Evidence map›Paper›PMID 40903731›Full record

ArticleBMC geriatrics2025

Cognition, white matter hyperintensities and suicide risk in late-life depression patients: an exploratory study.

Yao-Tung Lee, Li-Kai Huang, Martha Sajatovic, Chaur-Jong Hu, Hsin-Chien Lee, Che-Yin Lin, Chin-An Wang, Shang-Ying Tsai, Yen-Kuang Lin

Abstract read
In one paragraph

Article in BMC geriatrics, 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. 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.

Yao-Tung LeeDepartment of Psychiatry and Psychosomatic Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan.
Li-Kai HuangDepartment of Neurology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Martha SajatovicDepartment of Psychiatry and of Neurology, Neurological and Behavioral Outcomes Center, Case Western Reserve University School of Medicine, University Hospitals Cleveland Medical Center, 10524 Euclid Avenue, Cleveland, OH, 44106, USA.
Chaur-Jong HuDepartment of Neurology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Hsin-Chien LeeDepartment of Psychiatry, Taipei Medical University Hospital, Taipei Medical University, Taipei,, Taiwan.
Che-Yin LinDepartment of Psychiatry, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Chin-An WangDepartment of Anesthesiology, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
Shang-Ying TsaiDepartment of Psychiatry, Taipei Medical University Hospital, Taipei Medical University, Taipei,, Taiwan. tmcpsyts@tmu.edu.tw.
Yen-Kuang LinGraduate Institute of Athletics and Coaching Science / Director, International Affairs and Chinese Language Center, National Taiwan Sport University, Taoyuan,, Taiwan. robbinlin@ntsu.edu.tw.

Funding

National Science and Technology Council, R.O.C. NSTC 112-2314-B-038-145Shuang Ho Hospital, Taipei Medical University, Taiwan 110SHHR-02 and 112HHC-03
6 · The paper itself

Abstract

objectiveSuicide among older adults represents a major public health concern and is closely associated with late-life depression (LLD). White matter hyperintensities (WMHs), frequently observed in the aging population, have been linked to both LLD and cognitive impairment. However, the role of WMH burden and cognitive dysfunction in older adults with LLD who have recently attempted suicide remains unclear. This study aims to investigate differences in WMH burden and cognitive performance across three groups: LLD patients with a recent suicide attempt (recent suicide attempt group, RSA), non-suicidal LLD patients (non-suicidal group, NS), and healthy older adults (healthy comparison group, HC). We further examine whether the relationship between WMH load and cognitive function varies by suicide attempt status.

methodThis cross-sectional study included 58 adults aged 65 years and older. Participants were categorized into three groups: RSA (n = 17), NS (n = 20), and HC (n = 21). All participants underwent brain MRI and completed multiple psychological evaluations and neurocognitive tests, including the Cognitive Abilities Screening Instrument. We compared the three groups with respect to cognitive function, WMHs, and the relationship between WMH load and cognitive performance.

resultsLLD patients with a recent suicide attempt (RSA) had significantly poorer global cognitive function and greater periventricular WMH compared to non-suicidal LLD patients and healthy controls. Greater WMH was significantly associated with lower cognitive function only in the suicide-attempt group.

conclusionWorse global cognitive function and greater WMHs may collectively increase the risk of suicidal attempts in LLD patients.

Indexed as

CognitionDepressionSuicideSuicide, AttemptedWhite MatterAgedAged, 80 and overCross-Sectional StudiesFemaleHumansMagnetic Resonance ImagingMaleNeuropsychological TestsRisk FactorsAgedAttemptedCognitionMagnetic resonance imagingSuicideVascular depressionWhite matter hyperintensities

Identifiers

PMID40903731
PMCPMC12409947

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Registered trials

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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.