TY - JOUR PY - 2022// TI - Structural brain alterations associated with suicidal thoughts and behaviors in young people: results from 21 international studies from the ENIGMA Suicidal Thoughts and Behaviours consortium JO - Molecular psychiatry A1 - van Velzen, Laura S. A1 - Dauvermann, Maria R. A1 - Colic, Lejla A1 - Villa, Luca M. A1 - Savage, Hannah S. A1 - Toenders, Yara J. A1 - Zhu, Alyssa H. A1 - Bright, Joanna K. A1 - Campos, Adrian I. A1 - Salminen, Lauren E. A1 - Ambrogi, Sonia A1 - Ayesa-Arriola, Rosa A1 - Banaj, Nerisa A1 - Başgöze, Zeynep A1 - Bauer, Jochen A1 - Blair, Karina A1 - Blair, Robert James A1 - Brosch, Katharina A1 - Cheng, Yuqi A1 - Colle, Romain A1 - Connolly, Colm G. A1 - Corruble, Emmanuelle A1 - Couvy-Duchesne, Baptiste A1 - Crespo-Facorro, Benedicto A1 - Cullen, Kathryn R. A1 - Dannlowski, Udo A1 - Davey, Christopher G. A1 - Dohm, Katharina A1 - Fullerton, Janice M. A1 - Gonul, Ali Saffet A1 - Gotlib, Ian H. A1 - Grotegerd, Dominik A1 - Hahn, Tim A1 - Harrison, Ben J. A1 - He, Mengxin A1 - Hickie, Ian B. A1 - Ho, Tiffany C. A1 - Iorfino, Frank A1 - Jansen, Andreas A1 - Jollant, Fabrice A1 - Kircher, Tilo A1 - Klimes-Dougan, Bonnie A1 - Klug, Melissa A1 - Leehr, Elisabeth J. A1 - Lippard, Elizabeth T. C. A1 - McLaughlin, Katie A. A1 - Meinert, Susanne A1 - Miller, Adam Bryant A1 - Mitchell, Philip B. A1 - Mwangi, Benson A1 - Nenadic, Igor A1 - Ojha, Amar A1 - Overs, Bronwyn J. A1 - Pfarr, Julia-Katharina A1 - Piras, Fabrizio A1 - Ringwald, Kai G. A1 - Roberts, Gloria A1 - Romer, Georg A1 - Sanches, Marsal A1 - Sheridan, Margaret A. A1 - Soares, Jair C. A1 - Spalletta, Gianfranco A1 - Stein, Frederike A1 - Teresi, Giana I. A1 - Tordesillas-Gutierrez, Diana A1 - Uyar-Demir, Aslihan A1 - van der Wee, Nic J. A. A1 - van der Werff, Steven J. A1 - Vermeiren, Robert R. J. M. A1 - Winter, Alexandra A1 - Wu, Mon-Ju A1 - Yang, Tony T. A1 - Thompson, Paul M. A1 - Renteria, Miguel E. A1 - Jahanshad, Neda A1 - Blumberg, Hilary P. A1 - van Harmelen, Anne-Laura A1 - Schmaal, Lianne SP - 4550 EP - 4560 VL - 27 IS - 11 N2 - Identifying brain alterations associated with suicidal thoughts and behaviors (STBs) in young people is critical to understanding their development and improving early intervention and prevention. The ENIGMA Suicidal Thoughts and Behaviours (ENIGMA-STB) consortium analyzed neuroimaging data harmonized across sites to examine brain morphology associated with STBs in youth. We performed analyses in three separate stages, in samples ranging from most to least homogeneous in terms of suicide assessment instrument and mental disorder. First, in a sample of 577 young people with mood disorders, in which STBs were assessed with the Columbia Suicide Severity Rating Scale (C-SSRS). Second, in a sample of young people with mood disorders, in which STB were assessed using different instruments, MRI metrics were compared among healthy controls without STBs (HC; N = 519), clinical controls with a mood disorder but without STBs (CC; N = 246) and young people with current suicidal ideation (N = 223). In separate analyses, MRI metrics were compared among HCs (N = 253), CCs (N = 217), and suicide attempters (N = 64). Third, in a larger transdiagnostic sample with various assessment instruments (HC = 606; CC = 419; Ideation = 289; HC = 253; CC = 432; Attempt=91). In the homogeneous C-SSRS sample, surface area of the frontal pole was lower in young people with mood disorders and a history of actual suicide attempts (N = 163) than those without a lifetime suicide attempt (N = 323; FDR-p = 0.035, Cohen's d = 0.34). No associations with suicidal ideation were found. When examining more heterogeneous samples, we did not observe significant associations. Lower frontal pole surface area may represent a vulnerability for a (non-interrupted and non-aborted) suicide attempt; however, more research is needed to understand the nature of its relationship to suicide risk.
Language: en
LA - en SN - 1359-4184 UR - http://dx.doi.org/10.1038/s41380-022-01734-0 ID - ref1 ER -