Evidence map›Paper›PMID 32474571›Full record

ArticleTranslational psychiatry2020

The intergenerational transmission of suicidal behavior: an offspring of siblings study.

Lauren M O'Reilly, Ralf Kuja-Halkola, Martin E Rickert, Quetzal A Class, Henrik Larsson, Paul Lichtenstein, Brian M D'Onofrio

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 7% 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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
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  17. Suicidal Ideation in Iraqi Medical Students Based on Research Using PHQ-9 and SSI-C.International journal of environmental research and public health · 2023
    Article
  18. Article
  19. Extended familial risk of suicide death is associated with younger age at death and elevated polygenic risk of suicide.American journal of medical genetics. Part B, Neuropsychiatric genetics : the official publication of the International Society of Psychiatric Genetics · 2022
    Article
  20. Parenting in the Context of the Child: Genetic and Social Processes.Monographs of the Society for Research in Child Development · 2022
    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 at 4 institutions in 2 countries.

Lauren M O'ReillyIndiana University, Bloomington, IN, USA. loreilly@iu.edu.
Ralf Kuja-HalkolaKarolinska Institutet, Solna, Sweden.ORCID http://orcid.org/0000-0002-3765-2067
Martin E RickertIndiana University, Bloomington, IN, USA.
Quetzal A ClassUniversity of Illinois, Chicago, IL, USA.
Henrik LarssonKarolinska Institutet, Solna, Sweden.
Paul LichtensteinKarolinska Institutet, Solna, Sweden.ORCID http://orcid.org/0000-0003-3037-5287
Brian M D'OnofrioIndiana University, Bloomington, IN, USA.
Karolinska Institutet · SEIndiana University Bloomington · USÖrebro University · SEUniversity of Illinois Chicago · US

Funding

Predicting Short-Term Risk for Suicidal Behavior after Contact with Outpatient Specialists: A Machine Learning ApproachF31MH121039 · NIMH · TRUSTEES OF INDIANA UNIVERSITY · PI O'REILLY, LAUREN MARIE · 2019 to 2021
$139k
NIMH NIH HHS F31 MH121039
6 · The paper itself

Abstract

We examined the extent to which genetic factors shared across generations, measured covariates, and environmental factors associated with parental suicidal behavior (suicide attempt or suicide) account for the association between parental and offspring suicidal behavior. We used a Swedish cohort of 2,762,883 offspring born 1973-2001. We conducted two sets of analyses with offspring of half- and full-siblings: (1) quantitative behavior genetic models analyzing maternal suicidal behavior and (2) fixed-effects Cox proportional hazard models analyzing maternal and paternal suicidal behavior. The analyses also adjusted for numerous measured covariates (e.g., parental severe mental illness). Quantitative behavior genetic analyses found that 29.2% (95% confidence interval [CI], 5.29, 53.12%) of the intergenerational association was due to environmental factors associated with exposure to maternal suicidal behavior, with the remainder due to genetic factors. Statistical adjustment for parental behavioral health problems partially attenuated the environmental association; however, the results were no longer statistically significant. Cox hazard models similarly found that offspring were at a 2.74-fold increased risk [95% CI, 2.67, 2.83]) of suicidal behavior if their mothers attempted/died by suicide. After adjustment for familial factors and measured covariates, associations attenuated but remained elevated for offspring of discordant half-siblings (HR, 1.57 [95% CI, 1.45, 1.71]) and full-siblings (HR, 1.62 [95% CI, 1.57, 1.67]). Cox hazard models demonstrated a similar pattern between paternal and offspring suicidal behavior. This study found that the intergenerational transmission of suicidal behavior is largely due to shared genetic factors, as well as factors associated with parental behavioral health problems and environmental factors associated with parental suicidal behavior.

Indexed as

Child of Impaired ParentsSuicidal IdeationFemaleHumansRisk FactorsSiblingsSuicide, AttemptedSweden

Identifiers

PMID32474571
PMCPMC7261287
OpenAlexW3029711322

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.