Evidence map›Paper›PMID 30654266›Full record

ArticleJournal of affective disorders2019

An inflammatory profile linked to increased suicide risk.

Sarah A Keaton, Zachary B Madaj, Patrick Heilman, LeAnn Smart, Jamie Grit, Robert Gibbons, Teodor T Postolache, Kimberly Roaten, Eric D Achtyes, Lena Brundin

Abstract 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. Cited by 56 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 3 pooled it
3.9field-weighted citation impact, top 6% 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

56 citing papers in PubMed, 3 syntheses or guidelines pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. A Specific Inflammatory Profile Underlying Suicide Risk? Systematic Review of the Main Literature Findings.International journal of environmental research and public health · 2020
    Pooled it
  3. Pooled it
  4. Article
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  9. A biological phenotype of suicide attempt in adolescents with nonsuicidal self-injury: a machine-based learning approach.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2025
    Article
  10. Review
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  15. Suicide, neuroinflammation and other physiological alterations.European archives of psychiatry and clinical neuroscience · 2024
    Review
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  17. Article
  18. Article
  19. Embers of the Past: Early Childhood Traumas Interact with Variation inInternational journal of molecular sciences · 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

10 authors at 5 institutions in 1 country.

Sarah A KeatonDepartment of Physiology, Michigan State University, East Lansing, MI, USA; Center for Neurodegenerative Science, Van Andel Research Institute, Grand Rapids, MI, USA.
Zachary B MadajBioinformatics and Biostatistics Core, Van Andel Research Institute, Grand Rapids, MI, USA.
Patrick HeilmanCenter for Neurodegenerative Science, Van Andel Research Institute, Grand Rapids, MI, USA.
LeAnn SmartPine Rest Christian Mental Health Services, Grand Rapids, MI, USA.
Jamie GritCenter for Cancer and Cell Biology, Van Andel Research Institute, Grand Rapids, MI, USA.
Robert GibbonsCenter for Health Statistics, Departments of Medicine and Public Health Sciences, University of Chicago, IL, USA.
Teodor T PostolacheDepartment of Psychiatry, University of Maryland-Baltimore School of Medicine, Baltimore, MD, USA; Rocky Mountain Mirecc, Denver, CO, USA.
Kimberly RoatenDepartment of Psychiatry, University of Texas Southwestern, Dallas, TX, USA.
Eric D AchtyesPine Rest Christian Mental Health Services, Grand Rapids, MI, USA; Division of Psychiatry & Behavioral Medicine, Michigan State University College of Human Medicine, Grand Rapids, MI, USA. Electronic address: Eric.Achtyes@PineRest.org.
Lena BrundinCenter for Neurodegenerative Science, Van Andel Research Institute, Grand Rapids, MI, USA. Electronic address: Lena.Brundin@vai.org.
Van Andel Institute · USPine Rest Christian Mental Health Services · USChicago Department of Public Health · USThe University of Texas Southwestern Medical Center · USUniversity of Maryland, Baltimore · US

Funding

Research BaseP30DK072488 · NIDDK · UNIVERSITY OF MARYLAND BALTIMORE · PI MITCHELL, BRAXTON D, TAYLOR, SIMEON I. · 2005 to 2019
$17.3M
Mental Health Computerized Adaptive TestingR01MH066302 · NIMH · UNIVERSITY OF ILLINOIS AT CHICAGO · PI GIBBONS, ROBERT D · 2002 to 2010
$5.0M
Role of Kynurenine Pathway Metabolites in Perinatal Depression and SuicidalityR01MH104622 · NIMH · VAN ANDEL RESEARCH INSTITUTE · PI BRUNDIN, LENA CECILIA · 2014 to 2016
$1.2M
Toxoplasma gondi, the kynurenine pathway, and suicidal behavior in veteransI01CX001310 · VA · BALTIMORE VA MEDICAL CENTER · PI POSTOLACHE, TEODOR T · 2016 to 2020
–
CSRD VA I01 CX001310NIDDK NIH HHS P30 DK072488NIMH NIH HHS R01 MH066302NIMH NIH HHS R01 MH104622
6 · The paper itself

Abstract

backgroundSuicide risk assessments are often challenging for clinicians, and therefore, biological markers are warranted as guiding tools in these assessments. Suicidal patients display increased cytokine levels in peripheral blood, although the composite inflammatory profile in the subjects is still unknown. It is also not yet established whether certain inflammatory changes are specific to suicidal subjects. To address this, we measured 45 immunobiological factors in peripheral blood and identified the biological profiles associated with cross-diagnostic suicide risk and depression, respectively.

methodsSixty-six women with mood and anxiety disorders underwent computerized adaptive testing for mental health, assessing depression and suicide risk. Weighted correlation network analysis was used to uncover system level associations between suicide risk, depression, and the immunobiological factors in plasma. Secondary regression models were used to establish the sensitivity of the results to potential confounders, including age, body mass index (BMI), treatment and symptoms of depression and anxiety.

resultsThe biological profile of patients assessed to be at increased suicide risk differed from that associated with depression. At the system level, a biological cluster containing increased levels of interleukin-6, lymphocytes, monocytes, white blood cell count and polymorphonuclear leukocyte count significantly impacted suicide risk, with the latter two inferring the strongest influence. The cytokine interleukin-8 was independently and negatively associated with increased suicide risk. The results remained after adjusting for confounders. LIMITATIONS: This study is cross-sectional and not designed to prove causality. DISCUSSION: A unique immunobiological profile was linked to increased suicide risk. The profile was different from that observed in patients with depressive symptoms, and indicates that granulocyte mediated biological mechanisms could be activated in patients at risk for suicide.

Indexed as

Suicidal IdeationAdolescentAdultAgedBiomarkersCross-Sectional StudiesCytokinesDepressive DisorderDisease SusceptibilityFemaleHumansInflammationLeukocyte CountLymphocytesMiddle AgedPsychiatric Status Rating ScalesBiomarkersCytokinesCytokineDepressionGranolucyteNetwork analysisSuicideWhite blood cells

Identifiers

PMID30654266
PMCPMC6860980
OpenAlexW2906735570

What OpenQuestion holds

Textmetadata
LicenceTDM
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.