TY - JOUR PY - 2019// TI - Resting-state amplitude of low-frequency fluctuation is associated with suicidal ideation JO - Depression and anxiety A1 - Lan, Martin J. A1 - Rizk, Mina M. A1 - Pantazatos, Spiro P. A1 - Rubin-Falcone, Harry A1 - Miller, Jeffrey M. A1 - Sublette, M. Elizabeth A1 - Oquendo, Maria A. A1 - Keilp, John G. A1 - Mann, J. John SP - 433 EP - 441 VL - 36 IS - 5 N2 - BACKGROUND: Identifying brain activity patterns that are associated with suicidal ideation (SI) may help to elucidate its pathogenesis and etiology. Suicide poses a significant public health problem, and SI is a risk factor for suicidal behavior.

METHODS: Forty-one unmedicated adult participants in a major depressive episode (MDE), 26 with SI on the Beck Scale for Suicidal Ideation and 15 without SI, underwent resting-state functional magnetic resonance imaging scanning. Twenty-one healthy volunteers (HVs) were scanned for secondary analyses. Whole brain analysis of both amplitude of low-frequency fluctuations (ALFFs) and fractional ALFF was performed in MDE subjects to identify regions where activity was associated with SI.

RESULTS: Subjects with SI had greater ALFF than those without SI in two clusters: one in the right hippocampus and one in the thalamus and caudate, bilaterally. Multi-voxel pattern analysis distinguished between those with and without SI. Post hoc analysis of the mean ALFF in the hippocampus cluster found it to be associated with a delayed recall on the Buschke memory task. Mean ALFF from the significant clusters was not associated with depression severity and did not differ between MDE and HV groups.

DISCUSSION: These results indicate that SI is associated with altered resting-state brain activity. The pattern of elevated activity in the hippocampus may be related to how memories are processed.

© 2019 Wiley Periodicals, Inc.

Language: en

LA - en SN - 1091-4269 UR - http://dx.doi.org/10.1002/da.22888 ID - ref1 ER -