TY - JOUR PY - 2000// TI - Suicidal behavior in patients with schizophrenia is related to COMT polymorphism JO - Psychiatric genetics A1 - Nolan, K. A. A1 - Volavka, Jan A1 - Czobor, Pal A1 - Cseh, A. A1 - Lachman, H. A1 - Saito, T. A1 - Tiihonen, Jari A1 - Putkonen, A. A1 - Hallikainen, T. A1 - Kotilainen, I. A1 - Räsänen, P. A1 - Isohanni, M. A1 - Järvelin, M. R. A1 - Karvonen, M. K. SP - 117 EP - 124 VL - 10 IS - 3 N2 - A common functional polymorphism that results in a three- to four-fold difference in catechol-O-methyltransferase (COMT) enzyme activity has been related to psychiatric disorders such as ultra-ultra rapid cycling bipolar disorder, drug abuse and alcoholism (Lachman et al., 1996a; Karayiorgou et al., 1997; Vandenbergh et al., 1997; Papolos et al., 1998; Tiihonen et al., 1999). Several studies have also reported associations between the allele encoding the low enzyme activity COMT variant (L allele) and other-directed aggression (Strous et al., 1997; Lachman et al., 1998; Kotler et al., 1999) in schizophrenic and schizoaffective patients. The current study investigated whether the COMT L allele is also associated with suicide attempts in schizophrenic and schizoaffective patients. COMT genotypes were determined and history of suicide attempts was retrospectively investigated in a Finnish sample (n = 94) and a US sample (n = 54). Significant associations were observed between COMT genotype and suicide; specifically, history of violent suicide attempts. The COMT L allele was more frequent in subjects who had attempted suicide by violent means. These associations were significant in males but not females. These findings support a common neurobiological substrate for self- and other-directed aggression, and suggest that catecholaminergic alterations may contribute to these behaviors in schizophrenic and schizoaffective patients.

Language: en

LA - en SN - 0955-8829 UR - http://dx.doi.org/ ID - ref1 ER -