TY - JOUR PY - 2021// TI - Dissecting the shared genetic architecture of suicide attempt, psychiatric disorders, and known risk factors JO - Biological psychiatry A1 - Mullins, Niamh A1 - Kang, JooEun A1 - Campos, Adrian I. A1 - Coleman, Jonathan R. I. A1 - Edwards, Alexis C. A1 - Galfalvy, Hanga A1 - Levey, Daniel F. A1 - Lori, Adriana A1 - Shabalin, Andrey A1 - Starnawska, Anna A1 - Su, Mei-Hsin A1 - Watson, Hunna J. A1 - Adams, Mark A1 - Awasthi, Swapnil A1 - Gandal, Michael A1 - Hafferty, Jonathan D. A1 - Hishimoto, Akitoyo A1 - Kim, Minsoo A1 - Okazaki, Satoshi A1 - Otsuka, Ikuo A1 - Ripke, Stephan A1 - Ware, Erin B. A1 - Bergen, Andrew W. A1 - Berrettini, Wade H. A1 - Bohus, Martin A1 - Brandt, Harry A1 - Chang, Xiao A1 - Chen, Wei J. A1 - Chen, Hsi-Chung A1 - Crawford, Steven A1 - Crow, Scott A1 - DiBlasi, Emily A1 - Duriez, Philibert A1 - Fernández-Aranda, Fernando A1 - Fichter, Manfred M. A1 - Gallinger, Steven A1 - Glatt, Stephen J. A1 - Gorwood, Philip A1 - Guo, Yiran A1 - Hakonarson, Hakon A1 - Halmi, Katherine A. A1 - Hwu, Hai-Gwo A1 - Jain, Sonia A1 - Jamain, Stéphane A1 - Jimenez-Murcia, Susana A1 - Johnson, Craig A1 - Kaplan, Allan S. A1 - Kaye, Walter H. A1 - Keel, Pamela K. A1 - Kennedy, James L. A1 - Klump, Kelly L. A1 - Li, Dong A1 - Liao, Shih-Cheng A1 - Lieb, Klaus A1 - Lilenfeld, Lisa A1 - Liu, Chih-Min A1 - Magistretti, Pierre J. A1 - Marshall, Christian R. A1 - Mitchell, James E. A1 - Monson, Eric T. A1 - Myers, Richard M. A1 - Pinto, Dalila A1 - Powers, Abigail A1 - Ramoz, Nicolas A1 - Roepke, Stefan A1 - Rozanov, Vsevolod A. A1 - Scherer, Stephen W. A1 - Schmahl, Christian A1 - Sokolowski, Marcus A1 - Strober, Michael A1 - Thornton, Laura M. A1 - Treasure, Janet A1 - Tsuang, Ming T. A1 - Witt, Stephanie H. A1 - Woodside, D. Blake A1 - Yilmaz, Zeynep A1 - Zillich, Lea A1 - Adolfsson, Rolf A1 - Agartz, Ingrid A1 - Air, Tracy M. A1 - Alda, Martin A1 - Alfredsson, Lars A1 - Andreassen, Ole A. A1 - Anjorin, Adebayo A1 - Appadurai, Vivek A1 - Soler Artigas, María A1 - Van der Auwera, Sandra A1 - Azevedo, M. Helena A1 - Bass, Nicholas A1 - Bau, Claiton H. D. A1 - Baune, Bernhard T. A1 - Bellivier, Frank A1 - Berger, Klaus A1 - Biernacka, Joanna M. A1 - Bigdeli, Tim B. A1 - Binder, Elisabeth B. A1 - Boehnke, Michael A1 - Boks, Marco P. M. A1 - Bosch, Rosa A1 - Braff, David L. A1 - Bryant, Richard A1 - Budde, Monika A1 - Byrne, Enda M. A1 - Cahn, Wiepke A1 - Casas, Miguel A1 - Castelao, Enrique A1 - Cervilla, Jorge A. A1 - Chaumette, Boris A1 - Cichon, Sven A1 - Corvin, Aiden A1 - Craddock, Nicholas A1 - Craig, David A1 - Degenhardt, Franziska A1 - Djurovic, Srdjan A1 - Edenberg, Howard J. A1 - Fanous, Ayman H. A1 - Foo, Jerome C. A1 - Forstner, Andreas J. A1 - Frye, Mark A1 - Fullerton, Janice M. A1 - Gatt, Justine M. A1 - Gejman, Pablo V. A1 - Giegling, Ina A1 - Grabe, Hans J. A1 - Green, Melissa J. A1 - Grevet, Eugenio H. A1 - Grigoroiu-Serbanescu, Maria A1 - Gutiérrez, Blanca A1 - Guzman-Parra, Jose A1 - Hamilton, Steven P. A1 - Hamshere, Marian L. A1 - Hartmann, Annette A1 - Hauser, Joanna A1 - Heilmann-Heimbach, Stefanie A1 - Hoffmann, Per A1 - Ising, Marcus A1 - Jones, Ian A1 - Jones, Lisa A. A1 - Jonsson, Lina A1 - Kahn, Rene S. A1 - Kelsoe, John R. A1 - Kendler, Kenneth S. A1 - Kloiber, Stefan A1 - Koenen, Karestan C. A1 - Kogevinas, Manolis A1 - Konte, Bettina A1 - Krebs, Marie-Odile A1 - Landén, Mikael A1 - Lawrence, Jacob A1 - Leboyer, Marion A1 - Lee, Phil H. A1 - Levinson, Douglas F. A1 - Liao, Calwing A1 - Lissowska, Jolanta A1 - Lucae, Susanne A1 - Mayoral, Fermín A1 - McElroy, Susan L. A1 - McGrath, Patrick A1 - McGuffin, Peter A1 - McQuillin, Andrew A1 - Medland, Sarah E. A1 - Mehta, Divya A1 - Melle, Ingrid A1 - Milaneschi, Yuri A1 - Mitchell, Philip B. A1 - Molina, Esther A1 - Morken, Gunnar A1 - Mortensen, Preben Bo A1 - Müller-Myhsok, Bertram A1 - Nievergelt, Caroline A1 - Nimgaonkar, Vishwajit A1 - Nothen, Markus M. A1 - O'Donovan, Michael C. A1 - Ophoff, Roel A. A1 - Owen, Michael J. A1 - Pato, Carlos A1 - Pato, Michele T. A1 - Penninx, Brenda W. J. H. A1 - Pimm, Jonathan A1 - Pistis, Giorgio A1 - Potash, James B. A1 - Power, Robert A. A1 - Preisig, Martin A1 - Quested, Digby A1 - Ramos-Quiroga, Josep Antoni A1 - Reif, Andreas A1 - Ribasés, Marta A1 - Richarte, Vanesa A1 - Rietschel, Marcella A1 - Rivera, Margarita A1 - Roberts, Andrea A1 - Roberts, Gloria A1 - Rouleau, Guy A. A1 - Rovaris, Diego Luiz A1 - Rujescu, Dan A1 - Sánchez-Mora, Cristina A1 - Sanders, Alan R. A1 - Schofield, Peter R. A1 - Schulze, Thomas G. A1 - Scott, Laura J. A1 - Serretti, Alessandro A1 - Shi, Jianxin A1 - Shyn, Stanley I. A1 - Sirignano, Lea A1 - Sklar, Pamela A1 - Smeland, Olav B. A1 - Smoller, Jordan W. A1 - Sonuga-Barke, Edmund J. S. A1 - Spalletta, Gianfranco A1 - Strauss, John S. A1 - Świątkowska, Beata A1 - Trzaskowski, Maciej A1 - Turecki, Gustavo A1 - Vilar-Ribó, Laura A1 - Vincent, John B. A1 - Völzke, Henry A1 - Walters, James T. R. A1 - Shannon Weickert, Cynthia A1 - Weickert, Thomas W. A1 - Weissman, Myrna M. A1 - Williams, Leanne M. A1 - Wray, Naomi R. A1 - Zai, Clement C. A1 - Ashley-Koch, Allison E. A1 - Beckham, Jean C. A1 - Hauser, Elizabeth R. A1 - Hauser, Michael A. A1 - Kimbrel, Nathan A. A1 - Lindquist, Jennifer H. A1 - McMahon, Benjamin A1 - Oslin, David W. A1 - Qin, Xuejun A1 - Agerbo, Esben A1 - Børglum, Anders D. A1 - Breen, Gerome A1 - Erlangsen, Annette A1 - Esko, Tõnu A1 - Gelernter, Joel A1 - Hougaard, David M. A1 - Kessler, Ronald C. A1 - Kranzler, Henry R. A1 - Li, Qingqin S. A1 - Martin, Nicholas G. A1 - McIntosh, Andrew M. A1 - Mors, Ole A1 - Nordentoft, Merete A1 - Olsen, Catherine M. A1 - Porteous, David A1 - Ursano, Robert J. A1 - Wasserman, Danuta A1 - Werge, Thomas A1 - Whiteman, David C. A1 - Bulik, Cynthia M. A1 - Coon, Hilary A1 - Demontis, Ditte A1 - Docherty, Anna R. A1 - Kuo, Po-Hsiu A1 - Lewis, Cathryn M. A1 - Mann, J. John A1 - Renteria, Miguel E. A1 - Smith, Daniel J. A1 - Stahl, Eli A. A1 - Stein, Murray B. A1 - Streit, Fabian A1 - Willour, Virginia A1 - Ruderfer, Douglas M. SP - ePub EP - ePub VL - ePub IS - ePub N2 - BACKGROUND: Suicide is a leading cause of death worldwide, and nonfatal suicide attempts, which occur far more frequently, are a major source of disability and social and economic burden. Both have substantial genetic etiology, which is partially shared and partially distinct from that of related psychiatric disorders.

METHODS: We conducted a genome-wide association study (GWAS) of 29,782 suicide attempt (SA) cases and 519,961 controls in the International Suicide Genetics Consortium (ISGC). The GWAS of SA was conditioned on psychiatric disorders using GWAS summary statistics via multitrait-based conditional and joint analysis, to remove genetic effects on SA mediated by psychiatric disorders. We investigated the shared and divergent genetic architectures of SA, psychiatric disorders, and other known risk factors.

RESULTS: Two loci reached genome-wide significance for SA: the major histocompatibility complex and an intergenic locus on chromosome 7, the latter of which remained associated with SA after conditioning on psychiatric disorders and replicated in an independent cohort from the Million Veteran Program. This locus has been implicated in risk-taking behavior, smoking, and insomnia. SA showed strong genetic correlation with psychiatric disorders, particularly major depression, and also with smoking, pain, risk-taking behavior, sleep disturbances, lower educational attainment, reproductive traits, lower socioeconomic status, and poorer general health. After conditioning on psychiatric disorders, the genetic correlations between SA and psychiatric disorders decreased, whereas those with nonpsychiatric traits remained largely unchanged.

CONCLUSIONS: Our results identify a risk locus that contributes more strongly to SA than other phenotypes and suggest a shared underlying biology between SA and known risk factors that is not mediated by psychiatric disorders.

Language: en

LA - en SN - 0006-3223 UR - http://dx.doi.org/10.1016/j.biopsych.2021.05.029 ID - ref1 ER -