TY - JOUR PY - 2008// TI - Periventricular white matter hyperintensities as predictors of suicide attempts in bipolar disorders and unipolar depression JO - Progress in neuro-psychopharmacology and biological psychiatry A1 - Pompili, Maurizio A1 - Innamorati, Marco A1 - Mann, J. John A1 - Oquendo, Maria A. A1 - Lester, David A1 - Del Casale, Antonio A1 - Serafini, Gianluca A1 - Rigucci, Silvia A1 - Romano, Andrea A1 - Tamburello, Antonino A1 - Manfredi, Giovanni A1 - De Pisa, Eleonora A1 - Ehrlich, Stefan A1 - Giupponi, Giancarlo A1 - Amore, Mario A1 - Tatarelli, Roberto A1 - Girardi, Paolo SP - 1501 EP - 1507 VL - 32 IS - 6 N2 - The aim of this study was to evaluate whether deep white matter hyperintensities (DWMH) and periventricular white matter hyperintensities (PVH) are associated with suicidal behavior in patients with major affective disorders. Subjects were 99 consecutively admitted inpatients (42 men; 57 women; mean age: 46.5 years [SD=15.2; Min./Max.=19/79]) with a diagnosis of major affective disorder (bipolar disorder type I, bipolar disorder type-II and unipolar major depressive disorder). 44.4% of the participants had made at least one previous suicide attempt. T2-weighted brain magnetic resonance images were rated for the presence and extension of WMH using the modified Fazekas scale. Patients were interviewed for clinical data on average 5 days after admission. Bivariate analyses, corrected for multiple-testing, and logistic regression analysis were used to test the association between suicide attempts and clinical variables. Attempters and nonattempters differed only in the presence of PVH--the former were more likely to have PVH. The logistic regression indicated that the presence of PVH was robustly associated with suicidal behaviors after controlling for age (OR: 8.08). In conclusion, neuroimaging measures may be markers of risk for suicidal attempts in patients with major affective disorders.
Language: en
LA - en SN - 0278-5846 UR - http://dx.doi.org/10.1016/j.pnpbp.2008.05.009 ID - ref1 ER -