Evidence map›Paper›PMID 33472387›Full record

ArticleThe American journal of psychiatry2021

Multimodal Neuroimaging of Suicidal Thoughts and Behaviors in a U.S. Population-Based Sample of School-Age Children.

Pablo Vidal-Ribas, Delfina Janiri, Gaelle E Doucet, Narun Pornpattananangkul, Dylan M Nielson, Sophia Frangou, Argyris Stringaris

Open access · greenAbstract read
In one paragraph

Article in The American journal of psychiatry, 2021. 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
4.7field-weighted citation impact, top 5% 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, 43 citations in OpenAlex.

  1. Pooled it
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  6. Understanding the emergence of suicidal thoughts and behaviors in adolescence from a brain and behavioral developmental perspective.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Review
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  9. Longitudinal Sex-at-Birth and Age Analyses of Cortical Structure in the ABCD Study.The Journal of neuroscience : the official journal of the Society for Neuroscience · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Pablo Vidal-RibasSocial and Behavioral Science Branch, National Institute of Child Health and Human Development, Bethesda, Md. (Vidal-Ribas); Section of Clinical and Computational Psychiatry (COMP-ψ), NIMH, Bethesda, Md. (Vidal-Ribas, Pornpattananangkul, Nielson, Stringaris); Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York (Janiri, Doucet, Frangou); Department of Neurology and Psychiatry, Sapienza University of Rome (Janiri); Boys Town National Research Hospital, Omaha (Doucet); Department of Psychology, University of Otago, Dunedin, New Zealand (Pornpattananangkul); and Centre for Brain Health, University of British Columbia, Vancouver, Canada (Frangou).
Delfina JaniriSocial and Behavioral Science Branch, National Institute of Child Health and Human Development, Bethesda, Md. (Vidal-Ribas); Section of Clinical and Computational Psychiatry (COMP-ψ), NIMH, Bethesda, Md. (Vidal-Ribas, Pornpattananangkul, Nielson, Stringaris); Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York (Janiri, Doucet, Frangou); Department of Neurology and Psychiatry, Sapienza University of Rome (Janiri); Boys Town National Research Hospital, Omaha (Doucet); Department of Psychology, University of Otago, Dunedin, New Zealand (Pornpattananangkul); and Centre for Brain Health, University of British Columbia, Vancouver, Canada (Frangou).
Gaelle E DoucetSocial and Behavioral Science Branch, National Institute of Child Health and Human Development, Bethesda, Md. (Vidal-Ribas); Section of Clinical and Computational Psychiatry (COMP-ψ), NIMH, Bethesda, Md. (Vidal-Ribas, Pornpattananangkul, Nielson, Stringaris); Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York (Janiri, Doucet, Frangou); Department of Neurology and Psychiatry, Sapienza University of Rome (Janiri); Boys Town National Research Hospital, Omaha (Doucet); Department of Psychology, University of Otago, Dunedin, New Zealand (Pornpattananangkul); and Centre for Brain Health, University of British Columbia, Vancouver, Canada (Frangou).
Narun PornpattananangkulSocial and Behavioral Science Branch, National Institute of Child Health and Human Development, Bethesda, Md. (Vidal-Ribas); Section of Clinical and Computational Psychiatry (COMP-ψ), NIMH, Bethesda, Md. (Vidal-Ribas, Pornpattananangkul, Nielson, Stringaris); Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York (Janiri, Doucet, Frangou); Department of Neurology and Psychiatry, Sapienza University of Rome (Janiri); Boys Town National Research Hospital, Omaha (Doucet); Department of Psychology, University of Otago, Dunedin, New Zealand (Pornpattananangkul); and Centre for Brain Health, University of British Columbia, Vancouver, Canada (Frangou).
Dylan M NielsonSocial and Behavioral Science Branch, National Institute of Child Health and Human Development, Bethesda, Md. (Vidal-Ribas); Section of Clinical and Computational Psychiatry (COMP-ψ), NIMH, Bethesda, Md. (Vidal-Ribas, Pornpattananangkul, Nielson, Stringaris); Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York (Janiri, Doucet, Frangou); Department of Neurology and Psychiatry, Sapienza University of Rome (Janiri); Boys Town National Research Hospital, Omaha (Doucet); Department of Psychology, University of Otago, Dunedin, New Zealand (Pornpattananangkul); and Centre for Brain Health, University of British Columbia, Vancouver, Canada (Frangou).
Sophia FrangouSocial and Behavioral Science Branch, National Institute of Child Health and Human Development, Bethesda, Md. (Vidal-Ribas); Section of Clinical and Computational Psychiatry (COMP-ψ), NIMH, Bethesda, Md. (Vidal-Ribas, Pornpattananangkul, Nielson, Stringaris); Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York (Janiri, Doucet, Frangou); Department of Neurology and Psychiatry, Sapienza University of Rome (Janiri); Boys Town National Research Hospital, Omaha (Doucet); Department of Psychology, University of Otago, Dunedin, New Zealand (Pornpattananangkul); and Centre for Brain Health, University of British Columbia, Vancouver, Canada (Frangou).
Argyris StringarisSocial and Behavioral Science Branch, National Institute of Child Health and Human Development, Bethesda, Md. (Vidal-Ribas); Section of Clinical and Computational Psychiatry (COMP-ψ), NIMH, Bethesda, Md. (Vidal-Ribas, Pornpattananangkul, Nielson, Stringaris); Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York (Janiri, Doucet, Frangou); Department of Neurology and Psychiatry, Sapienza University of Rome (Janiri); Boys Town National Research Hospital, Omaha (Doucet); Department of Psychology, University of Otago, Dunedin, New Zealand (Pornpattananangkul); and Centre for Brain Health, University of British Columbia, Vancouver, Canada (Frangou).
National Institutes of Health · US

Funding

ABCD-USA Consortium: Coordinating CenterU24DA041147 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SANDRA A BROWN, TERRY L. JERNIGAN · 2015 to 2026
$54.7M
ABCD-USA Consortium: Data Analysis, Informatics and Resource CenterU24DA041123 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI ANDERS M DALE · 2015 to 2026
$51.5M
Adolescent Substance Use Initiation: Disentangling neurocognitive risks from consequences using longitudinal and genetically-informed methodsU01DA041120 · NIDA · UNIVERSITY OF MINNESOTA · PI Monica Luciana, Sylia Wilson · 2015 to 2026
$34.5M
ABCD-USA Consortium: Research ProjectU01DA041089 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Joanna Jacobus, Susan F. Tapert · 2015 to 2026
$31.7M
Prospective Research Studies of Maturation (PRISM)- Research ProjectU01DA041134 · NIDA · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI ERIN MCGLADE, PERRY FRANKLIN RENSHAW · 2015 to 2026
$29.2M
ABCD-USA CONSORTIUM: RESEARCH PROJECTU01DA041048 · NIDA · CHILDREN'S HOSPITAL OF LOS ANGELES · PI Megan Marie Herting, ELIZABETH R SOWELL · 2015 to 2026
$28.7M
ABCD-USA Consortium: Research ProjectU01DA041106 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Mary M Heitzeg, Chandra Sekhar Sripada · 2015 to 2026
$24.9M
FIU-ABCD: Pathways and Mechanisms to Addiction in the Latino Youth of South FloridaU01DA041156 · NIDA · FLORIDA INTERNATIONAL UNIVERSITY · PI Raul Gonzalez, Angela R Laird · 2015 to 2026
$22.8M
ABCD-USA Consortium: Research ProjectU01DA041148 · NIDA · OREGON HEALTH & SCIENCE UNIVERSITY · PI Damien A Fair, Rebekah S Huber · 2015 to 2026
$22.3M
ABCD-USA: NYC Research ProjectU01DA041174 · NIDA · YALE UNIVERSITY · PI Arielle Ryan Baskin-Sommers, Betty J Casey · 2015 to 2026
$19.7M
Adolescent Brain Cognitive Development (ABCD) Prospective Research in Studies of Maturation (PRISM) ConsortiumU01DA041117 · NIDA · UNIVERSITY OF MARYLAND BALTIMORE · PI LINDA CHANG, THOMAS M ERNST · 2015 to 2026
$19.5M
Mood, Brain, and Development UnitZIAMH002957 · NIMH · NATIONAL INSTITUTE OF MENTAL HEALTH · PI STRINGARIS, ARGYRIOS · 2017 to 2022
$14.8M
Intramural NIH HHS ZIA MH002957NIA NIH HHS R03 AG064001NIDA NIH HHS U01 DA041022NIDA NIH HHS U01 DA041025NIDA NIH HHS U01 DA041028NIDA NIH HHS U01 DA041048NIDA NIH HHS U01 DA041089NIDA NIH HHS U01 DA041093NIDA NIH HHS U01 DA041106NIDA NIH HHS U01 DA041117NIDA NIH HHS U01 DA041120NIDA NIH HHS U01 DA041134NIDA NIH HHS U01 DA041148NIDA NIH HHS U01 DA041156NIDA NIH HHS U01 DA041174NIDA NIH HHS U24 DA041123NIDA NIH HHS U24 DA041147NIMH NIH HHS R01 MH113619NIMH NIH HHS R01 MH116147
6 · The paper itself

Abstract

objectiveSuicide deaths and suicidal thoughts and behaviors are considered a public health emergency, yet their underpinnings in the brain remain elusive. The authors examined the classification accuracy of individual, environmental, and clinical characteristics, as well as multimodal brain imaging correlates, of suicidal thoughts and behaviors in a U.S. population-based sample of school-age children.

methodsChildren ages 9-10 years (N=7,994) from a population-based sample from the Adolescent Brain Cognitive Development study were assessed for lifetime suicidal thoughts and behaviors. After quality control procedures, structural MRI (N=6,238), resting-state functional MRI (N=4,134), and task-based functional MRI (range, N=4,075-4,608) were examined. Differences with Welch's t test and equivalence tests, with observed effect sizes (Cohen's d) and their 90% confidence intervals <|0.15|, were examined. Classification accuracy was examined with area under precision-recall curves (AUPRCs).

resultsAmong the 7,994 unrelated children (females, N=3,757, 47.0%), those with lifetime suicidal thoughts and behaviors based on child (N=684, 8.6%), caregiver (N=654, 8.2%), and concordant (N=198, 2.5%) reports had higher levels of social adversity and psychopathology, among themselves and their caregivers, compared with never-suicidal children (N=6,854, 85.7%). Only one imaging test survived statistical correction: caregiver-reported suicidal thoughts and behaviors were associated with a thinner left bank of the superior temporal sulcus. On the basis of the prespecified bounds of |0.15|, approximately 48% of the group mean differences for child-reported suicidal thoughts and behaviors comparisons and approximately 22% for caregiver-reported suicidal thoughts and behaviors comparisons were considered equivalent. All observed effect sizes were relatively small (d≤|0.30|), and both non-imaging and imaging correlates had low classification accuracy (AUPRC ≤0.10).

conclusionsCommonly applied neuroimaging measures did not reveal a discrete brain signature related to suicidal thoughts and behaviors in youths. Improved approaches to the neurobiology of suicide are critically needed.

Indexed as

Suicidal IdeationBrainBrain Cortical ThicknessBrain MappingChildFemaleFunctional NeuroimagingHumansMagnetic Resonance ImagingMaleMental DisordersOrgan SizeSuicide, AttemptedTemporal LobeUnited StatesChildrenNeuroimagingRisk FactorsSuicide

Identifiers

PMID33472387
PMCPMC8016742
OpenAlexW3124064148

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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.