Evidence map›Paper›PMID 41239514›Full record

Observational studyLipids in health and disease2025

The association between plasma omega-3 fatty acids and suicidal ideation/self-harm in the United Kingdom Biobank.

W Grant Franco, Nathan L Tintle, Jason Westra, Evan L O'Keefe, James H O'Keefe, William S Harris

Abstract readObservational Study
In one paragraph

Observational study in Lipids in health and disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  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

6 authors.

W Grant FrancoSaint Luke's Mid America Heart Institute, University of Missouri-Kansas City, Kansas City, MO, USA.
Nathan L TintleFatty Acid Research Institute, 4600 W. Nobel Street, Suite 123, Sioux Falls, SD, 57107, USA.
Jason WestraFatty Acid Research Institute, 4600 W. Nobel Street, Suite 123, Sioux Falls, SD, 57107, USA.
Evan L O'KeefeSaint Luke's Mid America Heart Institute, University of Missouri-Kansas City, Kansas City, MO, USA.
James H O'KeefeSaint Luke's Mid America Heart Institute, University of Missouri-Kansas City, Kansas City, MO, USA.
William S HarrisFatty Acid Research Institute, 4600 W. Nobel Street, Suite 123, Sioux Falls, SD, 57107, USA. wsh@faresinst.com.

Funding

NCATS NIH HHS T32H110837
6 · The paper itself

Abstract

backgroundSelf-harm is a significant public health concern, with increasing prevalence globally. Omega-3 fatty acids (FAs), particularly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA), are known for their health benefits, including potential mental health improvements. This study explores the association between omega-3 FAs and self-harm behaviors using data from the UK Biobank (UKBB).

objectivesTo investigate the relationship between plasma levels of omega-3 FAs and various measures of self-harm, including passive suicidal ideation and deliberate self-harm, within a large cohort study.

methodsThis observational study analyzed data from a random subset of 258,012 participants with plasma omega-3 FA levels, covariate data, and self-harm records. Omega-3 levels were measured using Nuclear Magnetic Resonance (NMR) and are expressed as a percent of total FAs. Self-harm outcomes were assessed through self-reported questionnaires and medical records. Covariates included demographic, health, and lifestyle factors. Statistical analyses involved logistic regression and Cox proportional hazards models, adjusting for relevant covariates. Adjusted odds ratios (aORs) are presented and 95% confidence intervals.

resultsHigher levels of DHA, non-DHA (ALA+EPA+DPA) and total omega-3 were generally inversely associated with passive suicidal ideation, history of self-harm, and future self-harm, with both DHA and non-DHA showing some of the strongest associations. Participants in the highest quintile of non-DHA had a 14% lower risk of passive suicidal ideation in the last year (aOR = 0.86; 95% CI 0.75, 0.99), and the highest DHA levels were associated with a 33% lower odds of history of self-harm (aOR = 0.67; 95% CI 0.55, 0.83). These associations were generally stronger for medical record-based outcomes than for self-reported data.

conclusionsThis study provides evidence that higher omega-3 FA levels, both DHA and non-DHA, are associated with reduced risks of self-harm and suicidal ideation. These findings suggest that omega-3 FAs may play a protective role in mental health, highlighting the potential of dietary interventions to mitigate self-harm behaviors.

Indexed as

Docosahexaenoic AcidsFatty Acids, Omega-3Self-Injurious BehaviorSuicidal IdeationAdultAgedBiological Specimen BanksEicosapentaenoic AcidFemaleHumansMaleMiddle AgedUnited KingdomDocosahexaenoic AcidsEicosapentaenoic AcidFatty Acids, Omega-3Docosahexaenoic acid (DHA)Eicosapentaenoic acid (EPA)Omega-3Self-harm, suicide

Identifiers

PMID41239514
PMCPMC12619467

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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.