Evidence map›Paper›PMID 32473944›Full record

ArticleBrain, behavior, and immunity2020

Investigating evidence for a causal association between inflammation and self-harm: A multivariable Mendelian Randomisation study.

Abigail Emma Russell, Tamsin Ford, David Gunnell, Jon Heron, Carol Joinson, Paul Moran, Caroline Relton, Matthew Suderman, Gibran Hemani, Becky Mars

Open access · hybridAbstract read
In one paragraph

Article in Brain, behavior, and immunity, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 21% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Genetics and epigenetics of self-injurious thoughts and behaviors: Systematic review of the suicide literature and methodological considerations.American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics · 2022
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. COVID-19 host genetics and ABO blood group susceptibility.Cambridge prisms. Precision medicine · 2023
    Review
  14. Article
  15. Article
  16. Article
  17. 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.

Abigail Emma RussellCentre for Academic Mental Health, Population Health Sciences, University of Bristol Medical School, United Kingdom. Electronic address: a.e.russell@bristol.ac.uk.
Tamsin FordUniversity of Cambridge, Department of Psychiatry, United Kingdom.
David GunnellCentre for Academic Mental Health, Population Health Sciences, University of Bristol Medical School, United Kingdom; NIHR Biomedical Research Centre at the University Hospitals Bristol NHS Foundation Trust and the University of Bristol, United Kingdom.
Jon HeronCentre for Academic Mental Health, Population Health Sciences, University of Bristol Medical School, United Kingdom.
Carol JoinsonCentre for Academic Mental Health, Population Health Sciences, University of Bristol Medical School, United Kingdom.
Paul MoranCentre for Academic Mental Health, Population Health Sciences, University of Bristol Medical School, United Kingdom; NIHR Biomedical Research Centre at the University Hospitals Bristol NHS Foundation Trust and the University of Bristol, United Kingdom.
Caroline ReltonMRC Integrative Epidemiology Unit, University of Bristol Medical School, Population Health Sciences, University of Bristol Medical School, United Kingdom.
Matthew SudermanMRC Integrative Epidemiology Unit, University of Bristol Medical School, Population Health Sciences, University of Bristol Medical School, United Kingdom.
Gibran HemaniMRC Integrative Epidemiology Unit, University of Bristol Medical School, Population Health Sciences, University of Bristol Medical School, United Kingdom.
Becky MarsCentre for Academic Mental Health, Population Health Sciences, University of Bristol Medical School, United Kingdom; NIHR Biomedical Research Centre at the University Hospitals Bristol NHS Foundation Trust and the University of Bristol, United Kingdom.
University of Bristol · GBUniversity Hospitals Bristol NHS Foundation Trust · GBUniversity of Cambridge · GB

Funding

Medical Research Council MC_PC_15018Medical Research Council MC_PC_19009Medical Research Council MC_UU_00011/5Medical Research Council MC_UU_12013/2Medical Research Council MR/R004889/1MRF_ MRF-058-0002-RG-MARSWellcome Trust 208806/Z/17/ZWellcome Trust GR067797MA
6 · The paper itself

Abstract

backgroundThe causal role of inflammatory markers on self-harm and suicidal risk has been studied using observational data, with conflicting results. Confounding and reverse causation can lead to bias, so we appraised question from a genetic perspective to protect against these biases. We measured associations between genetic liability for high levels of inflammatory markers Interleukin-6 (IL-6) and C-reactive protein (CRP) on self-harm, and conducted a secondary analysis restricted to self-harm with suicidal intent.

methodsWe conducted two sample and multivariable Mendelian randomisation (MR) to assess the effects of IL-6 and CRP on self-harm utilising existing data and conducting new genome wide association studies to instrument IL-6 and CRP, and for the outcome of self-harm.

resultsNo single nucleotide polymorphisms (SNPs) reached genome-wide significance for self-harm, however 193 SNPs met suggestive significance levels (p < 5 × 10

conclusionsOur findings are conflicting and indicate that IL-6 and CRP are not robust etiological markers of increased self-harm or suicide risk.

Indexed as

Genome-Wide Association StudySelf-Injurious BehaviorHumansInflammationMendelian Randomization AnalysisPolymorphism, Single NucleotideC-reactive proteinInflammationInterleukin-6Mendelian RandomisationSelf-harmSuicide

Identifiers

PMID32473944
PMCPMC7575900
OpenAlexW3028962909

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.