Skip to main content

Part of the book series: Nucleic Acids and Molecular Biology ((NUCLEIC,volume 23))

  • 966 Accesses

Abstract

The concept that neurobiological systems and mechanisms are contributing to the complex trait of suicidal behaviour has stimulated much work by several direct and indirect methods, as post-mortem analyses, studies in body fluids and blood platelets, or imaging techniques.

These approaches yielded interesting data concerning the involvement of the serotonergic, as well as noradrenergic and other neurotransmitter systems. Newer aspects comprise alterations in signal transduction mechanisms, the hypothalamic-pituitary-adrenal axis (HPA) and an excess activity of the noradrenergic system. The latter are both involved in the response to stressful life events and in the patho-physiology of depression and might thus have impact on suicide risk. However, multiple systems play a role in regulating the risk of suicide, and under this perspective new candidates have to be discovered.

On the basis of the neurobiological findings genetic studies have been carried out since more than a decade, which are now converging on several key areas. These studies focused mainly on the serotonergic pathway as the intent to die and the lethality of suicide acts were related to the serotonergic system. Two genes, the tryptophan hydroxylase 1 (TPH1) and the serotonin transporter gene (5-HTTLPR) have so far emerged as being involved in the vulnerability for suicidality. Predominantly negative were the findings with any type of candidate genes of the underlying neurobiological pathways.

This chapter reviews the status of current knowledge in the area of neurobiology and genetics of suicidality, points to the weakness of the investigations and presents new approaches beyond the serotonergic system.

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 169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover 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

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Arango V, Ernsberger P, Sved AF, Mann JJ (1993) Quantitative autoradiography of alpha 1- and alpha 2-adrenergic receptors in the cerebral cortex of controls and suicide victims. Brain Res 630:271–282

    PubMed  CAS  Google Scholar 

  • Arango V, Underwood MD, Gubbi AV, Mann JJ (1995) Localized alterations in pre- and postsyn-aptic serotonin binding sites in the ventrolateral prefrontal cortex of suicide victims. Brain Res 688:121–133

    PubMed  CAS  Google Scholar 

  • Arango V, Underwood MD, Mann JJ (1996) Fewer pigmented locus coeruleus neurons in suicide victims: preliminary results. Biol Psychiatry 39:112–120

    PubMed  CAS  Google Scholar 

  • Arato M, Banki CM, Bissette G, Nemeroff CB (1989) Elevated CSF CRF in suicide victims. Biol Psychiatry 25:355–359

    PubMed  CAS  Google Scholar 

  • Arinami T, Gao M, Hamaguchi H, Toru M (1997) A functional polymorphism in the promoter region of the dopamine D2 receptor gene is associated with schizophrenia. Hum Mol Genet 6:577–582

    PubMed  CAS  Google Scholar 

  • Asberg M (1997) Neurotransmitters and suicidal behavior. The evidence from cerebrospinal fluid studies. Ann NY Acad Sci 836:158–81.

    PubMed  CAS  Google Scholar 

  • Asberg M, Traskman L, Thoren P (1976) 5-HIAA in the cerebrospinal fluid. A biochemical suicide predictor? Arch Gen Psychiatry 33:1193–1197

    PubMed  CAS  Google Scholar 

  • Audenaert K, Peremans K, Goethals I, van HC (2006) Functional imaging, serotonin and the suicidal brain. Acta Neurol Belg 106:125–131

    PubMed  CAS  Google Scholar 

  • Baca-Garcia E, Salgado BR, Segal HD, Lorenzo CV, Acosta MN, Romero MA, Hernandez MD, Saiz-Ruiz J, Fernandez PJ, de LJ (2005) A pilot genetic study of the continuum between compulsivity and impulsivity in females: the serotonin transporter promoter polymorphism. Prog Neuropsychopharmacol Biol Psychiatry 29:713–717

    PubMed  CAS  Google Scholar 

  • Baca-Garcia E, Vaquero C, az-Sastre C, Saiz-Ruiz J, Fernandez-Piqueras J, de LJ (2002) A gender-specific association between the serotonin transporter gene and suicide attempts. Neuropsychopharmacology 26:692–695

    PubMed  CAS  Google Scholar 

  • Bach-Mizrachi H, Underwood MD, Kassir SA, Bakalian MJ, Sibille E, Tamir H, Mann JJ, Arango V (2006) Neuronal tryptophan hydroxylase mRNA expression in the human dorsal and median raphe nuclei: major depression and suicide. Neuropsychopharmacology 31:814–824

    PubMed  CAS  Google Scholar 

  • Balazic J, Marusic A (2005) The completed suicide as interplay of genes and environment. Forensic Sci Int 147 Suppl:S1–S3

    PubMed  Google Scholar 

  • Baud P (2005) Personality traits as intermediary phenotypes in suicidal behavior: genetic issues. Am J Med Genet C Semin Med Genet 133:34–42

    Google Scholar 

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

    Google Scholar 

  • Bertolote JM, Fleischmann A (2005) Suicidal behavior prevention: WHO perspectives on research. Am J Med Genet C Semin Med Genet 133:8–12

    Google Scholar 

  • Biegon A, Fieldust S (1992) Reduced tyrosine hydroxylase immunoreactivity in locus coeruleus of suicide victims. Synapse 10:79–82

    PubMed  CAS  Google Scholar 

  • Boldrini M, Underwood MD, Mann JJ, Arango V (2005) More tryptophan hydroxylase in the brainstem dorsal raphe nucleus in depressed suicides. Brain Res 1041:19–28

    PubMed  CAS  Google Scholar 

  • Bondy B, Buettner A, Zill P (2006) Genetics of suicide. Mol Psychiatry 11:336–351

    PubMed  CAS  Google Scholar 

  • Bowirrat A, Oscar-Berman M (2005) Relationship between dopaminergic neurotransmission, alcoholism, and Reward Deficiency syndrome. Am J Med Genet B Neuropsychiatr Genet 132:29–37

    Google Scholar 

  • Brent DA, Mann JJ (2005) Family genetic studies, suicide, and suicidal behavior. Am J Med Genet C Semin Med Genet 133:13–24

    Google Scholar 

  • Bunney WE, Bunney BG, Vawter MP, Tomita H, Li J, Evans SJ, Choudary PV, Myers RM, Jones EG, Watson SJ, Akil H (2003) Microarray technology: a review of new strategies to discover candidate vulnerability genes in psychiatric disorders. Am J Psychiatry 160:657–666

    PubMed  Google Scholar 

  • Caspi A, Moffitt TE (2006) Gene-environment interactions in psychiatry: joining forces with neu-roscience. Nat Rev Neurosci 7:583–590

    PubMed  CAS  Google Scholar 

  • Caspi A, Sugden K, Moffitt TE, Taylor A, Craig IW, Harrington H, McClay J, Mill J, Martin J, Braithwaite A, Poulton R (2003) Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene. Science 301:386–389

    PubMed  CAS  Google Scholar 

  • Charney DS (1998) Monoamine dysfunction and the pathophysiology and treatment of depression. J Clin Psychiatry 59 Suppl 14:11–14

    Google Scholar 

  • Coryell W, Young E, Carroll B (2006) Hyperactivity of the hypothalamic-pituitary-adrenal axis and mortality in major depressive disorder. Psychiatr Res 142:99–104

    CAS  Google Scholar 

  • Courtet P, Jollant F, Castelnau D, Buresi C, Malafosse A (2005) Suicidal behavior: relationship between phenotype and serotonergic genotype. Am J Med Genet C Semin Med Genet 133:25–33

    Google Scholar 

  • De Luca V, Tharmalingam S, Kennedy JL (2007) Association study between the corticotropin-releasing hormone receptor 2 gene and suicidality in bipolar disorder. Eur Psychiatry 22(5):282–287

    PubMed  Google Scholar 

  • De Luca V, Likhodi O, Van Tol HH, Kennedy JL, Wong AH (2005) Tryptophan hydroxylase 2 gene expression and promoter polymorphisms in bipolar disorder and schizophrenia. Psychopharmacology (Berl) 183(3):378–382

    CAS  Google Scholar 

  • Diaz-Sastre C, Baca-Garcia E, Perez-Rodriguez MM, Garcia-Resa E, Ceverino A, Saiz-Ruiz J, Oquendo MA, de LJ (2007) Low plasma cholesterol levels in suicidal males: a gender- and body mass index-matched case-control study of suicide attempters and nonattempters. Prog Neuropsychopharmacol Biol Psychiatry 31:901–905

    Google Scholar 

  • Dumais A, Lesage AD, Alda M, Rouleau G, Dumont M, Chawky N, Roy M, Mann JJ, Benkelfat C, Turecki G (2005) Risk factors for suicide completion in major depression: a case-control study of impulsive and aggressive behaviors in men. Am J Psychiatry 162:2116–2124

    PubMed  CAS  Google Scholar 

  • Dwivedi Y, Rizavi HS, Conley RR, Pandey GN (2006) ERK MAP kinase signaling in post-mortem brain of suicide subjects: differential regulation of upstream Raf kinases Raf-1 and B-Raf. Mol Psychiatry 11:86–98

    PubMed  CAS  Google Scholar 

  • Dwivedi Y, Rizavi HS, Conley RR, Roberts RC, Tamminga CA, Pandey GN (2003) Altered gene expression of brain-derived neurotrophic factor and receptor tyrosine kinase B in postmortem brain of suicide subjects. Arch Gen Psychiatry 60:804–815

    PubMed  CAS  Google Scholar 

  • Dwivedi Y, Rizavi HS, Shukla PK, Lyons J, Faludi G, Palkovits M, Sarosi A, Conley RR, Roberts RC, Tamminga CA, Pandey GN (2004) Protein kinase A in postmortem brain of depressed suicide victims: altered expression of specific regulatory and catalytic subunits. Biol Psychiatry 55:234–243

    PubMed  CAS  Google Scholar 

  • Eisenberger NI, Way BM, Taylor SE, Welch WT, Lieberman MD (2007) Understanding genetic risk for aggression: clues from the brain's response to social exclusion. Biol Psychiatry 61:1100–1108

    PubMed  Google Scholar 

  • Engstrom G, Alling C, Blennow K, Regnell G, Traskman-Bendz L (1999) Reduced cerebrospinal H VA concentrations and HVA/5-HIAA ratios in suicide attempters. Monoamine metabolites in 120 suicide attempters and 47 controls. Eur Neuropsychopharmacol 9:399–405

    PubMed  CAS  Google Scholar 

  • Fiedorowicz JG, Coryell WH (2007) Cholesterol and suicide attempts: a prospective study of depressed inpatients. Psychiatry Res 152:11–20

    PubMed  CAS  Google Scholar 

  • Fleischmann A, Bertolote JM, Belfer M, Beautrais A (2005) Completed suicide and psychiatric diagnoses in young people: a critical examination of the evidence. Am J Orthopsychiatry 75:676–683

    PubMed  Google Scholar 

  • Franken IH, Booij J, van den BW (2005) The role of dopamine in human addiction: from reward to motivated attention. Eur J Pharmacol 526:199–206

    PubMed  CAS  Google Scholar 

  • Gerra G, Garofano L, Castaldini L, Rovetto F, Zaimovic A, Moi G, Bussandri M, Branchi B, Brambilla F, Friso G, Donnini C (2005) Serotonin transporter promoter polymorphism genotype is associated with temperament, personality traits and illegal drugs use among adolescents. J Neural Transm 112:1397–1410

    PubMed  CAS  Google Scholar 

  • Gerra G, Garofano L, Santoro G, Bosari S, Pellegrini C, Zaimovic A, Moi G, Bussandri M, Moi A, Brambilla F, Donnini C (2004) Association between low-activity serotonin transporter genotype and heroin dependence: behavioral and personality correlates. Am J Med Genet B Neuropsychiatr Genet 126:37–42

    Google Scholar 

  • Gutknecht L, Jacob C, Strobel A, Kriegebaum C, Muller J, Zeng Y, Markert C, Escher A, Wendland J, Reif A, Mossner R, Gross C, Brocke B, Lesch KP (2006) Tryptophan hydroxy-lase-2 gene variation influences personality traits and disorders related to emotional dysregula-tion. Int J Neuropsychopharmacol 10(3):309–320

    PubMed  Google Scholar 

  • Gwadry FG, Sequeira A, Hoke G, Ffrench-Mullen JM, Turecki G (2005) Molecular characterization of suicide by microarray analysis. Am J Med Genet C Semin Med Genet 133:48–56

    Google Scholar 

  • Harris EC, Barraclough B (1998) Excess mortality of mental disorder. Br J Psychiatry 173:11–53

    PubMed  CAS  Google Scholar 

  • Harvey M, Gagne B, Labbe M, Barden N (2007) Polymorphisms in the neuronal isoform of tryp-tophan hydroxylase 2 are associated with bipolar disorder in French Canadian pedigrees. Psychiatr Genet 17:17–22

    PubMed  Google Scholar 

  • Heils A, Teufel A, Petri S, Stober G, Riederer P, Bengel D, Lesch KP (1996) Allelic variation of human serotonin transporter gene expression. J Neurochem 66:2621–2624

    PubMed  CAS  Google Scholar 

  • Holsboer F (2001) Stress, hypercortisolism and corticosteroid receptors in depression: implications for therapy. J Affect Disord 62:77–91

    PubMed  CAS  Google Scholar 

  • Hong CJ, Huo SJ, Yen FC, Tung CL, Pan GM, Tsai SJ (2003) Association study of a brain-derived neurotrophic-factor genetic polymorphism and mood disorders, age of onset and suicidal behavior. Neuropsychobiology 48:186–189

    PubMed  CAS  Google Scholar 

  • Hurd YL, Herman MM, Hyde TM, Bigelow LB, Weinberger DR, Kleinman JE (1997) Prodynorphin mRNA expression is increased in the patch versus matrix compartment of the caudate nucleus in suicide subjects. Mol Psychiatry 2:495–500

    PubMed  CAS  Google Scholar 

  • Jaffee SR, Price TS (2007) Gene-environment correlations: a review of the evidence and implications for prevention of mental illness. Mol Psychiatry 12:432–442

    PubMed  CAS  Google Scholar 

  • Joca SR, Ferreira FR, Guimaraes FS (2007) Modulation of stress consequences by hippocampal monoaminergic, glutamatergic and nitrergic neurotransmitter systems. Stress 10:227–249

    PubMed  CAS  Google Scholar 

  • Johann M, Putzhammer A, Eichhammer P, Wodarz N (2005) Association of the -141C Del variant of the dopamine D2 receptor (DRD2) with positive family history and suicidality in German alcoholics. Am J Med Genet B Neuropsychiatr Genet 132:46–49

    Google Scholar 

  • Kapur S, Mann JJ (1992) Role of the dopaminergic system in depression. Biol Psychiatry 32:1–17

    PubMed  CAS  Google Scholar 

  • Ke L, Qi Z Y, Ping Y, Ren CY (2006) Effect of SNP at position 40237 in exon 7 of the TPH2 gene on susceptibility to suicide. Brain Res 1122:24–26

    PubMed  CAS  Google Scholar 

  • Kendler KS, Gardner CO, Prescott CA (2006) Toward a comprehensive developmental model for major depression in men. Am J Psychiatry 163:115–124

    PubMed  Google Scholar 

  • Kia-Keating BM, Glatt SJ, Tsuang MT (2007) Meta-analyses suggest association between COMT, but not HTR1B, alleles, and suicidal behavior. Am J Med Genet B Neuropsychiatr Genet 144B(8):1048–1053

    Google Scholar 

  • Kim YK, Lee HP, Won SD, Park EY, Lee HY, Lee BH, Lee SW, Yoon D, Han C, Kim DJ, Choi SH (2007) Low plasma BDNF is associated with suicidal behavior in major depression. Prog Neuropsychopharmacol Biol Psychiatry 31:78–85

    PubMed  CAS  Google Scholar 

  • Kluger J (2003) Medicating young minds. Time Magazine 162(14):48–56, November 3, 2003

    Google Scholar 

  • Kunugi H, Hashimoto R, Yoshida M, Tatsumi M, Kamijima K (2004) A missense polymorphism (S205L) of the low-affinity neurotrophin receptor p75NTR gene is associated with depressive disorder and attempted suicide. Am J Med Genet B Neuropsychiatr Genet 129:44–46

    Google Scholar 

  • Leboyer M, Slama F, Siever L, Bellivier F (2005) Suicidal disorders: a nosological entity per se? Am J Med Genet C Semin Med Genet 133C:3–7

    PubMed  Google Scholar 

  • Lesch KP, Bengel D, Heils A, Sabol SZ, Greenberg BD, Petri S, Benjamin J, Muller CR, Hamer DH, Murphy DL (1996) Association of anxiety-related traits with a polymorphism in the serotonin transporter gene regulatory region. Science 274:1527–1531

    PubMed  CAS  Google Scholar 

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

    PubMed  Google Scholar 

  • Li D, He L (2006) Further clarification of the contribution of the tryptophan hydroxylase (TPH) gene to suicidal behavior using systematic allelic and genotypic meta-analyses. Hum Genet 119:233–240

    PubMed  Google Scholar 

  • Limosin F, Loze JY, Boni C, Hamon M, Ades J, Rouillon F, Gorwood P (2005) Male-specific association between the 5-HTTLPR S allele and suicide attempts in alcohol-dependent subjects. J Psychiatr Res 39:179–182

    PubMed  Google Scholar 

  • Lopez VA, tera-Wadleigh S, Cardona I, Kassem L, McMahon FJ (2007) Nested association between genetic variation in tryptophan hydroxylase II, bipolar affective disorder, and suicide attempts. Biol Psychiatry 61:181–186

    PubMed  CAS  Google Scholar 

  • Ma J, Yoshimura M, Yamashita E, Nakagawa A, Ito A, Tsukihara T (2004) Structure of rat monoamine oxidase A and its specific recognitions for substrates and inhibitors. J Mol Biol 338:103–114

    PubMed  CAS  Google Scholar 

  • Malone KM, Corbitt EM, Li S, Mann JJ (1996) Prolactin response to fenfluramine and suicide attempt lethality in major depression. Br J Psychiatry 168:324–329

    PubMed  CAS  Google Scholar 

  • Mann JJ (2003) Neurobiology of suicidal behaviour. Nat Rev Neurosci 4:819–828

    PubMed  CAS  Google Scholar 

  • Mann JJ, Arango V, Henteleff RA, Lagattuta TF, Wong DT (1996) Serotonin 5-HT3 receptor binding kinetics in the cortex of suicide victims are normal. J Neural Transm 103:165–171

    PubMed  CAS  Google Scholar 

  • Mann JJ, Currier D (2007) A review of prospective studies of biologic predictors of suicidal behavior in mood disorders. Arch Suicide Res 11:3–16

    PubMed  Google Scholar 

  • Mann JJ, Currier D, Stanley B, Oquendo MA, Amsel LV, Ellis SP (2006) Can biological tests assist prediction of suicide in mood disorders? Int J Neuropsychopharmacol 9:465–474

    PubMed  Google Scholar 

  • Mann JJ, Malone KM (1997) Cerebrospinal fluid amines and higher-lethality suicide attempts in depressed inpatients. Biol Psychiatry 41:162–171

    PubMed  CAS  Google Scholar 

  • Manuck SB, Flory JD, Ferrell RE, Dent KM, Mann JJ, Muldoon MF (1999) Aggression and anger-related traits associated with a polymorphism of the tryptophan hydroxylase gene. Biol Psychiatry 45:603–614

    PubMed  CAS  Google Scholar 

  • Manuck SB, Flory JD, Ferrell RE, Mann JJ, Muldoon MF (2000) A regulatory polymorphism of the monoamine oxidase-A gene may be associated with variability in aggression, impulsivity, and central nervous system serotonergic responsivity. Psychiatry Res 95:9–23

    PubMed  CAS  Google Scholar 

  • Marcinko D, Pivac N, Martinac M, Jakovljevic M, Mihaljevic-Peles A, Muck-Seler D (2007) Platelet serotonin and serum cholesterol concentrations in suicidal and non-suicidal male patients with a first episode of psychosis. Psychiatry Res 150:105–108

    PubMed  CAS  Google Scholar 

  • Mastorakos G, Pavlatou MG, Mizamtsidi M (2006) The hypothalamic-pituitary-adrenal and the hypothalamic- pituitary-gonadal axes interplay. Pediatr Endocrinol Rev 3 Suppl 1:172–81

    Google Scholar 

  • McGuffin P, Marusic A, Farmer A (2001) What can psychiatric genetics offer suicidology? Crisis 22:61–65

    PubMed  CAS  Google Scholar 

  • Merali Z, Du L, Hrdina P, Palkovits M, Faludi G, Poulter MO, Anisman H (2004) Dysregulation in the suicide brain: mRNA expression of corticotropin-releasing hormone receptors and GABA(A) receptor subunits in frontal cortical brain region. J Neurosci 24:1478–1485

    PubMed  CAS  Google Scholar 

  • Merali Z, Kent P, Du L, Hrdina P, Palkovits M, Faludi G, Poulter MO, Bedard T, Anisman H (2006) Corticotropin-releasing hormone, arginine vasopressin, gastrin-releasing peptide, and neuromedin B alterations in stress-relevant brain regions of suicides and control subjects. Biol Psychiatry 59:594–602

    PubMed  CAS  Google Scholar 

  • Meyer JH, McMain S, Kennedy SH, Korman L, Brown GM, DaSilva JN, Wilson AA, Blak T, Eynan-Harvey R, Goulding VS, Houle S, Links P (2003) Dysfunctional attitudes and 5-HT2 receptors during depression and self-harm. Am J Psychiatry 160:90–99

    PubMed  Google Scholar 

  • Muller-Oerlinghausen B, Roggenbach J, Franke L (2004) Serotonergic platelet markers of suicidal behavior — do they really exist? J Affect Disord 79:13–24

    Google Scholar 

  • Nemeroff CB, Widerlov E, Bissette G, Walleus H, Karlsson I, Eklund K, Kilts CD, Loosen PT, Vale W (1984) Elevated concentrations of CSF corticotropin-releasing factor-like immunore-activity in depressed patients. Science 226:1342–1344

    PubMed  CAS  Google Scholar 

  • Nielsen DA, Goldman D, Virkkunen M, Tokola R, Rawlings R, Linnoila M (1994) Suicidality and 5-hydroxyindoleacetic acid concentration associated with a tryptophan hydroxylase polymorphism. Arch Gen Psychiatry 51:34–38

    PubMed  CAS  Google Scholar 

  • Nielsen DA, Virkkunen M, Lappalainen J, Eggert M, Brown GL, Long JC, Goldman D, Linnoila M (1998) A tryptophan hydroxylase gene marker for suicidality and alcoholism. Arch Gen Psychiatry 55:593–602

    PubMed  CAS  Google Scholar 

  • Noble EP (2003) D2 dopamine receptor gene in psychiatric and neurologic disorders and its phenotypes. Am J Med Genet B Neuropsychiatr Genet 116:103–125

    Google Scholar 

  • Nordstrom P, Samuelsson M, Asberg M, Traskman-Bendz L, berg-Wistedt A, Nordin C, Bertilsson L (1994) CSF 5-HIAA predicts suicide risk after attempted suicide. Suicide Life Threat Behav 24:1–9

    PubMed  CAS  Google Scholar 

  • Ordway GA, Smith KS, Haycock JW (1994a) Elevated tyrosine hydroxylase in the locus coeru-leus of suicide victims. J Neurochem 62:680–685

    CAS  Google Scholar 

  • Ordway GA, Widdowson PS, Smith KS, Halaris A (1994b) Agonist binding to alpha 2-adrenocep-tors is elevated in the locus coeruleus from victims of suicide. J Neurochem 63:617–624

    CAS  Google Scholar 

  • Pandey GN, Dwivedi Y, Ren X, Rizavi HS, Mondal AC, Shukla PK, Conley RR (2005) Brain region specific alterations in the protein and mRNA levels of protein kinase A subunits in the post-mortem brain of teenage suicide victims. Neuropsychopharmacology 30:1548–1556

    PubMed  CAS  Google Scholar 

  • Pandey GN, Dwivedi Y, Ren X, Rizavi HS, Roberts RC, Conley RR (2006) Cyclic AMP response element-binding protein in post-mortem brain of teenage suicide victims: specific decrease in the prefrontal cortex but not the hippocampus. Int J Neuropsychopharmacol:1–9.:1–9

    Google Scholar 

  • Pandey GN, Pandey SC, Dwivedi Y, Sharma RP, Janicak PG, Davis JM (1995) Platelet serotonin-2A receptors: a potential biological marker for suicidal behavior. Am J Psychiatry 152:850–855

    PubMed  CAS  Google Scholar 

  • Persson ML, Geijer T, Wasserman D, Rockah R, Frisch A, Michaelovsky E, Jonsson EG, Apter A, Weizman A (1999) Lack of association between suicide attempt and a polymorphism at the dopamine receptor D4 locus. Psychiatr Genet 9:97–100

    PubMed  CAS  Google Scholar 

  • Pfennig A, Kunzel HE, Kern N, Ising M, Majer M, Fuchs B, Ernst G, Holsboer F, Binder EB (2005) Hypothalamus-pituitary-adrenal system regulation and suicidal behavior in depression. Biol Psychiatry 57:336–342

    PubMed  CAS  Google Scholar 

  • Phillips MR, Li X, Zhang Y (2002) Suicide rates in China, 1995–99. Lancet 359:835–840

    PubMed  Google Scholar 

  • Pitchot W, Hansenne M, Gonzalez MA, Ansseau M (1995) The dexamethasone suppression test in violent suicide attempters with major depression. Biol Psychiatry 37:273–274

    PubMed  CAS  Google Scholar 

  • orter RJ, Gallagher P, Watson S, Young AH (2004) Corticosteroid-serotonin interactions in depression: a review of the human evidence. Psychopharmacology (Berl) 173:1–17

    Google Scholar 

  • Raadsheer FC, Hoogendijk WJ, Stam FC, Tilders FJ, Swaab DF (1994) Increased numbers of corticotropin-releasing hormone expressing neurons in the hypothalamic paraventricular nucleus of depressed patients. Neuroendocrinology 60:436–444

    PubMed  CAS  Google Scholar 

  • Roy A (1993) Genetic and biologic risk factors for suicide in depressive disorders. Psychiatr Q 64:345–358

    PubMed  CAS  Google Scholar 

  • Roy A, Hu XZ, Janal MN, Goldman D (2007) Interaction between childhood trauma and serotonin transporter gene variation in Suicide. Neuropsychopharmacology 32(9):2046–2052

    PubMed  CAS  Google Scholar 

  • Roy A, Janal M (2006) Gender in suicide attempt rates and childhood sexual abuse rates: is there an interaction? Suicide Life Threat Behav 36:329–335

    PubMed  Google Scholar 

  • Roy A, Rylander G, Forslund K, Asberg M, Mazzanti CM, Goldman D, Nielsen DA (2001) Excess tryptophan hydroxylase 17 779C allele in surviving cotwins of monozygotic twin suicide victims. Neuropsychobiology 43:233–236

    PubMed  CAS  Google Scholar 

  • Roy A, Segal NL, Sarchiapone M (1995) Attempted suicide among living co-twins of twin suicide victims. Am J Psychiatry 152:1075–1076

    PubMed  CAS  Google Scholar 

  • Rujescu D, Giegling I, Bondy B, Gietl A, Zill P, Moller HJ (2002) Association of anger-related traits with SNPs in the TPH gene. Mol Psychiatry 7:1023–1029

    PubMed  CAS  Google Scholar 

  • Rujescu D, Giegling I, Sato T, Hartmann AM, Moller HJ (2003) Genetic variations in tryptophan hydroxylase in suicidal behavior: analysis and meta-analysis. Biol Psychiatry 54:465–473

    PubMed  CAS  Google Scholar 

  • Sabol SZ, Hu S, Hamer D (1998) A functional polymorphism in the monoamine oxidase A gene promoter. Hum Genet 103:273–279

    PubMed  CAS  Google Scholar 

  • Sander T, Harms H, Dufeu P, Kuhn S, Hoehe M, Lesch KP, Rommelspacher H, Schmidt LG (1998) Serotonin transporter gene variants in alcohol-dependent subjects with dissocial personality disorder. Biol Psychiatry 43:908–912

    PubMed  CAS  Google Scholar 

  • Sher L (2007) The role of the hypothalamic-pituitary-adrenal axis dysfunction in the pathophysiology of alcohol misuse and suicidal behavior in adolescents. Int J Adolesc Med Health 19:3–9

    PubMed  Google Scholar 

  • Sher L, Mann JJ, Traskman-Bendz L, Winchel R, Huang YY, Fertuck E, Stanley BH (2006) Lower cerebrospinal fluid homovanillic acid levels in depressed suicide attempters. J Affect Disord 90:83–89

    PubMed  CAS  Google Scholar 

  • Sher L, Oquendo MA, Li S, Ellis S, Brodsky BS, Malone KM, Cooper TB, Mann JJ (2003) Prolactin response to fenfluramine administration in patients with unipolar and bipolar depression and healthy controls. Psychoneuroendocrinology 28:559–573

    PubMed  CAS  Google Scholar 

  • Skondras M, Markianos M, Botsis A, Bistolaki E, Christodoulou G (2004) Platelet monoamine oxidase activity and psychometric correlates in male violent offenders imprisoned for homicide or other violent acts. Eur Arch Psychiatry Clin Neurosci 254:380–386

    PubMed  Google Scholar 

  • Smith SM, Vale WW (2006) The role of the hypothalamic-pituitary-adrenal axis in neuroendo-crine responses to stress. Dialogues Clin Neurosci 8:383–395

    PubMed  Google Scholar 

  • Soderstrom H, Blennow K, Manhem A, Forsman A (2001) CSF studies in violent offenders. I. 5-HIAA as a negative and H VA as a positive predictor of psychopathy. J Neural Transm 108:869–878

    PubMed  CAS  Google Scholar 

  • Spreux-Varoquaux O, Alvarez JC, Berlin I, Batista G, Despierre PG, Gilton A, Cremniter D (2001) Differential abnormalities in plasma 5-HIAA and platelet serotonin concentrations in violent suicide attempters: relationships with impulsivity and depression. Life Sci 69:647–657

    Google Scholar 

  • Statham DJ, Heath AC, Madden PA, Bucholz KK, Bierut L, Dinwiddie SH, Slutske WS, Dunne MP, Martin NG (1998) Suicidal behaviour: an epidemiological and genetic study. Psychol Med 28:839–855

    PubMed  CAS  Google Scholar 

  • Stein MB, Schork NJ, Gelernter J (2007) Gene-by-environment (serotonin transporter and childhood maltreatment) interaction for anxiety sensitivity, an intermediate phenotype for anxiety disorders. Neuropsychopharmacology [Epub ahead of print]

    Google Scholar 

  • Sumiyoshi T, Stockmeier CA, Overholser JC, Thompson PA, Meltzer HY (1995) Dopamine D4 receptors and effects of guanine nucleotides on [3H]raclopride binding in postmortem caudate nucleus of subjects with schizophrenia or major depression. Brain Res 681:109–116

    PubMed  CAS  Google Scholar 

  • Suominen K, Isometsa E, Suokas J, Haukka J, Achte K, Lonnqvist J (2004) Completed suicide after a suicide attempt: a 37-Year follow-up study. Am J Psychiatry 161:562–563

    PubMed  Google Scholar 

  • Turecki G (2005) Dissecting the suicide phenotype: the role of impulsive-aggressive behaviours. J Psychiatry Neurosci 30:398–408

    PubMed  Google Scholar 

  • Virkkunen M, Goldman D, Nielsen DA, Linnoila M (1995) Low brain serotonin turnover rate (low CSF 5-HIAA) and impulsive violence. J Psychiatry Neurosci 20:271–275

    PubMed  CAS  Google Scholar 

  • Viveros MP, Marco EM, File SE (2005) Endocannabinoid system and stress and anxiety responses. Pharmacol Biochem Behav 81:331–342

    PubMed  CAS  Google Scholar 

  • Walther DJ, Bader M (2003) A unique central tryptophan hydroxylase isoform. Biochem Pharmacol 66:1673–1680

    PubMed  CAS  Google Scholar 

  • Walther DJ, Peter JU, Bashammakh S, Hortnagl H, Voits M, Fink H, Bader M (2003) Synthesis of serotonin by a second tryptophan hydroxylase isoform. Science 299:76

    PubMed  CAS  Google Scholar 

  • Wasserman D, Geijer T, Sokolowski M, Rozanov V, Wasserman J (2007) Nature and nurture in suicidal behavior, the role of genetics: some novel findings concerning personality traits and neural conduction. Physiol Behav 92(1–2):245–249

    PubMed  CAS  Google Scholar 

  • Westrin A, Nimeus A (2003) The dexamethasone suppression test and CSF-5-HIAA in relation to suicidality and depression in suicide attempters. Eur Psychiatry 18:166–171

    PubMed  Google Scholar 

  • World Health Organization (2000) World Health Organization. The World Health Report 2000-health systems: improving performance. Geneve WHO 2000:

    Google Scholar 

  • Yanagi M, Shirakawa O, Kitamura N, Okamura K, Sakurai K, Nishiguchi N, Hashimoto T, Nushida H, Ueno Y, Kanbe D, Kawamura M, Araki K, Nawa H, Maeda K (2005) Association of 14–3–3 epsilon gene haplotype with completed suicide in Japanese. J Hum Genet 50:210–216

    PubMed  Google Scholar 

  • Zalsman G, Frisch A, Lewis R, Michaelovsky E, Hermesh H, Sher L, Nahshoni E, Wolovik L, Tyano S, Apter A, Weizman R, Weizman A (2004) DRD4 receptor gene exon III polymorphism in inpatient suicidal adolescents. J Neural Transm 111:1593–1603

    PubMed  CAS  Google Scholar 

  • Zhou Z, Roy A, Lipsky R, Kuchipudi K, Zhu G, Taubman J, Enoch MA, Virkkunen M, Goldman D (2005) Haplotype-based linkage of tryptophan hydroxylase 2 to suicide attempt, major depression, and cerebrospinal fluid 5-hydroxyindoleacetic acid in 4 populations. Arch Gen Psychiatry 62:1109–1118

    PubMed  CAS  Google Scholar 

  • Zill P, Buttner A, Eisenmenger W, Bondy B, Ackenheil M (2004a) Regional mRNA expression of a second tryptophan hydroxylase isoform in postmortem tissue samples of two human brains. Eur Neuropsychopharmacol 14:282–284

    CAS  Google Scholar 

  • Zill P, Buttner A, Eisenmenger W, Moller HJ, Ackenheil M, Bondy B (2007) Analysis of tryptophan hydroxylase I and II mRNA expression in the human brain: a post-mortem study. J Psychiatr Res 41:168–173

    PubMed  Google Scholar 

  • Zill P, Buttner A, Eisenmenger W, Moller HJ, Bondy B, Ackenheil M (2004b) Single nucleotide polymorphism and haplotype analysis of a novel tryptophan hydroxylase isoform (TPH2) gene in suicide victims. Biol Psychiatry 56:581–586v

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Brigitta Bondy .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Bondy, B., Zill, P. (2009). Neurobiology of Suicide. In: Wildenauer, D.B. (eds) Molecular Biology of Neuropsychiatric Disorders. Nucleic Acids and Molecular Biology, vol 23. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-85383-1_7

Download citation

Publish with us

Policies and ethics