TY - JOUR PY - 2014// TI - A diffusion tensor imaging study of suicide attempters JO - Journal of psychiatric research A1 - Olvet, Doreen M. A1 - Peruzzo, Denis A1 - Thapa-Chhetry, Binod A1 - Sublette, M. Elizabeth A1 - Sullivan, Gregory M. A1 - Oquendo, Maria A. A1 - Mann, J. John A1 - Parsey, Ramin V. SP - 60 EP - 67 VL - 51 IS - N2 - BACKGROUND: Few studies have examined white matter abnormalities in suicide attempters using diffusion tensor imaging (DTI). This study sought to identify white matter regions altered in individuals with a prior suicide attempt. METHODS: DTI scans were acquired in 13 suicide attempters with major depressive disorder (MDD), 39 non-attempters with MDD, and 46 healthy participants (HP). Fractional anisotropy (FA) and apparent diffusion coefficient (ADC) were determined in the brain using two methods: region of interest (ROI) and tract-based spatial statistics (TBSS). ROIs were limited a priori to white matter adjacent to the caudal anterior cingulate cortex, rostral anterior cingulate cortex, dorsomedial prefrontal cortex, and medial orbitofrontal cortex. RESULTS: Using the ROI approach, suicide attempters had lower FA than MDD non-attempters and HP in the dorsomedial prefrontal cortex. Uncorrected TBSS results confirmed a significant cluster within the right dorsomedial prefrontal cortex indicating lower FA in suicide attempters compared to non-attempters. There were no differences in ADC when comparing suicide attempters, non-attempters and HP groups using ROI or TBSS methods. CONCLUSIONS: Low FA in the dorsomedial prefrontal cortex was associated with a suicide attempt history. Converging findings from other imaging modalities support this finding, making this region of potential interest in determining the diathesis for suicidal behavior.
Language: en
LA - en SN - 0022-3956 UR - http://dx.doi.org/10.1016/j.jpsychires.2014.01.002 ID - ref1 ER -