Evidence map›Paper›PMID 40597915›Full record

ArticleBMC psychiatry2025

The association between gamma-aminobutyric acid levels and suicidal behavior in depression.

Qiujing Shao, Mengjun Geng, Ziyang Ji, Jiao Dong, Hongyu Wang, Zhenzhen Yang, Changhong Wang

Abstract read
In one paragraph

Article in BMC psychiatry, 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. Article
  2. Article
  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

7 authors.

Qiujing ShaoDepartment of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, 453002, Henan, China.
Mengjun GengDepartment of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, 453002, Henan, China.
Ziyang JiDepartment of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, 453002, Henan, China.
Jiao DongDepartment of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, 453002, Henan, China.
Hongyu WangDepartment of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, 453002, Henan, China.
Zhenzhen YangDepartment of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, 453002, Henan, China.
Changhong WangDepartment of Psychiatry, The Second Affiliated Hospital of Xinxiang Medical University, Henan Mental Hospital, Xinxiang, 453002, Henan, China. wangchanghonged@outlook.com.

Funding

Joint construction project of Henan Medical Science and Technology Research and Development Program in 2022 LHGL20220638
6 · The paper itself

Abstract

objectiveThe present investigation was designed to probe into the relationship between fluctuations in gamma - aminobutyric acid (GABA) levels and depression accompanied by suicidal behavior. It aimed to explore the potential mechanistic role of GABA in the suicide risk among patients with depression and appraise its potential as a biomarker.

methodsThis study employed a single - center, prospective, cross - sectional design. A total of 106 subjects were enrolled and allocated into three groups: an experimental group (patients with depression and suicidal behavior, n = 36), a control group (patients with depression but without suicidal behavior, n = 40), and a healthy control group (n = 30). Serum GABA levels were quantified, and evaluations were conducted using the Hamilton Depression Scale (HAMD), the Beck Scale for Suicide Ideation (BSS), serum cortisol levels, and brain - derived neurotrophic factor (BDNF) levels.

resultsThe serum GABA level was significantly lower in the experimental group (2.50 ± 0.40 µmol/L) compared to both the control group (3.00 ± 0.30 µmol/L, p < 0.01) and the healthy control group (3.50 ± 0.20 µmol/L, p < 0.01). Conversely, serum cortisol levels were markedly elevated in the experimental group (601.18 ± 79.86 nmol/L, p < 0.01), while BDNF levels were substantially reduced (15.0 ± 3.0 ng/mL, p < 0.01). Psychological assessment scores showed that the experimental group had the highest levels of depressive symptoms and suicidal ideation, with significantly elevated HAMD and BSS scores (p < 0.001). Correlation analyses revealed that serum GABA levels were negatively correlated with BSS scores (r = -0.8444, p < 0.001), HAMD scores (r = -0.7850, p < 0.001), and cortisol levels (r = -0.6427, p < 0.001), but positively correlated with BDNF levels (r = 0.6784, p < 0.001).

conclusionA significant reduction in serum GABA levels is closely associated with increased depressive severity and suicide risk. These findings suggest that GABA plays a key role in the pathophysiology of depression and suicidal behavior, potentially through modulation of the HPA axis and neuroplasticity mechanisms. Serum GABA serves as a valuable biomarker for assessing suicide risk and represents a promising target for future therapeutic interventions in depression-related suicidality.

Indexed as

DepressionDepressive Disordergamma-Aminobutyric AcidSuicidal IdeationSuicide, AttemptedAdultBiomarkersBrain-Derived Neurotrophic FactorCross-Sectional StudiesFemaleHumansHydrocortisoneMaleMiddle AgedProspective StudiesBiomarkersBrain-Derived Neurotrophic Factorgamma-Aminobutyric AcidHydrocortisoneCortisolDepressionGamma - aminobutyric acid (GABA)NeurotransmitterSuicidal behavior

Identifiers

PMID40597915
PMCPMC12211144

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.