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Monoamine Metabolites in CSF and Suicidal Behavior
Abstract
Cerebrospinal fluid concentrations of the monoamine metabolites 5-hydroxyindoleacetic acid (5-HIAA), homovanillic acid (HVA), and 3-methoxy-4-hydroxyphenyl glycol (MHPG) were measured in 30 psychiatric patients who had attempted suicide and 45 healthy volunteers. The suicide attempters had a significantly lower CSF 5-HIAA level than the controls, especially those who had made more violent attempts. After adjustment for differences in body height and age between controls and patients, the difference in 5-HIAA level became even more marked. Concentrations of 5-HIAA also were lower than normal in suicidal patients who were not diagnosed as depressed at the time of lumbar puncture, while HVA levels were lowered only in the depressives. A follow-up study of these and 89 more patients (depressed and/or suicidal) revealed a 20% mortality by suicide within a year after lumbar puncture in patients with a CSF-HIAA level below the median.
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Metadata
- Authors
- Träskman, L.
- Venue
- Archives of General Psychiatry
- Publisher
- American Medical Association (AMA)
- Published
- 1981-06-01
- Volume
- 38
- Issue
- 6
- Pages
- 631
- ISSN
- 0003-990X (ISSN-L)
- OpenAlex
- W2000277154
- Cited by
- 689
- References
- 2
- FWCI
- 39.35
- Type
- journal article
- Language
- en
- Open access
- closed
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