Evidence map›Paper›PMID 38199983›Full record

ArticleTranslational psychiatry2024

Targeting suicidal ideation in major depressive disorder with MRI-navigated Stanford accelerated intelligent neuromodulation therapy.

Baojuan Li, Na Zhao, Nailong Tang, Karl J Friston, Wensheng Zhai, Di Wu, Junchang Liu, Yihuan Chen, Yan Min, Yuting Qiao and 8 more

Open access · goldAbstract read
In one paragraph

Article in Translational psychiatry, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 3 pooled it
6.5field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 3 syntheses or guidelines pooled it, 19 citations in OpenAlex.

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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

18 authors at 7 institutions in 3 countries.

Baojuan Li *School of Biomedical Engineering, Fourth Military Medical University, 710032, Xi'an, Shaanxi, China.
Na Zhao *Center for Cognition and Brain Disorders, the Affiliated Hospital of Hangzhou Normal University, 310015, Hangzhou, Zhejiang, China.
Nailong Tang *Department of Psychiatry, Xijing Hospital, Fourth Military Medical University, 710032, Xi'an, China.
Karl J FristonThe Wellcome Centre for Human Neuroimaging, UCL Queen Square Institute of Neurology, London, WC1N 3AR, UK.ORCID 0000-0001-7984-8909
Wensheng ZhaiSchool of Biomedical Engineering, Fourth Military Medical University, 710032, Xi'an, Shaanxi, China.
Di WuDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, 710032, Xi'an, China.
Junchang LiuDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, 710032, Xi'an, China.
Yihuan ChenDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, 710032, Xi'an, China.
Yan MinDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, 710032, Xi'an, China.
Yuting QiaoDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, 710032, Xi'an, China.
Wenming LiuDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, 710032, Xi'an, China.
Wanqing ShuDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, 710032, Xi'an, China.
Min LiuDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, 710032, Xi'an, China.
Ping ZhouDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, 710032, Xi'an, China.
Li GuoDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, 710032, Xi'an, China.
Shun QiBrain Modulation and Scientific Research Center, 710043, Xi'an, China.
Long-Biao CuiShaanxi Provincial Key Laboratory of Clinic Genetics, Fourth Military Medical University, 710032, Xi'an, China. lbcui@fmmu.edu.cn.
Huaning WangDepartment of Psychiatry, Xijing Hospital, Fourth Military Medical University, 710032, Xi'an, China. xskzhu@fmmu.edu.cn.ORCID 0000-0003-1981-4293
Xijing Hospital · CNAir Force Medical University · CNChinese PLA General Hospital · CNFujian Medical University · CNHangzhou Normal University · CNModulation Therapeutics (United States) · USWellcome Centre for Human Neuroimaging · GB

Funding

National Natural Science Foundation of China (National Science Foundation of China) 61976248National Natural Science Foundation of China (National Science Foundation of China) 81974215
6 · The paper itself

Abstract

High suicide risk represents a serious problem in patients with major depressive disorder (MDD), yet treatment options that could safely and rapidly ameliorate suicidal ideation remain elusive. Here, we tested the feasibility and preliminary efficacy of the Stanford Accelerated Intelligent Neuromodulation Therapy (SAINT) in reducing suicidal ideation in patients with MDD. Thirty-two MDD patients with moderate to severe suicidal ideation participated in the current study. Suicidal ideation and depression symptoms were assessed before and after 5 days of open-label SAINT. The neural pathways supporting rapid-acting antidepressant and suicide prevention effects were identified with dynamic causal modelling based on resting-state functional magnetic resonance imaging. We found that 5 days of SAINT effectively alleviated suicidal ideation in patients with MDD with a high response rate of 65.63%. Moreover, the response rates achieved 78.13% and 90.63% with 2 weeks and 4 weeks after SAINT, respectively. In addition, we found that the suicide prevention effects of SAINT were associated with the effective connectivity involving the insula and hippocampus, while the antidepressant effects were related to connections of the subgenual anterior cingulate cortex (sgACC). These results show that SAINT is a rapid-acting and effective way to reduce suicidal ideation. Our findings further suggest that distinct neural mechanisms may contribute to the rapid-acting effects on the relief of suicidal ideation and depression, respectively.

Indexed as

Major Depressive DisorderAntidepressive AgentsHippocampusHumansMagnetic Resonance ImagingSuicidal IdeationAntidepressive Agents

Identifiers

PMID38199983
PMCPMC10781692
OpenAlexW4390702161

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.