Evidence map›Paper›PMID 30699851›Full record

ArticleJournal of affective disorders2019

Gray and white matter differences in adolescents and young adults with prior suicide attempts across bipolar and major depressive disorders.

Siyan Fan, Elizabeth T C Lippard, Anjali Sankar, Amanda Wallace, Jennifer A Y Johnston, Fei Wang, Brian Pittman, Linda Spencer, Maria A Oquendo, Hilary P Blumberg

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 41 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 4 pooled it
6.3field-weighted citation impact, top 3% 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

41 citing papers in PubMed, 4 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Suicide attempts, white matter microstructure, and cognitive function in schizophrenia.European archives of psychiatry and clinical neuroscience · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Review
  14. Recovery-based suicide prevention.Frontiers in psychiatry · 2025
    Article
  15. Article
  16. Review
  17. Molecular Changes Associated with Suicide.International journal of molecular sciences · 2023
    Review
  18. Article
  19. Review
  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

10 authors at 3 institutions in 1 country.

Siyan FanDepartments of Psychiatry, Yale School of Medicine, New Haven, CT, USA. Electronic address: siyan.fan@yale.edu.
Elizabeth T C LippardDepartments of Psychiatry, Yale School of Medicine, New Haven, CT, USA; Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA; Department of Psychiatry, Dell Medical School, University of Texas at Austin, Austin, TX, USA.
Anjali SankarDepartments of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Amanda WallaceDepartments of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Jennifer A Y JohnstonDepartments of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Fei WangDepartments of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Brian PittmanDepartments of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Linda SpencerDepartments of Psychiatry, Yale School of Medicine, New Haven, CT, USA.
Maria A OquendoDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Hilary P BlumbergDepartments of Psychiatry, Yale School of Medicine, New Haven, CT, USA; Radiology and Biomedical Imaging, Yale School of Medicine, New Haven, CT, USA; Child Study Center, Yale School of Medicine, New Haven, CT, USA.
Yale University · USThe University of Texas at Austin · USUniversity of Pennsylvania · US

Funding

Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
RESEARCH TRAINING - BIOLOGICAL SCIENCEST32MH014276 · NIMH · YALE UNIVERSITY · PI Marina R Picciotto · 1985 to 2026
$7.2M
Neuroimaging Sciences Training ProgramT32DA022975 · NIDA · YALE UNIVERSITY · PI Graeme F Mason, Rajita Sinha · 2007 to 2026
$5.7M
Genetics of Hippocampal Deficits in Bipolar DisorderR01MH070902 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2005 to 2015
$5.1M
Development of Brain Abnormalities in Bipolar DisorderR01MH069747 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2004 to 2008
$2.0M
Biomarkers of Suicide Risk in Adolescents and Young Adults: Factors that ConRC1MH088366 · NIMH · YALE UNIVERSITY · PI BLUMBERG, HILARY PATRICIA · 2009 to 2010
$998k
NCATS NIH HHS UL1 TR000142NIDA NIH HHS T32 DA022975NIMH NIH HHS R01 MH069747NIMH NIH HHS R01 MH070902NIMH NIH HHS RC1 MH088366NIMH NIH HHS T32 MH014276
6 · The paper itself

Abstract

backgroundFindings regarding brain circuitry abnormalities in suicide attempters (SAs) converge across bipolar disorder (BD) and major depressive disorder (MDD), the most common disorders observed in suicides. These abnormalities appear to be present during adolescence/young adulthood when suicide rates increase steeply, and suicide is a leading cause of death in this age group. Identification of brain circuitry common to adolescent/young adult SAs with BD and MDD is important for generating widely effective early prevention strategies. We examined brain circuitry in SAs in adolescents/young adults across these two disorders.

methodsEighty-three participants (ages 14-25 years), 46 with BD (21 SAs) and 37 with MDD (19 SAs), underwent structural and diffusion-weighted magnetic resonance scanning. Whole-brain analyses compared gray matter (GM) volume and white matter (WM) fractional anisotropy (FA) between SAs and non-suicide attempters (NSAs) across and within BD and MDD (p < 0.005).

resultsAcross and within BD and MDD, SAs showed differences compared to NSAs in ventral prefrontal cortex (PFC) GM volume and fronto-limbic (including uncinate fasciculus (UF)) WM FA. Exploratory analyses showed additional within-disorder differences for BD SAs in dorsolateral PFC (dlPFC) and hippocampus GM volume and UF FA, and for MDD SAs dorsomedial and dlPFC GM and dorsal frontal WM. However, there was no significant interaction between suicide attempt status and diagnosis. LIMITATIONS: Modest sample size.

conclusionsCommon fronto-limbic gray and white matter alterations in adolescent/young adult SAs are potential targets for suicide prevention strategies across mood disorders. Preliminary findings of disorder-specific regional findings could suggest diagnostic-specific optimal targets may exist.

Indexed as

Suicide, AttemptedAdolescentAdultAnisotropyBipolar DisorderBrainCase-Control StudiesDiffusion Magnetic Resonance ImagingFemaleGray MatterHippocampusHumansMagnetic Resonance ImagingMajor Depressive DisorderMaleOrgan SizeAdolescentDiffusion tensor imagingFrontal LobeMagnetic resonance imagingSuicideYoung Adult

Identifiers

PMID30699851
PMCPMC6903411
OpenAlexW2900552088

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.