Evidence map›Paper›PMID 40280439›Full record

Trial reportJournal of affective disorders2025

Repetitive transcranial magnetic stimulation frequency effects on suicidal ideation in adolescents with major depressive disorder.

Dicle Buyuktaskin, Charles P Lewis, Paul A Nakonezny, Karina Delaney, Lucero Sangster-Carrasco, Magdalena Romanowicz, Julia Shekunov, Michael J Zaccariello, Jennifer L Vande Voort, Paul E Croarkin

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of affective disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
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

3 citing papers in PubMed.

  1. Review
  2. 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
  3. 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.

Dicle BuyuktaskinDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Charles P LewisPsychiatry & Behavioral Sciences, University of Minnesota Medical School, 2001 6th Street SE, Minneapolis, MN 55454, USA.
Paul A NakoneznyO'Donnell School of Public Health, Department of Biostatistics, University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390, USA.
Karina DelaneyDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA; Department of Molecular Pharmacology and Therapeutics, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
Lucero Sangster-CarrascoDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Magdalena RomanowiczDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Julia ShekunovDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Michael J ZaccarielloDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Jennifer L Vande VoortDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA.
Paul E CroarkinDepartment of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA. Electronic address: croarkin.paul@mayo.edu.

Funding

Glutamatergic and GABAergic Biomarkers in rTMS for Adolescent DepressionR01MH113700 · NIMH · MAYO CLINIC ROCHESTER · PI CROARKIN, PAUL E · 2017 to 2021
$2.5M
A Randomized Controlled Trial of Sequential Bilateral Accelerated Theta Burst Stimulation in Adolescents with Suicidal Ideation Associated with Major Depressive DisorderR01MH124655 · NIMH · MAYO CLINIC ROCHESTER · PI CROARKIN, PAUL E · 2020 to 2023
$2.4M
Inhibitory Mechanisms of Negative Urgency in Adolescent Suicidal BehaviorK23MH127307 · NIMH · UNIVERSITY OF MINNESOTA · PI Charles P. Lewis · 2023 to 2026
$793k
NIMH NIH HHS K23 MH127307NIMH NIH HHS R01 MH113700NIMH NIH HHS R01 MH124655
6 · The paper itself

Abstract

Previous research has explored Transcranial Magnetic Stimulation (TMS) interventions for suicidal thoughts and behaviors. However, the optimal dose parameters for TMS interventions targeting suicidal ideation in adolescents remain unknown. This exploratory study examined the impact of 1 Hz and 10 Hz TMS treatment on suicidal ideation in adolescents with major depressive disorder. Participants (N = 41) aged 12-18 years were randomized to TMS treatments with 1 Hz or 10 Hz frequency over 6 weeks and included in the exploratory analyses. The change in the intensity of suicidal ideation throughout treatment was estimated with ordinal logistic regression models with and without adjustments for the change in depressive symptom severity. The predicted odds of intensity of suicidal ideation significantly decreased over six-weeks of acute TMS treatment for both the 10 Hz TMS group (OR = 0.754, 95 % CI = 0.634 to 0.897, p = 0.0015) and the 1 Hz TMS group (OR = 0.780, 95 % CI = 0.668 to 0.909, p = 0.0016). However, after adjustment for the change in depression severity as a time-varying covariate in the ordinal logistic regression model, the magnitude of the decrease (or predicted odds) in intensity of suicidal ideation was attenuated and rendered non-significant for both the 10 Hz and 1 Hz TMS groups. TMS treatment suicidal ideation outcomes were not significantly different between the 10 Hz and 1 Hz TMS groups. Low-frequency TMS may be as effective as high-frequency TMS in treating suicidal ideation in adolescents with depression. Notably, 1 Hz TMS may have a favorable tolerability and safety profile for adolescents.

Indexed as

Major Depressive DisorderSuicidal IdeationTranscranial Magnetic StimulationAdolescentChildFemaleHumansMaleTreatment OutcomeAdolescentMajor depressive disorderNeuromodulationSuicideTranscranial magnetic stimulation

Identifiers

PMID40280439
PMCPMC12272360

What OpenQuestion holds

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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.