Evidence map›Paper›PMID 33542184›Full record

ArticleTranslational psychiatry2021

Functional network alterations differently associated with suicidal ideas and acts in depressed patients: an indirect support to the transition model.

Gerd Wagner, Meng Li, Matthew D Sacchet, Stéphane Richard-Devantoy, Gustavo Turecki, Karl-Jürgen Bär, Ian H Gotlib, Martin Walter, Fabrice Jollant

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 2 pooled it
4.9field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

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  13. Suicidal transition rates and their predictors in the adult general population: a repeated survey over 21 years in France.European psychiatry : the journal of the Association of European Psychiatrists · 2024
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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

9 authors at 5 institutions in 4 countries.

Gerd WagnerDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Philosophenweg 3, 07743, Jena, Germany. wagner.gerd@uni-jena.de.ORCID 0000-0003-2296-0259
Meng LiDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Philosophenweg 3, 07743, Jena, Germany.
Matthew D SacchetCenter for Depression, Anxiety, and Stress Research, McLean Hospital, Harvard Medical School, Belmont, MA, USA.
Stéphane Richard-DevantoyMcGill group for Suicide Studies, McGill University & Douglas Mental Health University Institute, Montréal, QC, Canada.
Gustavo TureckiMcGill group for Suicide Studies, McGill University & Douglas Mental Health University Institute, Montréal, QC, Canada.ORCID 0000-0003-4075-2736
Karl-Jürgen BärDepartment of Gerontopsychiatry and Psychosomatics, Jena University Hospital, Jena, Germany.
Ian H GotlibDepartment of Psychology, Stanford University, Stanford, CA, USA.
Martin WalterDepartment of Psychiatry and Psychotherapy, Jena University Hospital, Philosophenweg 3, 07743, Jena, Germany.
Fabrice JollantMcGill group for Suicide Studies, McGill University & Douglas Mental Health University Institute, Montréal, QC, Canada.
Jena University Hospital · DEDouglas Mental Health University Institute · CAHarvard University · USInserm · FRStanford University · US

Funding

American Foundation for Suicide Prevention (AFSP) SRG-0- 10-302
6 · The paper itself

Abstract

The transition from suicidal ideas to a suicide act is an important topic of research for the identification of those patients at risk of acting out. We investigated here whether specific brain activity and connectivity measures at rest may be differently associated with suicidal thoughts and behaviors. A large sample of acutely depressed patients with major depressive disorder was recruited in three different centers (Montreal/Canada, Stanford/USA, and Jena/Germany), covering four different phenotypes: patients with a past history of suicide attempt (n = 53), patients with current suicidal ideas but no past history of suicide attempt (n = 40), patients without current suicidal ideation nor past suicide attempts (n = 42), and healthy comparison subjects (n = 107). 3-T resting-state functional magnetic resonance imaging (fMRI) measures of the amplitude of low-frequency fluctuation (ALFF) and degree centrality (DC) were obtained and examined in a whole-brain data-driven analysis. Past suicide attempt was associated with a double cortico-subcortical dissociation in ALFF values. Decreased ALFF and DC values mainly in a frontoparietal network and increased ALFF values in some subcortical regions (hippocampus and thalamus) distinguished suicide attempters from suicide ideators, patient controls, and healthy controls. No clear neural differences were identified in relation to suicidal ideas. Suicide attempters appear to be a distinct subgroup of patients with widespread brain alterations in functional activity and connectivity that could represent factors of vulnerability. Our results also indirectly support at the neurobiological level the relevance of the transition model described at the psychological and clinical levels. The brain bases of suicidal ideas occurrence in depressed individuals needs further investigations.

Indexed as

Major Depressive DisorderSuicidal IdeationCanadaGermanyHumansSuicide, Attempted

Identifiers

PMID33542184
PMCPMC7862288
OpenAlexW3126445935

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.