TY - JOUR PY - 2016// TI - Decreased regional gray matter volume in suicide attempters compared to suicide non-attempters with major depressive disorders JO - Comprehensive psychiatry A1 - Lee, Yu Jin A1 - Kim, Soohyun A1 - Gwak, Ah Reum A1 - Kim, Seog Ju A1 - Kang, Seung-Gul A1 - Na, Kyoung-Sae A1 - Son, Young-Don A1 - Park, Juhyun SP - 59 EP - 65 VL - 67 IS - N2 - OBJECTIVE: This study investigated regional gray matter (GM) volume differences between suicide attempters and suicide non-attempters with major depressive disorder (MDD) and their relationship with psychological risk factors for suicidality.

METHODS: MDD patients with and without a suicide attempt history (n=19 in each group) participated. The Hamilton Depression Rating Scale, Clinical Global Impression (severity subscale), Scale for Suicide Ideation (SSI), Risk-Rescue Rating (RRR), Beck Hopelessness Scale (BHS), Barrett Impulsivity Scale, Eysenck Personality Questionnaire, and Ways of Coping Checklist (WCCL) were administered. T1-weighted structural magnetic resonance imaging scans were acquired to evaluate changes in GM volume. Voxel-based morphometry was performed using the SPM 8 software package. Two-sample t-tests were used during second-level group comparison analysis; partial correlation analysis controlling for gender and age identified associations between regional GM volume and psychological measures.

RESULTS: Suicide attempters exhibited significantly decreased GM volume in the left angular gyrus (p<0.001, uncorrected) and right cerebellum (p<0.001, uncorrected). GM volume in the left angular gyrus was inversely correlated with BHS scores (r=-0.55, p<0.01) and positively correlated with the Seeking Social Support subscale of the WCCL (r=0.43, p<0.01).

CONCLUSION: These findings provide evidence of a neural basis of suicidal behaviors in MDD. In particular, reduced GM volume in the left angular gyrus may be a neurobiological marker of suicidality in depressed patients.

Copyright © 2016 Elsevier Inc. All rights reserved.

Language: en

LA - en SN - 0010-440X UR - http://dx.doi.org/10.1016/j.comppsych.2016.02.013 ID - ref1 ER -