Evidence map›Paper›PMID 40633578›Full record

ArticlePsychiatry investigation2025

Prospective Associations of Serum Tumor Necrosis Factor-Alpha and Employment on Suicidal Behaviors Over 1 Year in Depressive Patients Receiving Psychopharmacotherapy.

Ha-Yeon Kim, Ju-Wan Kim, Hee-Ju Kang, Ju-Yeon Lee, Sung-Wan Kim, Il-Seon Shin, Byung Jo Chun, Min-Gon Kim, Jae-Min Kim

Abstract read
In one paragraph

Article in Psychiatry investigation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Employment Status Shapes the Link between Serum Tumor Necrosis Factor and Suicidal Ideation in Patients with Acute Coronary Syndrome: Evidence from an Independent Clinical Cohort.Clinical psychopharmacology and neuroscience : the official scientific journal of the Korean College of Neuropsychopharmacology · 2026
    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

9 authors.

Ha-Yeon KimDepartment of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
Ju-Wan KimDepartment of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
Hee-Ju KangDepartment of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
Ju-Yeon LeeDepartment of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
Sung-Wan KimDepartment of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
Il-Seon ShinDepartment of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.
Byung Jo ChunDepartment of Emergency Medicine, Chonnam National University Medical School, Gwangju, Republic of Korea.
Min-Gon KimGwangju Institute of Science and Technology, Gwangju, Republic of Korea.
Jae-Min KimDepartment of Psychiatry, Chonnam National University Medical School, Gwangju, Republic of Korea.

Funding

Chonnam National University Hospital Biomedical Research Institute BCRI24088Ministry of Science and ICTNational Research Foundation of Korea RS-2024-00440371
6 · The paper itself

Abstract

objectiveThis study explored both the individual and combined effects of serum tumor necrosis factor-alpha (sTNF-α) levels and employment status on suicidal behavior (SB) in patients with depressive disorders undergoing pharmacologic treatment.

methodsBaseline measurements of sTNF-α levels were taken, and employment status was determined. Over a 1-year period of stepwise pharmacotherapy, SB was monitored and categorized into increased suicidal severity and fatal/non-fatal suicide attempts. Logistic regression models adjusted for relevant covariates were used to analyze the individual and interactive associations between sTNF-α levels, employment status, and these two forms of SB.

resultsUnemployment was significantly associated with both forms of SB, whereas sTNF-α levels alone did not show a significant correlation. However, lower sTNF-α levels combined with employment were associated with the lowest incidence rates of both SB categories, demonstrating significant interactive effects after adjustment.

conclusionThe study demonstrates that the prospective associations of sTNF-α levels for SB is enhanced when combined with employment status in patients receiving pharmacological treatment for depressive disorders. These findings suggest that integrating biological markers with socio-economic factors can improve the assessment and management of suicide risk.

Indexed as

DepressionEmploymentPsychopharmacotherapySuicidal behaviorTumor necrosis factor-alpha

Identifiers

PMID40633578
PMCPMC12301683

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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.