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PMID |
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TITLE |
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Subcortical brain structure and suicidal behaviour in major depressive disorder: a meta-analysis from the ENIGMA-MDD working group. |
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ABSTRACT |
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The aetiology of suicidal behaviour is complex, and knowledge about its neurobiological mechanisms is limited. Neuroimaging methods provide a noninvasive approach to explore the neural correlates of suicide vulnerability in vivo. The ENIGMA-MDD Working Group is an international collaboration evaluating neuroimaging and clinical data from thousands of individuals collected by research groups from around the world. Here we present analyses in a subset sample (n=3097) for whom suicidality data were available. Prevalence of suicidal symptoms among major depressive disorder (MDD) cases ranged between 29 and 69% across cohorts. We compared mean subcortical grey matter volumes, lateral ventricle volumes and total intracranial volume (ICV) in MDD patients with suicidal symptoms (N=451) vs healthy controls (N=1996) or MDD patients with no suicidal symptoms (N=650). MDD patients reporting suicidal plans or attempts showed a smaller ICV (P=4.12 × 10(-3)) or a 2.87% smaller volume compared with controls (Cohen's d=-0.284). In addition, we observed a nonsignificant trend in which MDD cases with suicidal symptoms had smaller subcortical volumes and larger ventricular volumes compared with controls. Finally, no significant differences (P=0.28-0.97) were found between MDD patients with and those without suicidal symptoms for any of the brain volume measures. This is by far the largest neuroimaging meta-analysis of suicidal behaviour in MDD to date. Our results did not replicate previous reports of association between subcortical brain structure and suicidality and highlight the need for collecting better-powered imaging samples and using improved suicidality assessment instruments. |
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DATE PUBLISHED |
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HISTORY |
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PUBSTATUS |
PUBSTATUSDATE |
received |
2015/07/24 |
revised |
2017/02/25 |
accepted |
2017/02/28 |
entrez |
2017/05/03 06:00 |
pubmed |
2017/05/04 06:00 |
medline |
2017/05/04 06:00 |
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AUTHORS |
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NAME |
COLLECTIVENAME |
LASTNAME |
FORENAME |
INITIALS |
AFFILIATION |
AFFILIATIONINFO |
Rentería ME |
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Rentería |
M E |
ME |
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Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA. |
Schmaal L |
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Schmaal |
L |
L |
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Department of Psychiatry and Neuroscience Campus Amsterdam, VU University Medical Center, Amsterdam, The Netherlands. |
Hibar DP |
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Hibar |
D P |
DP |
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Imaging Genetics Center, Department of Neurology, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA. |
Couvy-Duchesne B |
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Couvy-Duchesne |
B |
B |
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Center for Advanced Imaging, University of Queensland, Brisbane, QLD, Australia. |
Strike LT |
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Strike |
L T |
LT |
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Queensland Brain Institute, University of Queensland, Brisbane, QLD, Australia. |
Mills NT |
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Mills |
N T |
NT |
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Queensland Brain Institute, University of Queensland, Brisbane, QLD, Australia. |
de Zubicaray GI |
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de Zubicaray |
G I |
GI |
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Faculty of Health and Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, Australia. |
McMahon KL |
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McMahon |
K L |
KL |
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Center for Advanced Imaging, University of Queensland, Brisbane, QLD, Australia. |
Medland SE |
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Medland |
S E |
SE |
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Department of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia. |
Gillespie NA |
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Gillespie |
N A |
NA |
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Virginia Institute for Psychiatric and Behavioral Genetics, Virginia Commonwealth University, Richmond, VA, USA. |
Hatton SN |
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Hatton |
S N |
SN |
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Brain and Mind Centre, University of Sydney, Camperdown, NSW, Australia. |
Lagopoulos J |
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Lagopoulos |
J |
J |
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Brain and Mind Centre, University of Sydney, Camperdown, NSW, Australia. |
Veltman DJ |
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Veltman |
D J |
DJ |
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Department of Psychiatry and Neuroscience Campus Amsterdam, VU University Medical Center, Amsterdam, The Netherlands. |
van der Wee N |
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van der Wee |
N |
N |
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Leiden Institute for Brain and Cognition, Leiden, The Netherlands. |
van Erp TGM |
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van Erp |
T G M |
TGM |
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Department of Psychiatry and Human Behavior, University of California, Irvine, CA, USA. |
Wittfeld K |
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Wittfeld |
K |
K |
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German Center for Neurodegenerative Diseases (DZNE), Rostock/Greifswald, Germany. |
Grabe HJ |
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Grabe |
H J |
HJ |
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Department of Psychiatry and Psychotherapy, University Medicine Greifswald, Greifswald, Germany. |
Block A |
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Block |
A |
A |
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Sociology of Health and Physical Activity, Department of Health Science, University of Potsdam, Potsdam, Germany. |
Hegenscheid K |
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Hegenscheid |
K |
K |
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Institute of Diagnostic Radiology and Neuroradiology, University Medicine Greifswald, Greifswald, Germany. |
Völzke H |
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Völzke |
H |
H |
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Institute for Community Medicine, University Medicine Greifswald, Greifswald, Germany. |
Veer IM |
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Veer |
I M |
IM |
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Division of Mind and Brain Research, Department of Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin, Berlin, Germany. |
Walter H |
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Walter |
H |
H |
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Division of Mind and Brain Research, Department of Psychiatry and Psychotherapy, Charité Universitätsmedizin Berlin, Berlin, Germany. |
Schnell K |
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Schnell |
K |
K |
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Department of General Psychiatry, University Hospital Heidelberg, Heidelberg, Germany. |
Schramm E |
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Schramm |
E |
E |
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Psychiatric University Clinic, Basel, Switzerland. |
Normann C |
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Normann |
C |
C |
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Department of Psychiatry and Psychotherapy, University Medical Center Freiburg, Freiburg, Germany. |
Schoepf D |
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Schoepf |
D |
D |
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Department of Psychiatry, University of Bonn, Bonn, Germany. |
Konrad C |
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Konrad |
C |
C |
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Department of Psychiatry and Psychotherapy, Philipps-University Marburg, Marburg, Germany. |
Zurowski B |
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Zurowski |
B |
B |
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Center for Integrative Psychiatry, University of Lübeck, Lübeck, Germany. |
Godlewska BR |
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Godlewska |
B R |
BR |
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University Department of Psychiatry, Warneford Hospital, Oxford, UK. |
Cowen PJ |
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Cowen |
P J |
PJ |
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University Department of Psychiatry, Warneford Hospital, Oxford, UK. |
Penninx BWJH |
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Penninx |
B W J H |
BWJH |
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Department of Psychiatry and Neuroscience Campus Amsterdam, VU University Medical Center, Amsterdam, The Netherlands. |
Jahanshad N |
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Jahanshad |
N |
N |
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Imaging Genetics Center, Department of Neurology, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA. |
Thompson PM |
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Thompson |
P M |
PM |
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Imaging Genetics Center, Department of Neurology, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA. |
Wright MJ |
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Wright |
M J |
MJ |
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Center for Advanced Imaging, University of Queensland, Brisbane, QLD, Australia. |
Martin NG |
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Martin |
N G |
NG |
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Department of Genetics and Computational Biology, QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia. |
Christensen H |
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Christensen |
H |
H |
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Black Dog Institute, Prince of Wales Hospital and School of Medicine, University of New South Wales, Randwick, NSW, Australia. |
Hickie IB |
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Hickie |
I B |
IB |
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Brain and Mind Centre, University of Sydney, Camperdown, NSW, Australia. |
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INVESTIGATORS |
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JOURNAL |
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VOLUME: 7 |
ISSUE: 5 |
TITLE: Translational psychiatry |
ISOABBREVIATION: Transl Psychiatry |
YEAR: 2017 |
MONTH: May |
DAY: 02 |
MEDLINEDATE: |
SEASON: |
CITEDMEDIUM: Internet |
ISSN: 2158-3188 |
ISSNTYPE: Electronic |
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MEDLINE JOURNAL |
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MEDLINETA: Transl Psychiatry |
COUNTRY: United States |
ISSNLINKING: 2158-3188 |
NLMUNIQUEID: 101562664 |
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PUBLICATION TYPE |
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Journal Article |
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