolescent suicidal behavior, yet no studies have assessed whether cortical inhibition varies over time in conjunction with changes in suicidal ideation (SI). This study examined dynamic changes in long-interval intracortical inhibition (LICI), a TMS measure of GABA

methodsTen depressed adolescents (aged 13-17) underwent clinical assessment and TMS testing at baseline and again at follow-up. All were treated with antidepressant medication in the interim. SI was measured with the Columbia Suicide Severity Rating Scale (C-SSRS) Intensity of Ideation subscale. LICI was measured at interstimulus intervals of 100 and 150 ms.

resultsThere was a significant partial correlation, controlling for change in depression severity, between ΔLICI-100 and change in SI as measured by ΔC-SSRS (ρ = .746, df = 7, p = .021), which remained after also controlling for time to follow-up assessment (ρ = .752, df = 6, p = .032). No significant correlation was observed between ΔLICI-150 and change in SI. LIMITATIONS: Sample size; variable follow-up interval; inability to control for age, sex, and potential treatment effects.

conclusionsThese data offer preliminary signal of an association between increases in GABA

Indexed as

Suicidal IdeationSuicide PreventionAdolescentAdolescent BehaviorAntidepressive Agents, Second-GenerationBupropionCitalopramFemaleFluoxetineHumansMajor Depressive DisorderMaleMotor CortexNeural InhibitionTranscranial Magnetic StimulationAntidepressive Agents, Second-GenerationBupropionCitalopramFluoxetineAdolescentCortical inhibitionDepressionSuicidal ideationTranscranial magnetic stimulation

Identifiers

PMID30292987
PMCPMC6231405

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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.