Evidence map›Paper›PMID 31781761›Full record

ReviewThe international journal of neuropsychopharmacology2020

Candidate Biomarkers of Suicide Crisis Syndrome: What to Test Next? A Concept Paper.

Raffaella Calati, Charles B Nemeroff, Jorge Lopez-Castroman, Lisa J Cohen, Igor Galynker

Open access · goldAbstract readReview
In one paragraph

Review in The international journal of neuropsychopharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 2 pooled it
10.4field-weighted citation impact, top 1% 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

19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review: Suicide and its relationship to aggression and impulsivity.Cognitive, affective & behavioral neuroscience · 2025
    Review
  4. Article
  5. Article
  6. Genetic evidence for a potential causal relationship between insomnia symptoms and suicidal behavior: a Mendelian randomization study.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2022
    Article
  7. Risk-Taking Behavior among Suicide Attempters.Journal of clinical medicine · 2022
    Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. The association between the suicide crisis syndrome and suicidal behaviors: The moderating role of personality traits.European psychiatry : the journal of the Association of European Psychiatrists · 2021
    Article
  14. Article
  15. Review
  16. Fatigue and brain arousal in patients with major depressive disorder.European archives of psychiatry and clinical neuroscience · 2021
    Article
  17. Article
  18. Article
  19. Suicide Risk Assessment and Prevention: Challenges and Opportunities.Focus (American Psychiatric Publishing) · 2020
    Review
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

5 authors at 4 institutions in 3 countries.

Raffaella CalatiDepartment of Psychiatry, Mount Sinai Beth Israel, New York, New York.
Charles B NemeroffDepartment of Psychiatry, University of Texas Dell Medical School, Austin, Texas.
Jorge Lopez-CastromanDepartment of Adult Psychiatry, Nîmes University Hospital, Nîmes, France.
Lisa J CohenDepartment of Psychiatry, Mount Sinai Beth Israel, New York, New York.
Igor GalynkerDepartment of Psychiatry, Mount Sinai Beth Israel, New York, New York.
Icahn School of Medicine at Mount Sinai · USInserm · FRThe University of Texas at Austin · USUniversité de Nîmes · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere has been increasing interest in both suicide-specific diagnoses within the psychiatric nomenclature and related biomarkers. Because the Suicide Crisis Syndrome-an emotional crescendo of several interrelated symptoms-seems to be promising for the identification of individuals at risk of suicide, the aim of the present paper is to review the putative biological underpinnings of the Suicide Crisis Syndrome symptoms (entrapment, affective disturbance, loss of cognitive control, hyperarousal, social withdrawal).

methodsA PubMed literature search was performed to identify studies reporting a link between each of the 5 Suicide Crisis Syndrome symptoms and biomarkers previously reported to be associated with suicidal outcomes.

resultsDisturbances in the hypothalamic-pituitary-adrenal axis, with dysregulated corticotropin-releasing hormone and cortisol levels, may be linked to a sense of entrapment. Affective disturbance is likely mediated by alterations in dopaminergic circuits involved in reward and antireward systems as well as endogenous opioids. Loss of cognitive control is linked to altered neurocognitive function in the areas of executive function, attention, and decision-making. Hyperarousal is linked to autonomic dysregulation, which may be characterized by a reduction in both heart rate variability and electrodermal activity. Social withdrawal has been associated with oxytocin availability. There is also evidence that inflammatory processes may contribute to individual Suicide Crisis Syndrome symptoms.

conclusionThe Suicide Crisis Syndrome is a complex syndrome that is likely the consequence of distinct changes in interconnected neural, neuroendocrine, and autonomic systems. Available clinical and research data allow for development of empirically testable hypotheses and experimental paradigms to scrutinize the biological substrates of the Suicide Crisis Syndrome.

Indexed as

BiomarkersMental DisordersSuicideHumansSyndromeBiomarkersacuitybiomarkersreviewsuicide

Identifiers

PMID31781761
PMCPMC7171927
OpenAlexW2990841157

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.