Evidence map›Paper›PMID 41820636›Full record

ReviewMolecular psychiatry2026

Pursuing the elusive biosignature for suicide: a decennial update.

Ran Barzilay, Katherin Sudol, Nikolaos P Daskalakis, Maura B Dupont, Maria A Oquendo

Abstract readReview
In one paragraph

Review in Molecular psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

5 authors.

Ran BarzilayDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.ORCID http://orcid.org/0000-0002-3247-2331
Katherin SudolDepartment of Psychiatry and Behavioral Sciences, Endeavor Health, Evanston, IL, USA.
Nikolaos P DaskalakisDepartment of Psychiatry, McLean Hospital, Harvard Medical School, Belmont, MA, USA.ORCID http://orcid.org/0000-0003-1660-9112
Maura B DupontDepartment of Psychiatry, Vagelos College of Physicians and Surgeons, Columbia University, New York State Psychiatric Institute, New York, NY, USA.ORCID http://orcid.org/0000-0003-3574-7641
Maria A OquendoDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. moquendo@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0003-3139-4420

Funding

The Center for Enhancing Triage and Utilization for Depression and Emergent Suicidality (ETUDES) in Pediatric Primary CareP50MH115838 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Charles Richard Jonassaint · 2018 to 2026
$25.5M
Signature ProjectP50MH127511 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI MANDELL, DAVID S · 2021 to 2025
$14.4M
New technologies to identify molecular regulators of the human hippocampus neurogenic niche in healthy aging and Alzheimer's DiseaseR01AG076949 · NIA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Maura Boldrini Dupont · 2022 to 2026
$4.4M
Comparison of normal aging with Alzheimer's Disease: cellular, synaptic, and vascular indices affecting brain plasticity and neurogenesisR01AG080790 · NIA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI Maura Boldrini Dupont · 2023 to 2026
$2.9M
Next steps for PTSD genomics: from loci to functionR01MH133268 · NIMH · MCLEAN HOSPITAL · PI Nikolaos Daskalakis, Caroline M Nievergelt · 2024 to 2026
$2.5M
Neurobiological Underpinnings of Two Suicidal SubtypesR01MH109326 · NIMH · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MANN, JOSEPH JOHN, OQUENDO, MARIA A · 2016 to 2020
$2.4M
Human brain multi-omics to decipher major depression pathophysiologyRF1MH133561 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI DUPONT, MAURA BOLDRINI · 2025 to 2025
$2.3M
The Role of the Exposome and Allostatic Load in Risk and Resilience to Youth Suicide AttemptsR01MH134886 · NIMH · CHILDREN'S HOSP OF PHILADELPHIA · PI Ran Barzilay · 2024 to 2026
$2.2M
Human brain multi-omics to decipher major depression pathophysiologyR01MH133561 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI BOLDRINI, MAURA · 2023 to 2024
$1.6M
How the Novel Coronavirus Attacks the BrainR21AI164769 · NIAID · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI BOLDRINI, MAURA · 2021 to 2022
$442k
American Foundation for Suicide Prevention (AFSP) SRG-006-22Division of Intramural Research, National Institute of Allergy and Infectious Diseases (Division of Intramural Research of the NIAID) AI164769NIAID NIH HHS R21 AI164769NIA NIH HHS R01 AG076949NIA NIH HHS R01 AG080790NIMH NIH HHS P50 MH115838NIMH NIH HHS P50 MH127511NIMH NIH HHS R01 MH109326NIMH NIH HHS R01 MH133268NIMH NIH HHS R01 MH133561NIMH NIH HHS R01 MH134886NIMH NIH HHS RF1 MH133561U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) MH133561U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) P50MH115838U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) P50MH127511U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH109326U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH133268U.S. Department of Health & Human Services | NIH | National Institute of Mental Health (NIMH) R01MH134886U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) AG076949U.S. Department of Health & Human Services | NIH | National Institute on Aging (U.S. National Institute on Aging) AG080790
6 · The paper itself

Abstract

Suicide is the second leading cause of death for American adolescents and young adults and is transdiagnostic. Suicide risk is impacted by genetic and both distal and proximal environmental factors, particularly stress exposures. This review encompasses the past 10 years of research comparing biological measures between suicide decedents and control decedents and identifies studies focused on stress-related biological pathways, inflammation, neuroplasticity, and the serotonergic system as candidate contributors. Inclusion criteria for studies aimed to maximize confidence that reported biological differences are specific to suicide and independent of confounding psychiatric comorbidity, addressing ambiguity in previous work. The review revealed evidence for alterations in stress-related biological systems and decreased serotonergic tone among suicide decedents. Methodological and conceptual advances over the past decade have driven a shift from hypotheses-driven to data-driven approaches, including genomic, transcriptomic and methylomic analyses. While multi-omic studies have the potential to identify mechanistic molecular targets, to date findings lack interpretability. This review highlights the need for research in larger samples, across multiple brain areas, and in specific cell types to fill a gap in system biology-guided multi-omic studies. Lastly, incorporating poly-environmental stress exposure (exposomic) models in suicide postmortem research may elucidate mechanisms linking environmental stress and biological measures, potentially increasing the reproducibility of postmortem suicide studies.

Indexed as

SuicideBrainHumansMultiomicsRisk FactorsSerotoninStress, PsychologicalSerotonin

Identifiers

PMID41820636
PMCPMC13268968

What OpenQuestion holds

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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.