Skip to main content

Neurobiology of Suicide

  • Chapter
  • First Online:
Book cover Suicide Prevention

Abstract

Over the last 20 years, suicide rates have been increasing worldwide. Although the prognosis of suicide is complex, key psychosocial factors have been recognized to help identify identify individuals who may be at high risk. Nevertheless, a gap in research still exists between identifying high risk individuals and predicting when suicidal ideation and behavior will evlolve into a suicide attempt. The focus of this chapter is place on the most recent, relevant studies concerning the neurobiological findings in patients with suicidal behavior or after a suicide attempt. The convergence evidence for the role of the blood-brain barrier in the pathophysiology of suicide is described, as well as the role of several inflammatory markers and neurotropic factors.

# Equal Contribution

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. World Health Organization. Preventing suicide: a global imperative. 2014. http://apps.who.int/iris/bitstream/10665/131056/1/9789241564779_eng.pdf.

  2. Nock MK, Green JG, Hwang I, McLaughlin KA, Sampson NA, Zaslavsky AM, et al. Prevalence, correlates, and treatment of lifetime suicidal behavior among adolescents: results from the National Comorbidity Survey Replication Adolescent Supplement. JAMA Psychiat. 2013;70(3):300–10. https://doi.org/10.1001/2013.jamapsychiatry.55.

    Article  Google Scholar 

  3. Centers for Disease Control and Prevention. Web-based injury statistics query and reporting system (WISQARS). http://www.cdc.gov/ncipc/wisqars/.

  4. Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry. 1999;56(7):617–26. https://doi.org/10.1001/archpsyc.56.7.617.

    Article  PubMed  CAS  Google Scholar 

  5. Larkin GL, Beautrais AL. A preliminary naturalistic study of low-dose ketamine for depression and suicide ideation in the emergency department. Int J Neuropsychopharmacol. 2011;14(8):1127–31. https://doi.org/10.1017/S1461145711000629.

    Article  PubMed  CAS  Google Scholar 

  6. Busch KA, Fawcett J, Jacobs DG. Clinical correlates of inpatient suicide. J Clin Psychiatry. 2003;64(1):14–9.

    Article  PubMed  Google Scholar 

  7. Maris RW. Suicide. Lancet. 2002;360:319–26.

    Article  PubMed  Google Scholar 

  8. Glenn CR, Nock MK. Improving the short-term prediction of suicidal behavior. Am J Prev Med. 2014;47:S176–80.

    Article  PubMed  PubMed Central  Google Scholar 

  9. Borges G, Nock MK, Haro Abad JM, Hwang I, Sampson NA, Alonso J, et al. Twelve-month prevalence of and risk factors for suicide attempts in the World Health Organization World Mental Health surveys. J Clin Psychiatry. 2010;71(12):1617–28.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Tran T, Luo W, Phung D, Harvey R, Berk M, Kennedy RL, et al. Risk stratification using data from electronic medical records better predicts suicide risks than clinician assessments. BMC Psychiatry. 2014;14(1):76.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Wichers M, Maes M. The psychoneuroimmuno-pathophysiology of cytokine-induced depression in humans. Int J Neuropsychopharmcol. 2002;5(4):375–88.

    Article  CAS  Google Scholar 

  12. Caplan R, Siddarth P, Gurbani S, Hanson R, Sankar R, Shields WD. Depression and anxiety disorders in pediatric epilepsy. Epilepsia. 2005;46(5):720–30.

    Article  PubMed  Google Scholar 

  13. Pompili M, Girardi P, Ruberto A, Tatarelli R. Suicide in the epilepsies: a meta-analytic investigation of 29 cohorts. Epilepsy Behav. 2005;7(2):305–10.

    Article  PubMed  Google Scholar 

  14. Ackerman JP, McBee-Strayer SM, Mendoza K, Stevens J, Sheftall AH, Campo JV, et al. Risk-sensitive decision-making deficit in adolescent suicide attempters. J Child Adolesc Psychopharmacol. 2015;25(2):109–13.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Ekinci O, Titus JB, Rodopman AA, Berkem M, Trevathan E. Depression and anxiety in children and adolescents with epilepsy: prevalence, risk factors, and treatment. Epilepsy Behav. 2009;14(1):8–18.

    Article  PubMed  Google Scholar 

  16. Asarnow JR, Porta G, Spirito A, Emslie G, Clarke G, Wagner KD, et al. Suicide attempts and nonsuicidal self-injury in the treatment of resistant depression in adolescents: findings from the TORDIA study. J Am Acad Child Adolesc Psychiatry. 2011;50(8):772–81.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Fawcett J, Scheftner WA, Fogg L, Clark DC, Young MA, Hedeker D, et al. Time-related predictors of suicide in major affective disorder. Am J Psychiatry. 1990;147(9):1189–94.

    Article  CAS  PubMed  Google Scholar 

  18. Miranda R, Shaffer D. Understanding the suicidal moment in adolescence. Ann N Y Acad Sci. 2013;1304:14–21.

    Article  PubMed  Google Scholar 

  19. Husky MM, Olfson M, He J, Nock MK, Swanson SA, Merikangas KR. Twelve-month suicidal symptoms and use of services among adolescents: results from the National Comorbidity Survey. Psych Serv. 2012;63(10):989–96.

    Article  Google Scholar 

  20. Costanza A, D’Orta I, Perroud N, Burkhardt S, Malafosse A, Mangin P, et al. Neurobiology of suicide: do biomarkers exist? Int J Legal Med. 2014;128(1):73–82.

    Article  PubMed  Google Scholar 

  21. Oquendo MA, Sullivan GM, Sudol K, Baca-Garcia E, Stanley BH, Sublette ME, et al. Toward a biosignature for suicide. Am J Psychiatry. 2014;171(12):1259–77.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Asberg M, Traskman L, Thoren P. 5-HIAA in the cerebrospinal fluid: a biochemical suicide predictor? Arch Gen Psychiatry. 1976;33(10):1193–7.

    Article  CAS  PubMed  Google Scholar 

  23. Chatzittofis A, Nordstrom P, Hellstrom C, Arver S, Asberg M, Jokinen J. CSF 5-HIAA, cortisol and DHEAS levels in suicide attempters. Eur Neuropsychopharmacol. 2013;23(10):1280–7.

    Article  CAS  PubMed  Google Scholar 

  24. Courtet P, Picot MC, Bellivier F, Torres S, Jollant F, Michelon C, et al. Serotonin transporter gene may be involved in short-term risk of subsequent suicide attempts. Biol Psychiatry. 2014;55(1):46–51.

    Article  CAS  Google Scholar 

  25. Bellivier F, Chaste P, Malafosse A. Association between the TPH gene A218C polymorphism and suicidal behavior: a meta-analysis. Am J Med Genet B Neuropsychiatr Genet. 2004;124B(1):87–91.

    Article  PubMed  Google Scholar 

  26. Li D, He L. Meta-analysis supports association between serotonin transporter (5-HTT) and suicidal behavior. Mol Psychiatry. 2007;12(1):47–54.

    Article  CAS  PubMed  Google Scholar 

  27. Price RB, Nock MK, Charney DS, Mathew SJ. Effects of intravenous ketamine on explicit and implicit measures of suicidality in treatment-resistant depression. Biol Psychiatry. 2009;66(5):522–6.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Diaz Granados N, Ibrahim LA, Brutsche NE, Ameli R, Henter ID, Luckenbaugh DA, et al. Rapid resolution of suicidal ideation after a single infusion of an N-methyl-D-aspartate antagonist in patients with treatment-resistant major depressive disorder. J Clin Psychiatry. 2010;71(12):1605–11.

    Article  CAS  Google Scholar 

  29. Zarate CA Jr, Brutsche NE, Ibrahim L, Franco-Chaves J, Diazgranados N, Cravchik A, et al. Replication of ketamine’s antidepressant efficacy in bipolar depression: a randomized controlled add-on trial. Biol Psychiatry. 2012;71(11):939–46.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  30. McCrory E, De Brito SA, Viding E. Research review: the neurobiology and genetics of maltreatment and adversity. J Child Psychol Psychiatry. 2010;51(10):1079–95.

    Article  PubMed  Google Scholar 

  31. McGowan PO, Sasaki A, D’Alessio AC, Dymov S, Labonte B, Szyf M, et al. Epigenetic regulation of the glucocorticoid receptor in human brain associates with childhood abuse. Nat Neurosci. 2009;12(3):342–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  32. Dwivedi Y. Brain-derived neurotrophic factor and suicide pathogenesis. Ann Med. 2010;42(2):87–96.

    Article  PubMed  Google Scholar 

  33. Deveci A, Aydemir O, Taskin O, Taneli F, Esen-Danaci A. Serum BDNF levels in suicide attempters related to psychosocial stressors: a comparative study with depression. Neuropsychobiology. 2007;56(2–3):93–7.

    Article  PubMed  Google Scholar 

  34. Nordström P, Samuelsson M, Åsberg M, Träskman-Bendz L, Åberg-Wistedt A, Nordin C, et al. CSF 5-HIAA predicts suicide risk after attempted suicide. Suicide Life Threat Behav. 1994;24(1):1–9.

    PubMed  Google Scholar 

  35. Angst J, Degonda M, Ernst C. The Zurich Study: XV. Suicide attempts in a cohort from age 20 to 30. Eur Arch Psychiatry Clin Neurosci. 1992;242:135–41.

    Article  CAS  PubMed  Google Scholar 

  36. Samuelsson M, Jokinen J, Nordström AL, Nordström P. CSF 5-HIAA, suicide intent and hopelessness in the prediction of early suicide in male high-risk suicide attempters. Acta Psychiatr Scand. 2006;113(1):44–7.

    Article  CAS  PubMed  Google Scholar 

  37. Tyano S, Zalsman G, Ofek H, Blum I, Apter A, Wolovik L, Sher L, Sommerfeld E, Harell D, Weizman A. Plasma serotonin levels and suicidal behavior in adolescents. Eur Neuropsychopharmacol. 2006;16(1):49–57.

    Article  CAS  PubMed  Google Scholar 

  38. Mann JJ. A current perspective of suicide and attempted suicide. Ann Intern Med. 2002;136:302–11.

    Article  PubMed  Google Scholar 

  39. Bondy B, Buettner A, Zill P. Genetics of suicide. Mol Psychiatry. 2006;11:336–51.

    Article  CAS  PubMed  Google Scholar 

  40. Stanley M, Mann JJ. Increased serotonin-2 binding sites in frontal cortex of suicide victims. Lancet. 1983;1:214–6.

    Article  CAS  PubMed  Google Scholar 

  41. Mann JJ, Huang YY, Underwood MD, Kassir SA, Oppenheim S, Kelly TM, et al. A serotonin transporter gene promoter polymorphism (5-HTTLPR) and prefrontal cortical binding in major depression and suicide. Arch Gen Psychiatry. 2000;57:729–38.

    Article  CAS  PubMed  Google Scholar 

  42. Malone KM, Corbitt EM, Li S, Mann JJ. Prolactin response to fenfluramine and suicide attempt lethality in major depression. Br J Psychiatry. 1996;168:324–9.

    Article  CAS  PubMed  Google Scholar 

  43. Mann JJ. The neurobiology of suicide. Nat Med. 1988;4:25–30.

    Article  Google Scholar 

  44. Van Heeringen K. The neurobiology of suicide and suicidality. Can J Psychiatr. 2003;48:292–300.

    Article  Google Scholar 

  45. Mann JJ, Malone KM, Sweeney JA, Brown RP, Linnoila M, Stanley B, et al. Attempted suicide characteristics and cerebrospinal fluid amine metabolites in depressed inpatients. Neuropsychopharmacology. 1996;15(6):576–86.

    Article  CAS  PubMed  Google Scholar 

  46. Coccaro EF, Berman ME, Kavoussi RJ, Hauger RL. Relationship of prolactin response to d-fenfluramine to behavioral and questionnaire assessments of aggression in personality-disordered men. Biol Psychiatry. 1996;40:157–64.

    Article  CAS  PubMed  Google Scholar 

  47. O’Keane V, Dinan TG. Prolactin and cortisol responses to d-fenfluramine in major depression: evidence for diminished responsivity of central serotonergic function. Am J Psychiatry. 1991;148:1009–15.

    Article  PubMed  Google Scholar 

  48. Escribá PV, Ozaita A, García-Sevilla JA. Increased mRNA expression of [alpha] 2A-Adrenoceptors, serotonin receptors and [mu]-opioid receptors in the brains of suicide victims. Neuropsychopharmacology. 2004;29(8):1512.

    Article  CAS  PubMed  Google Scholar 

  49. Ordway GA, Widdowson PS, Smith KS, Halaris A. Agonist binding to α2-Adrenoceptors is elevated in the Locus Coeruleus from victims of suicide. J Neurochemistry. 1994;63(2):617–24.

    Article  CAS  Google Scholar 

  50. Joiner TE Jr, Brown JS, Wingate LR. The psychology and neurobiology of suicidal behavior. Annu Rev Psychol. 2005;56:287–314.

    Article  PubMed  Google Scholar 

  51. Placidi GP, Oquendo MA, Malone KM, Huang YY, Ellis SP, Mann JJ. Aggressivity, suicide attempts, and depression: relationship to cerebrospinal fluid monoamine metabolite levels. Biol Psychiatry. 2001;50(10):783–91.

    Article  CAS  PubMed  Google Scholar 

  52. Arango V, Underwood MD, Mann JJ. Fewer pigmented locus coeruleus neurons in suicide victims: preliminary results. Biol Psychiatry. 1996;39:112–20.

    Article  CAS  PubMed  Google Scholar 

  53. Mann JJ, Arango V. The neurobiology of suicidal behavior. In: Jacobs DG, editor. The Harvard Medical School guide to suicide assessment and intervention. San Francisco: Jossey-Bass; 1999.

    Google Scholar 

  54. Mann JJ. Neurobiology of suicidal behavior. Nature. Rev Neurosci. 2003;4:819–28.

    Article  CAS  Google Scholar 

  55. Valdizán EM, Díez-Alarcia R, González-Maeso J, Pilar-Cuéllar F, García-Sevilla JA, Meana JJ, et al. α2-adrenoceptor functionality in postmortem frontal cortex of depressed suicide victims. Biol Psychiatry. 2010;68:869–72.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  56. Arranz B, Blennow K, Eriksson A, Maånsson JE, Marcusson J. Serotonergic, noradrenergic, and dopaminergic measures in suicide brains. Biol Psychiatry. 1997;41(10):1000–9.

    Article  CAS  PubMed  Google Scholar 

  57. Allard P, Norlén M. Caudate nucleus dopamine D2 receptors in depressed suicide victims. Neuropsychobiology. 2001;44(2):70–3.

    Article  CAS  PubMed  Google Scholar 

  58. Ernst C, Mechawar N, Turecki G. Suicide neurobiology. Prog Neurobiol. 2009;89:315–33.

    Article  CAS  PubMed  Google Scholar 

  59. Gonzalez-Maeso J, Rodriguez-Puertas R, Meana JJ, Garcia-Sevilla JA, Guimon J. Neurotransmitter receptor-mediated activation of G-proteins in brains of suicide victims with mood disorders: selective supersensitivity of [alpha] 2A-adrenoceptors. Mol Psychiatry. 2002;7(7):755–67.

    Article  CAS  PubMed  Google Scholar 

  60. Wong ML, Dong C, MaestreMesa J, Licinio J. Polymorphisms in inflammation-related genes are associated with susceptibility to major depression and antidepressant response. Mol Psychiatry. 2008;13:800–12.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  61. Roth TL, Lubin FD, Funk AJ, Sweatt JD. Lasting epigenetic influence of early-life adversity on the BDNF gene. Biol Psychiatry. 2009;65(9):760.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  62. Pittenger C, Duman RS. Stress, depression, and neuroplasticity: a convergence of mechanisms. Neuropsychopharmacology. 2008;33:88–109.

    Article  CAS  PubMed  Google Scholar 

  63. Huang EJ, Reichardt LF. Neurotrophins: roles in neuronal development and function. Annu Rev Neurosci. 2001;24:677–736.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  64. Altar CA, Cai N, Bliven T, Juhasz M, Conner JM, Acheson AL, et al. Anterograde transport of brain-derived neurotrophic factor and its role in the brain. Nature. 1997;389:856–60.

    Article  CAS  PubMed  Google Scholar 

  65. Bartrup JT, Moorman JM, Newberry NR. BDNF enhances neuronal growth and synaptic activity in hippocampal cell cultures. Neuroreport. 1997;8:3791–4.

    Article  CAS  PubMed  Google Scholar 

  66. Thoenen H. Neurotrophins and neuronal plasticity. Science. 1995;270:593–8.

    Article  CAS  PubMed  Google Scholar 

  67. Turecki G, Ernst C, Jollant F, Labonté B, Mechawar N. The neurodevelopmental origins of suicidal behavior. Trends Neurosci. 2012;35:14–23.

    Article  CAS  PubMed  Google Scholar 

  68. Nibuya M, Morinobu S, Duman RS. Regulation of BDNF and trkB mRNA in rat brain by chronic electroconvulsive seizure and antidepressant drug treatments. J Neurosci. 1995;15:7539–47.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  69. Nibuya M, Nestler EJ, Duman RS. Chronic anti-depressant administration increases the expression of cAMP response element-binding protein (CREB) in rat hippocampus. J Neurosci. 1996;16:2365–72.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  70. Chen B, Dowlatshahi D, MacQueen GM, Wang JF, Young LT. Increased hippocampal BDNF immunoreactivity in subjects treated with antidepressant medication. Biol Psychiatry. 2001;50:260–5.

    Article  CAS  PubMed  Google Scholar 

  71. Dwivedi Y, Rizavi HS, Conley RR, Roberts RC, Tamminga CA, Pandey GN. Altered gene expression of brain-derived neurotrophic factor and receptor tyrosine kinase B in postmortem brain of suicide subjects. Arch Gen Psychiatry. 2003;60(8):804–15. https://doi.org/10.1001/archpsyc.60.8.804.

    Article  PubMed  CAS  Google Scholar 

  72. Dwivedi Y, Mondal AC, Rizavi HS, Conley RR. Suicide brain is associated with decreased expression of neurotrophins. Biol Psychiatry. 2005;58:315–24.

    Article  CAS  PubMed  Google Scholar 

  73. Pandey GN, Ren X, Rizavi HS, Conley RR, Roberts RC, Dwivedi Y. Brain-derived neurotrophic factor and tyrosine kinase B receptor signaling in postmortem brain of teenage suicide victims. Int J Neuropsychopharmacol. 2008;11:1047–61.

    Article  CAS  PubMed  Google Scholar 

  74. Pandey GN. Biological basis of suicide and suicidal behavior. Bipolar Disord. 2013;15:524–41.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  75. Serafini G, Pompili M, Elena Seretti M, Stefani H, Palermo M, Coryell W, et al. The role of inflammatory cytokines in suicidal behavior: a systematic review. Eur Neuropsychopharmacol. 2013;23(12):1672–86.

    Article  CAS  PubMed  Google Scholar 

  76. Janelidze S, Brundin L. Inflammation in suicidality: implications for novel treatment options. Mod Trends Pharmacopsychiatri. 2013;28:188–202.

    Article  Google Scholar 

  77. Capuron L, Miller A, Irwin MR. Psychoneuroimmunology of depressive disorder: mechanisms and clinical implications. Psychoneuro. 2007;1:509–30.

    Article  Google Scholar 

  78. Zorrilla EP, Luborsky L, McKay JR, Rosenthal R, Houldin A, Tax A, et al. The relationship of depression and stressors to immunological assays: a meta-analytic review. Brain Behav Immun. 2001;15(3):199–226. https://doi.org/10.1006/brbi.2000.0597.

    Article  PubMed  CAS  Google Scholar 

  79. Falcone T, Fazio V, Lee C, Simon B, Franco K, Marchi N, et al. Serum S100B: a potential biomarker for suicidality in adolescents? PLoS One. 2010;5(6):e11089. https://doi.org/10.1371/journal.pone.0011089.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  80. Janelidze S, Mattei D, Westrin A, Traskman-Bendz L, Brundin L. Cytokine levels in the blood may distinguish suicide attempters from depressed patients. Brain Behav Immun. 2011;25(2):335–9. https://doi.org/10.1016/j.bbi.2010.10.010.

    Article  PubMed  CAS  Google Scholar 

  81. Slopen N, Koenen KC, Kubzansky LD. Childhood adversity and immune and inflammatory biomarkers associated with cardiovascular risk in youth: a systematic review. Brain Behav Immun. 2012;26(2):239–50.

    Article  CAS  PubMed  Google Scholar 

  82. Segerstrom SC, Miller GE. Psychological stress and the human immune system: a meta-analytic study of 30 years of inquiry. Psychol Bull. 2004;130(4):601–30. https://doi.org/10.1037/0033-2909.130.4.601.

    Article  PubMed  PubMed Central  Google Scholar 

  83. Singareddy R, Krishnamurthy VB, Vgontzas AN, Fernandez-Mendoza J, Calhoun SL, Shaffer ML, et al. Subjective and objective sleep and self-harm behaviors in young children: a general population study. Psychiatry Res. 2013;209(3):549–53.

    Article  PubMed  PubMed Central  Google Scholar 

  84. Bremner JD. Does stress damage the brain? Biol Psychiatry. 1999;45(7):797–805.

    Article  CAS  PubMed  Google Scholar 

  85. Lucas M, O’Reilly EJ, Mirzaei F, Okereke OI, Unger L, Miller M, et al. Cigarette smoking and completed suicide: results from 3 prospective cohorts of American adults. J Affect Disord. 2013;151(3):1053–8. https://doi.org/10.1016/j.jad.2013.08.033.

    Article  PubMed  Google Scholar 

  86. Young SN. Elevated incidence of suicide in people living at altitude, smokers and patients with chronic obstructive pulmonary disease and asthma: possible role of hypoxia causing decreased serotonin synthesis. J Psychiatry Neurosci. 2013;38(5):130002. https://doi.org/10.1503/jpn.130002.

    Article  Google Scholar 

  87. Janigro D. Are you in or out? Leukocyte, ion, and neurotransmitter permeability across the epileptic blood-brain barrier. Epilepsia. 2012;53(Suppl 1):26–34.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  88. Janigro D. Blood-brain barrier, ion homeostasis and epilepsy: possible implications towards the understanding of ketogenic diet mechanisms. Epilepsy Res. 1999;37(3):223–32.

    Article  CAS  PubMed  Google Scholar 

  89. Oby E, Janigro D. The blood-brain barrier and epilepsy. Epilepsia. 2006;47(11):1761–74. https://doi.org/10.1111/j.1528-1167.2006.00817.x.

    Article  PubMed  CAS  Google Scholar 

  90. Serafini G, Girardi P, Erbuto D, Lester D, Pompili M. HPA axis and prolactin abnormalities in suicidal behavior. In: Pompili M, editor. Suicide: a global perspective; 2013. p. 246–53.

    Google Scholar 

  91. Motivala SJ, Sarfatti A, Olmos L, Irwin MR. Inflammatory markers and sleep disturbance in major depression. Psychosom Med. 2005;67(2):187–94. https://doi.org/10.1097/01.psy.0000149259.72488.09.

    Article  PubMed  CAS  Google Scholar 

  92. Rothermundt M, Arolt V, Peters M, Gutbrodt H, Fenker J, Kersting A, et al. Inflammatory markers in major depression and melancholia. J Affect Disord. 2001;63(1–3):93–102.

    Article  CAS  PubMed  Google Scholar 

  93. Steiner J, Bielau H, Brisch R, Danos P, Ullrich O, Mawrin C, et al. Immunological aspects in the neurobiology of suicide: elevated microglial density in schizophrenia and depression is associated with suicide. J Psychiatr Res. 2008;42(2):151–7. https://doi.org/10.1016/j.jpsychires.2006.10.013.

    Article  PubMed  Google Scholar 

  94. Steiner J, Gos T, Bogerts B, Bielau H, Drexhage HA, Bernstein HG. Possible impact of microglial cells and the monocyte-macrophage system on suicidal behavior. CNS Neurol Disord Drug Targets. 2013;12(7):971–9.

    Article  CAS  PubMed  Google Scholar 

  95. Pandey GN, Dwivedi Y. Neurobiology of teenage suicide. In: Dwivedi Y, editor. The neurobiological basis of suicide. Boca Raton: Taylor & Francis; 2012.

    Google Scholar 

  96. Pandey GN, Rizavi HS, Ren X, Fareed J, Hoppensteadt DA, Roberts RC, et al. Proinflammatory cytokines in the prefrontal cortex of teenage suicide victims. J Psychiatr Res. 2012;46(1):57–63. https://doi.org/10.1016/j.jpsychires.2011.08.006.

    Article  PubMed  Google Scholar 

  97. Kim YK, Lee HP, Won SD, Park EY, Lee HY, Lee BH, et al. Low plasma BDNF is associated with suicidal behavior in major depression. Prog Neuro-Psychopharmacol Biol Psychiatry. 2007;31(1):78–85.

    Article  CAS  Google Scholar 

  98. Isung J, Mobarrez F, Nordstrom P, Asberg M, Jokinen J. Low plasma vascular endothelial growth factor (VEGF) associated with completed suicide. World J Biol Psychiatry. 2012;13(6):468–73.

    Article  PubMed  Google Scholar 

  99. Rothermundt M, Arolt V. Schizophrenia and immunity. In: Ader R, editor. Psychoneuroimmunology. 4th ed. Boston: Elsevier; 2007. p. 563–77.

    Chapter  Google Scholar 

  100. Kubera M, Symbirtsev A, Basta-Kaim A, Borycz J, Roman A, Papp M, et al. Effect of chronic treatment with imipramine on interleukin 1 and interleukin 2 production by splenocytes obtained from rats subjected to a chronic mild stress model of depression. Pol J Pharmacol. 1996;48(5):503–6.

    PubMed  CAS  Google Scholar 

  101. Himmerich H, Fulda S, Sheldrick A, Plumakers B, Rink L. IFN gamma reduction by tricyclic antidepressants. Int J Psychiatry Med. 2011;40(4): 413–24. https://doi.org/10.2190/PM.40.4e.

  102. Hughes MM, Carballedo A, McLoughlin DM, Amico F, Harkin A, Frodl T, et al. Tryptophan depletion in depressed patients occurs independent of kynurenine pathway activation. Brain Behav Immun. 2012;26(6):979–87. https://doi.org/10.1016/j.bbi.2012.05.010.

    Article  PubMed  CAS  Google Scholar 

  103. Mitchell RH, Goldstein BI. Inflammation in children and adolescents with neuropsychiatric disorders: a systematic review. J Am Acad Child Adolesc Psychiatry. 2014;53(3):274–96.

    Article  PubMed  Google Scholar 

  104. Claes S, Myint AM, Domschke K, Del-Favero J, Entrich K, Engelborghs S, et al. The kynurenine pathway in major depression: haplotype analysis of three related functional candidate genes. Psychiatry Res. 2011;188(3):355–60.

    Article  CAS  PubMed  Google Scholar 

  105. Miura H, Ozaki N, Sawada M, Isobe K, Ohta T, Nagatsu T. A link between stress and depression: shifts in the balance between the kynurenine and serotonin pathways of tryptophan metabolism and the etiology and pathophysiology of depression. Stress. 2008;11(3):198–209.

    Article  CAS  PubMed  Google Scholar 

  106. Sublette ME, Galfalvy HC, Fuchs D, Lapidus M, Grunebaum MF, Oquendo MA, et al. Plasma kynurenine levels are elevated in suicide attempters with major depressive disorder. Brain Behav Immun. 2011;25(6):1272–8. https://doi.org/10.1016/j.bbi.2011.05.002.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  107. Erhardt S, Lim CK, Linderholm KR, Janelidze S, Lindqvist D, Samuelsson M, et al. Connecting inflammation with glutamate agonism in suicidality. Neuropsychopharmacology. 2013;38(5):743–52. https://doi.org/10.1038/npp.2012.248.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  108. Arolt V, Peters M, Erfurth A, Wiesmann M, Missler U, Rudolf S, et al. S100B and response to treatment in major depression: a pilot study. Eur Neuropsychopharmacol. 2003;13(4):235–9.

    Article  CAS  PubMed  Google Scholar 

  109. Andreazza AC, Cassini C, Rosa AR, Leite MC, de Almeida LM, Nardin P, et al. Serum S100B and antioxidant enzymes in bipolar patients. J Psychiatr Res. 2007;41(6):523–9. https://doi.org/10.1016/j.jpsychires.2006.07.013.

    Article  PubMed  Google Scholar 

  110. Marchi N, Cavaglia M, Fazio V, Bhudia S, Hallene K, Janigro D. Peripheral markers of blood-brain barrier damage. Clin Chim Acta. 2004;342(1–2):1–12. https://doi.org/10.1016/j.cccn.2003.12.008.

    Article  PubMed  CAS  Google Scholar 

  111. Bruce N, Janigro D, Fazio V, Franco K, Falcone T. S100B as a tool for risk assessment in suicidal youth. Proceedings of the American Academy of Child & Adolescent Psychiatry 57th Annual Meeting; 2010; New York.

    Google Scholar 

  112. Li Z, Qi D, Chen J, Zhang C, Yi Z, Yuan C, et al. Venlafaxine inhibits the upregulation of plasma tumor necrosis factor-alpha (TNF-alpha) in the Chinese patients with major depressive disorder: a prospective longitudinal study. Psychoneuroendocrinology. 2013;38(1):107–14.

    Article  CAS  PubMed  Google Scholar 

  113. Boehm J, Fischer K, Bohnert M. Putative role of TNF-alpha, interleukin-8 and ICAM-1 as indicators of an early inflammatory reaction after burn: a morphological and immunohistochemical study of lung tissue of fire victims. J Clin Pathol. 2010;63(11):967–71. https://doi.org/10.1136/jcp.2010.079863.

    Article  PubMed  CAS  Google Scholar 

  114. Viikki M, Anttila S, Kampman O, Illi A, Huuhka M, Setala-Soikkeli E, et al. Vascular endothelial growth factor (VEGF) polymorphism is associated with treatment resistant depression. Neurosci Lett. 2010;477(3):105–8. https://doi.org/10.1016/j.neulet.2010.04.039.

    Article  PubMed  CAS  Google Scholar 

  115. Isung J, Aeinehband S, Mobarrez F, Martensson B, Nordstrom P, Asberg M, et al. Low vascular endothelial growth factor and interleukin-8 in cerebrospinal fluid of suicide attempters. Transl Psychiatry. 2012;2:e196. https://doi.org/10.1038/tp.2012.123.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  116. Serafini G, Pompili M, Lindqvist D, Dwivedi Y, Girardi P. The role of neuropeptides in suicidal behavior: a systematic review. Biomed Res Int. 2013;2013:687575. https://doi.org/10.1155/2013/687575.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  117. Karege F, Vaudan G, Schwald M, Perroud N, La Harpe R. Neurotrophin levels in postmortem brains of suicide victims and the effects of antemortem diagnosis and psychotropic drugs. Brain Res Mol Brain Res. 2005;136(1–2):29–37. https://doi.org/10.1016/j.molbrainres.2004.12.020.

    Article  PubMed  CAS  Google Scholar 

  118. Marchi N, Granata T, Ghosh C, Janigro D. Blood–brain barrier dysfunction and epilepsy: pathophysiologic role and therapeutic approaches. Epilepsia. 2012;53(11):1877–86.

    Article  PubMed  PubMed Central  Google Scholar 

  119. Karassa FB, Magliano M, Isenberg DA. Suicide attempts in patients with systemic lupus erythematosus. Ann Rheum Dis. 2003;62(1):58–60.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  120. Arling TA, Yolken RH, Lapidus M, Langenberg P, Dickerson FB, Zimmerman SA, et al. Toxoplasma gondii antibody titers and history of suicide attempts in patients with recurrent mood disorders. J Nerv Ment Dis. 2009;3(12):905–8.

    Article  Google Scholar 

  121. Okusaga O, Langenberg P, Sleemi A, Vaswani D, Giegling I, Hartmann AM, et al. Toxoplasma gondii antibody titers and history of suicide attempts in patients with schizophrenia. Schizophrenia Res. 2011;133(1):150–5.

    Article  Google Scholar 

  122. Zhang Y, Träskman-Bendz L, Janelidze S, Langenberg P, Saleh A, Constantine N, et al. Toxoplasma gondii immunoglobulin G antibodies and nonfatal suicidal self-directed violence. J Clin Psychiatry. 2012;73(8):1069–76.

    Article  CAS  PubMed  Google Scholar 

  123. Brundin L, Erhardt S, Bryleva EY, Achtyes ED, Postolache TT. The role of inflammation in suicidal behaviour. Acta Psychiatrica. Scandinavica. 2015;132(3):192–203.

    CAS  Google Scholar 

  124. Cook AJ, Holliman R, Gilbert RE, Buffolano W, Zufferey J, Petersen E, et al. Sources of toxoplasma infection in pregnant women: European multicentre case-control study. BMJ. 2000;321(7254):142–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Tatiana Falcone M.D., M.P.H .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Falcone, T., Staniskyte, M., Forcen, F.E., Vengoechea, J. (2018). Neurobiology of Suicide. In: Falcone, T., Timmons-Mitchell, J. (eds) Suicide Prevention. Springer, Cham. https://doi.org/10.1007/978-3-319-74391-2_1

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-74391-2_1

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74390-5

  • Online ISBN: 978-3-319-74391-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics