Evidence map›Paper›PMID 41168736›Full record

SynthesisBMC psychiatry2025

Neural mechanisms of suicide thoughts and behaviors in major depressive disorder: abnormal regional brain activity and its functional connectivity.

Yifan Jing, Meng Zhang, Yuan Liu, Ying Gao, Bin Zhang, Chengfeng Chen, Zaimina Xuekelaiti, Yan Zhou, Changlin Zhang, Meijuan Li and 1 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMC psychiatry, 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. Review
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

11 authors.

Yifan JingMental Health Center, Tianjin Anding Hospital, Tianjin Medical University, 13 Liulin Rd., Hexi District, Tianjin, 300222, China.
Meng ZhangMental Health Center, Tianjin Anding Hospital, Tianjin Medical University, 13 Liulin Rd., Hexi District, Tianjin, 300222, China.
Yuan LiuMental Health Center, Tianjin Anding Hospital, Tianjin Medical University, 13 Liulin Rd., Hexi District, Tianjin, 300222, China.
Ying GaoMental Health Center, Tianjin Anding Hospital, Tianjin Medical University, 13 Liulin Rd., Hexi District, Tianjin, 300222, China.
Bin ZhangMental Health Center, Tianjin Anding Hospital, Tianjin Medical University, 13 Liulin Rd., Hexi District, Tianjin, 300222, China.
Chengfeng ChenThe Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou, Guangdong, 510370, China.
Zaimina XuekelaitiMental Health Center, Tianjin Anding Hospital, Tianjin Medical University, 13 Liulin Rd., Hexi District, Tianjin, 300222, China.
Yan ZhouMental Health Center, Tianjin Anding Hospital, Tianjin Medical University, 13 Liulin Rd., Hexi District, Tianjin, 300222, China.
Changlin ZhangTianjin Anding Hospital, Mental Health Center of Tianjin University, Tianjin, 300222, China.
Meijuan LiMental Health Center, Tianjin Anding Hospital, Tianjin Medical University, 13 Liulin Rd., Hexi District, Tianjin, 300222, China. meijuanli82@163.com.
Jie LiMental Health Center, Tianjin Anding Hospital, Tianjin Medical University, 13 Liulin Rd., Hexi District, Tianjin, 300222, China. jieli@tmu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSuicide thoughts and behaviors (STB), including suicidal ideation (SI) and suicide attempts (SA), are significant concerns in major depressive disorder (MDD), yet their neurobiological mechanisms remain poorly understood. This study aims to identify key regional brain activity and connectivity abnormalities associated with STB in MDD by combining a meta-analysis of regional brain activity comparing MDD patients with STB to non-STB controls (both MDD without STB and healthy controls) and an exploratory functional connectivity (FC) analysis in an independent sample of MDD patients.

methodsA meta-analysis employing Seed-based d Mapping with Permutation of Subject Images (SDM-PSI) software identified regional brain abnormalities. Studies included were those comparing MDD patients with STB to non-STB controls, employing resting-state fMRI with whole-brain analyses, using ALFF, fALFF, and ReHo metrics. The identified abnormal brain regions were used as regions of interest (ROIs) for FC analyses in 57 first-episode, drug-naive MDD patients.

resultsThe meta-analysis included 12 studies (13 datasets) comprising 555 MDD patients with STB and 430 non-STB controls. Compared to non-STB controls, MDD-STB patients showed increased activity in the right middle occipital gyrus (MOG) and right inferior frontal gyrus, triangular part (IFGtriang), while decreased activity in right precuneus. Subgroup analysis of SA revealed increased activity in the left angular gyrus in MDD patients with SA, compared to non-SA controls. SI subgroup analysis and two medication status subgroup analyses showed no significant results. In independent sample, FC analysis yielded two significant FCs after Bonferroni correction. Correlation analysis showed a negative association between right MOG-IFGtriang FC and most severe SI scores measured by the Beck Scale for Suicidal Ideation (P = 0.04), though it was non-significant after correction.

conclusionsThese findings provide novel insights into the neural mechanisms of STB in MDD, identifying specific brain regions and FC patterns associated with STB. These results align with prior studies, highlighting the role of visual processing and cognitive control regions in STB. By combining a meta-analysis of regional abnormalities with an exploratory FC analysis, this study offers a comprehensive understanding of the brain networks implicated in STB and suggests potential targets for future interventions.

Indexed as

BrainMajor Depressive DisorderNerve NetSuicidal IdeationSuicide, AttemptedAdultBrain MappingFemaleHumansMagnetic Resonance ImagingMaleFunctional connectivityMDDMeta-analysisNeuroimagingSuicide

Identifiers

PMID41168736
PMCPMC12574107

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.