Evidence map›Paper›PMID 40715769›Full record

ReviewNeuropsychopharmacology : official publication of the American College of Neuropsychopharmacology2026

Understanding the emergence of suicidal thoughts and behaviors in adolescence from a brain and behavioral developmental perspective.

Charles P Lewis, Bonnie Klimes-Dougan, Paul E Croarkin, Kathryn R Cullen

Abstract readReview
In one paragraph

Review in Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Observational
  4. Review
  5. The puzzle of heterogeneity: an introduction to part II.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  6. Trajectories of mental health and mental illness: where we are now and where we go next.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2026
    Article
  7. Article
  8. 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

4 authors.

Charles P LewisDepartment of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA. lewi1538@umn.edu.ORCID 0000-0001-8791-657X
Bonnie Klimes-DouganDepartment of Psychology, University of Minnesota, Minneapolis, MN, USA.ORCID 0000-0002-2107-0038
Paul E CroarkinDepartments of Pediatrics, Pharmacology, and Psychiatry and Psychology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-6843-6503
Kathryn R CullenDepartment of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA.ORCID 0000-0001-9631-3770

Funding

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
Developmental Trajectories of Brain Network Strength and Flexibility: Relationship to Risk, Onset and Course of Depression and Self-Harm in YouthR01MH122473 · NIMH · UNIVERSITY OF MINNESOTA · PI CULLEN, KATHRYN REGAN, FIECAS, MARK JOSEPH BARILAR · 2021 to 2024
$1.6M
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 MH122473NIMH NIH HHS R01 MH124655U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) K23MH127307U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH122473U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH124655
6 · The paper itself

Abstract

Suicide is a leading cause of death in adolescents, and a spectrum of suicidal thoughts and behaviors (STBs) is common among teenagers. Adolescence is a transitional period marked by critical brain changes, coinciding with major changes in how teenagers regulate emotions and impulses, as well as in how they understand themselves and interact with others. We review neuroimaging evidence supporting a developmental conceptualization of suicide risk, focusing on neural changes associated with key developmental tasks of adolescence. Functional and structural imaging studies have implicated medial prefrontal, cingulate, dorsolateral prefrontal, orbitofrontal, and frontolimbic circuitry changes in youth with STBs. There is emerging evidence that psychotherapeutic and neuromodulatory interventions can engage these brain processes and modify behavior in at-risk youth. We argue that harnessing these techniques more specifically by using targeted approaches aimed at enhancing emotion regulation, impulse control, positive identity development, and healthy social functioning is a promising way forward for reducing suicide risk in teens. Continued investigation into neural trajectories of suicidality in adolescence is critical for developing more effective risk assessment and treatment approaches to aid suicidal youth in navigating adolescent development and transitioning successfully to adulthood.

Indexed as

Adolescent BehaviorAdolescent DevelopmentBrainSuicidal IdeationAdolescentHumansSuicide

Identifiers

PMID40715769
PMCPMC12618942

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.