Total serum cholesterol levels and suicide attempts in child and adolescent psychiatric inpatients
Open accessAbstract
Associations between cholesterol and suicidal behavior in adolescent patients have not been explored in depth. In this study, 66 patients consecutively admitted to a psychiatric inpatient unit following attempted suicide were compared with a control group of 54 patients with no history of suicide attempts. The age range of the sample was from 8 to 18 years old. Cholesterol levels were significantly lower in attempted suicide patients than in controls (p < 0.02), supporting the hypothesis that lower cholesterol levels might be associated with suicidal behavior in patients with similar acute phase of their disorder.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Individuals with major depressive disorder who later attempt suicide exhibit significantly lower plasma levels of omega-3 PUFAs, particularly EPA and DHA.
“Prospective data demonstrate that individuals with major depressive disorder who later attempt suicide exhibit significantly lower plasma levels of omega-3 polyunsaturated fatty acids (PUFAs), particularly eicosapentaenoic acid (EPA) and docosahexaenoic acid (DHA) (78).”
From Exploring the neurobiological markers of suicidal behaviors in pediatric population: a narrative review (2026) · cites this paper as [78]
Cites
Suicidal Behavior Runs in Families: A Controlled Family Study of Adolescent Suicide Victims
Brent, D. A. (1996) · Archives of General Psychiatry · doi:10.1001/archpsyc.1996.01830120085015 · Cited by 516 · see citing works
Low serum cholesterol and suicide
Engelberg, H. (1992) · The Lancet · doi:10.1016/0140-6736(92)90609-7 · Cited by 513 · see citing works
Plasma cholesterol and depressive symptoms in older men
Morgan, R., Palinkas, L. A., Barrett-Connor, E. L., & WINGARD, D. L. (1993) · The Lancet · doi:10.1016/0140-6736(93)92556-9 · Cited by 306 · see citing works
CSF 5‐HIAA Predicts Suicide Risk After Attempted Suicide
Nordström, P., Samuelsson, M., Åsberg, M., Träskman‐Bendz, L., Åberg‐Wistedt, A., Nordin, C., & Bertilsson, L. (1994) · Suicide and Life-Threatening Behavior · doi:10.1111/j.1943-278x.1994.tb00657.x · Cited by 257 · see citing works
Association of low serum total cholesterol with major depression and suicide
Partonen, T., Haukka, J. K., Virtamo, J. R. K., Taylor, P. R., & Lönnqvist, J. K. (1999) · The British Journal of Psychiatry · doi:10.1192/bjp.175.3.259 · Cited by 221 · see citing works
Platelet serotonin-2 receptor binding sites in depression and suicide
Pandey, G. N., Pandey, S. C., Janicak, P. G., Marks, R., & Davis, J. M. (1990) · Biological Psychiatry · doi:10.1016/0006-3223(90)90576-n · Cited by 212 · see citing works
Roy, A., Agren, H., Pickar, D., Linnoila, M., Doran, A. R., Cutler, N. R., & Paul, S. M. (1986) · American Journal of Psychiatry · doi:10.1176/ajp.143.12.1539 · Cited by 191 · see citing works
Serum cholesterol concentration and death from suicide in men: Paris prospective study I
Zureik, M., Courbon, D., & Ducimetière, P. (1996) · BMJ · doi:10.1136/bmj.313.7058.649 · Cited by 151 · see citing works
High Serum Cholesterol and Risk of Suicide
Tanskanen, A. J., Vartiainen, E. A., Tuomilehto, J., Viinamãa©, H., Lehtonen, J., & Puska, P. (2000) · American Journal of Psychiatry · doi:10.1176/appi.ajp.157.4.648 · Cited by 104 · see citing works
Serum Ghrelin and Cholesterol Values in Suicide Attempters
Atmaca, M., Tezcan, E., Parmaksiz, S., Saribas, M., Özler, S., & Üstündağ, B. (2006) · Neuropsychobiology · doi:10.1159/000096039 · Cited by 102 · see citing works
Serum Cholesterol Levels and Suicide: A Meta‐Analysis
Lester, D. (2002) · Suicide and Life-Threatening Behavior · doi:10.1521/suli.32.3.333.22177 · Cited by 100 · see citing works
Clinical application of low serum cholesterol as an indicator for suicide risk in major depression
KIM, Y. (2003) · Journal of Affective Disorders · doi:10.1016/s0165-0327(03)00166-6 · Cited by 97 · see citing works
Cholesterol content in brains of suicide completers
Lalovic, A., Levy, E. H., Luheshi, G. N., Canetti, L., Grenier, É., Sequeira, A., & Turecki, G. (2006) · The International Journal of Neuropsychopharmacology · doi:10.1017/s1461145706006663 · Cited by 97 · see citing works
Deisenhammer, E. A., Kramer-Reinstadler, K., Liensberger, D., Kemmler, G., Hinterhuber, H., & Wolfgang Fleischhacker, W. (2004) · Psychiatry Research · doi:10.1016/j.psychres.2003.09.007 · Cited by 92 · see citing works
Serum Leptin and Cholesterol Values in Suicide Attempters
Atmaca, M., Kuloğlu, M., Tezcan, E., Üstündağ, B., Geçici, Ö., & Firidin, B. (2002) · Neuropsychobiology · doi:10.1159/000054950 · Cited by 91 · see citing works
Total cholesterol and suicidality in depression
Sullivan, P. F., Joyce, P. R., Bulik, C. M., Mulder, R. T., & Browne, M. A. O. (1994) · Biological Psychiatry · doi:10.1016/0006-3223(94)90643-2 · Cited by 84 · see citing works
Cremniter, D., Jamain, S., Kollenbach, K., Alvarez, J., Lecrubier, Y., Gilton, A., Jullien, P., Lesieur, P., Bonnet, F. J., & Spreux‐Varoquaux, O. (1999) · Biological Psychiatry · doi:10.1016/s0006-3223(98)00382-5 · Cited by 82 · see citing works
Cholesterol and suicide attempts: A prospective study of depressed inpatients
Fiedorowicz, J. G., & Coryell, W. H. (2007) · Psychiatry Research · doi:10.1016/j.psychres.2006.09.003 · Cited by 79 · see citing works
Cholesterol-lowering therapy evokes time-limited changes in serotonergic transmission
Vevera, J., Fišar, Z., Kvasnička, T., Zdeněk, H., Stárková, L., Češka, R., & Papežová, H. (2005) · Psychiatry Research · doi:10.1016/j.psychres.2004.11.005 · Cited by 79 · see citing works
CSF 5-HIAA and HVA concentrations in elderly depressed patients who attempted suicide
Jones, J. S., Stanley, B., Mann, J. J., FRANCES, A. J., Guido, J. R., Träskman‐Bendz, L., Winchel, R., Brown, R. P., & Stanley, M. (1990) · American Journal of Psychiatry · doi:10.1176/ajp.147.9.1225 · Cited by 78 · see citing works
Serum leptin and cholesterol levels in schizophrenic patients with and without suicide attempts
Atmaca, M., Kuloğlu, M., Tezcan, E., & Üstündağ, B. (2003) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2003.00145.x · Cited by 68 · see citing works
Low serum cholesterol is correlated to suicidality in a Korean sample
Kim, Y., Lee, H., Kim, J., Yoon, D., Choi, S., & Lee, M.-S. (2002) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2002.10352.x · Cited by 68 · see citing works
Secular trends in psychiatric diagnoses of suicide victims
Carlson, G. A., Rich, C. L., Grayson, P., & Fowler, R. C. (1991) · Journal of Affective Disorders · doi:10.1016/0165-0327(91)90059-2 · Cited by 62 · see citing works
Serum Cholesterol and Leptin Levels in Patients with Borderline Personality Disorder
Atmaca, M., Kuloğlu, M., Tezcan, E., Geçici, Ö., & Üstündağ, B. (2002) · Neuropsychobiology · doi:10.1159/000063665 · Cited by 60 · see citing works
Apter, A. S., Laufer, N., Bar-Sever, M., Har‐Even, D., Ofek, H., & Weizman, A. (1999) · Biological Psychiatry · doi:10.1016/s0006-3223(98)00345-x · Cited by 60 · see citing works
Díaz-Sastre, C., Baca‐García, E., Pérez-Rodríguez, M. M., Garcı́a-Resa, E., Ceverino, A., Sáiz, P. A., Oquendo, M. A., & de León, J. (2007) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2007.02.004 · Cited by 58 · see citing works
Marčinko, D., Pivac, N., Martinac, M., Jakovljević, M., Mihaljević-Peleš, A., & Mück‐Šeler, D. (2007) · Psychiatry Research · doi:10.1016/j.psychres.2006.08.012 · Cited by 56 · see citing works
Cerovski, B., Vidović, T., Petricek, I., Popović-Suić, S., Kordić, R., Bojić, L., Cerovski, J., & Kovacević, S. (2005) · PubMed · Cited by 52 · see citing works
Total Serum Cholesterol and Suicidality in Anorexia Nervosa
Favaro, A., Caregaro, L., Pascoli, L. D., Brambilla, F., & Santonastaso, P. (2004) · Psychosomatic Medicine · doi:10.1097/01.psy.0000127873.31062.80 · Cited by 45 · see citing works
Guillem, E., Pélissolo, A., Notides, C., & Lépine, J. (2002) · Psychiatry Research · doi:10.1016/s0165-1781(02)00193-2 · Cited by 44 · see citing works
Cholesterol Metabolism and Suicidality in Smith-Lemli-Opitz Syndrome Carriers
Lalovic, A., Merkens, L. S., RUSSELL, L. J., Arsenault‐Lapierre, G., Nowaczyk, M. J. M., Porter, F. D., Steiner, R. D., & Turecki, G. (2004) · American Journal of Psychiatry · doi:10.1176/appi.ajp.161.11.2123 · Cited by 40 · see citing works
ABCG1 gene variants in suicidal behavior and aggression-related traits
Gietl, A. F., Giegling, I., Hartmann, A. M., Schneider, B., Schnabel, A., Maurer, K., Möller, H., & Rujescu, D. (2006) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2006.11.004 · Cited by 30 · see citing works
The Relationship Between CSF HVA/5-HIAA Ratio and Suicide Intent in Suicide Attempters
Jokinen, J., Nordström, A., & Nordström, P. (2007) · Archives of Suicide Research · doi:10.1080/13811110701250093 · Cited by 29 · see citing works
Investigation of completed suicide and genes involved in cholesterol metabolism
Lalovic, A., Sequeira, A., DeGuzman, R., Chawky, N., LESAGE, A. D., Séguin, M., & Turecki, G. (2003) · Journal of Affective Disorders · doi:10.1016/s0165-0327(02)00453-6 · Cited by 22 · see citing works
Platelet markers in suicide attempters
Marazziti, D., Presta, S., Silvestri, S., Battistini, A., Mosti, L., Balestri, C., Palego, L., & Conti, L. (1995) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/0278-5846(95)00019-r · Cited by 18 · see citing works
Low CSF 5-HIAA level in high-lethality suicide attempters: fact or artifact?
Franke, L., Uebelhack, R., & Müller-Oerlinghausen, B. (2002) · Biological Psychiatry · doi:10.1016/s0006-3223(02)01428-2 · Cited by 5 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Wasserman, D., Carli, V., Iosue, M., Javed, A., & Herrman, H. (2021) · Asia-Pacific Psychiatry · doi:10.1111/appy.12452 · Cited by 168 · see citing works
Serum lipid levels and suicidality: a meta-analysis of 65 epidemiological studies
Wu, S., Ding, Y., Wu, F., Xie, G., Hou, J., & Mao, P. (2015) · Journal of Psychiatry and Neuroscience · doi:10.1503/jpn.150079 · Cited by 154 · see citing works
Li, H., Zhang, X., Sun, Q., Zou, R., Li, Z., & Liu, S. (2020) · PLoS ONE · doi:10.1371/journal.pone.0243847 · Cited by 47 · see citing works
Iorfino, F., Hickie, I. B., Lee, R. S. C., Lagopoulos, J., & Hermens, D. F. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-0852-3 · Cited by 44 · see citing works
Epidemiological link between low cholesterol and suicidality: A puzzle never finished
Zhang, J. (2011) · Nutritional Neuroscience · doi:10.1179/1476830511y.0000000021 · Cited by 29 · see citing works
The assessment of serum lipid profiles of children with attention deficit hyperactivity disorder
Uğur, Ç., Üneri, Ö. Ş., Göker, Z., Sekmen, E., Aydemir, H., & Solmaz, E. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.04.006 · Cited by 22 · see citing works
Misiak, B., Kiejna, A., & Frydecka, D. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.12.030 · Cited by 18 · see citing works
Aguiar, A., & Giaquinto, P. C. (2018) · Biology Open · doi:10.1242/bio.030981 · Cited by 16 · see citing works
The Importance of Cholesterol in Psychopathology: A Review of Recent Contributions
Pereira, H. (2017) · Indian Journal of Psychological Medicine · doi:10.4103/0253-7176.203117 · Cited by 15 · see citing works
Cardiometabolic risk factors in patients referred to depression nurse case managers
Koponen, H., Kautiainen, H., Leppänen, E., Mäntyselkä, P. T., & Vanhala, M. J. (2014) · Nordic Journal of Psychiatry · doi:10.3109/08039488.2014.972451 · Cited by 13 · see citing works
Low cholesterol levels in children predict impulsivity in young adulthood
Tomson-Johanson, K., Kaart, T., Kiivet, R., Veidebaum, T., & Harro, J. (2019) · Acta Neuropsychiatrica · doi:10.1017/neu.2019.48 · Cited by 12 · see citing works
Peripheral and neural correlates of self-harm in children and adolescents: a scoping review
Sparrow-Downes, V. M., Trincao-Batra, S., Cloutier, P., Helleman, A., Salamatmanesh, M., Gardner, W., Baksh, A., Kapur, R., Sheridan, N., Suntharalingam, S., et al. (2021) · BMC Psychiatry · doi:10.1186/s12888-022-03724-6 · Cited by 9 · see citing works
Annual Research Review: Self‐harm in young people
Ougrin, D., & Kaess, M. (2026) · Journal of Child Psychology and Psychiatry · doi:10.1111/jcpp.70112 · Cited by 5 · see citing works
Hong, J. (2021) · Korean Journal of Pediatrics · doi:10.3345/cep.2020.00934 · Cited by 4 · see citing works
del Barrio, A. G., de Santayana, G. P., Ruiz-Guerrero, F., Gonzalez, P. B., Giraldo, G. C., Gómez, J. G., & García‐Unzueta, M. T. (2022) · Journal of Affective Disorders Reports · doi:10.1016/j.jadr.2021.100305 · Cited by 4 · see citing works
Pak, T. K., Ayvaci, E. R., Carmody, T. J., Jamma, L., Feng, Z., Nekovei, A., Emslie, G. J., & Trivedi, M. H. (2025) · iScience · doi:10.1016/j.isci.2025.112290 · Cited by 4 · see citing works
Gökçay, H., & Balcıoğlu, Y. H. (2020) · Psychiatry and Behavioral Sciences · doi:10.5455/pbs.20200615090037 · Cited by 2 · see citing works
Roessner, V. (2012) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-012-0342-1 · Cited by 3 · see citing works
ABCA1 Polymorphism, a Genetic Risk Factor of Harm Avoidance
Kótyuk, E., Biro, V., Bircher, J., Elek, Z., Sasvári, M., & Székely, A. (2017) · Journal of Individual Differences · doi:10.1027/1614-0001/a000235 · Cited by 3 · see citing works
Anemia and Cholesterol Level are Independently Associated with Anxiety and Depression
Polunina, A. G., Akzhigitov, R. G., Yakovlev, A. A., Гудкова, А. А., Guekht, A. B., Smirnova, E. V., & Gulyaeva, N. V. (2014) · Cited by 1 · see citing works
Salehi, M., Saeidi, M., Amanat, M., Barias, T., Anyeji, U., Alzein, O., & Gunturu, S. (2026) · Frontiers in Pediatrics · doi:10.3389/fped.2026.1738009
Peripheral and Neural Correlates of Self-Harm in Children and Adolescents: A Scoping ReviewPreprint
Sparrow-Downes, V. M., Trincao-Batra, S., Cloutier, P., Helleman, A., Salamatmanesh, M., Gardner, W., Baksh, A., Kapur, R., Sheridan, N., Suntharalingam, S., et al. (2021) · Research Square · doi:10.21203/rs.3.rs-955587/v1
Sparrow-Downes, V. M., Trincao-Batra, S., Cloutier, P., Helleman, A., Salamatmanesh, M., Gardner, W. P., Baksh, A., Kapur, R., Sheridan, N., Suntharalingam, S., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19710994
Sparrow-Downes, V. M., Trincao-Batra, S., Cloutier, P., Helleman, A., Salamatmanesh, M., Gardner, W. P., Baksh, A., Kapur, R., Sheridan, N., Suntharalingam, S., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19710991
Sparrow-Downes, V. M., Trincao-Batra, S., Cloutier, P., Helleman, A., Salamatmanesh, M., Gardner, W. P., Baksh, A., Kapur, R., Sheridan, N., Suntharalingam, S., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19711000
Sparrow-Downes, V. M., Trincao-Batra, S., Cloutier, P., Helleman, A., Salamatmanesh, M., Gardner, W. P., Baksh, A., Kapur, R., Sheridan, N., Suntharalingam, S., et al. (2022) · Figshare · doi:10.6084/m9.figshare.19710997
- Authors
- Plana, T., Gracia, R., Méndez, I., Pintor, L., Lazaro, L., & Castro-Fornieles, J.
- Affiliations
- Centro de Investigación Biomédica en Red de Salud Mental (ES)
- Corporació Sanitària Parc Taulí (ES)
- University of Pittsburgh (US)
- Hospital Clínic de Barcelona (ES)
- Corresponding author
- Plana, Teresa
- ORCID
- Venue
- European Child & Adolescent Psychiatry
- Published
- 2010-01-03
- Volume
- 19
- Issue
- 7
- Pages
- 615-619
- ISSN
- 1018-8827 (ISSN-L)
- 1435-165X
- OpenAlex
- W2151029619
- Cited by
- 26
- References
- 36
- Citations by year
- 2026: 2 · 2025: 1 · 2022: 6 · 2021: 3 · 2020: 2 · 2019: 1 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 3 · 2012: 1
- FWCI
- 0.70
- Type
- journal article
- Language
- en
- Open access
- green
- hal.science
- Licence
- other-oa
- www.springer.com/tdm (tdm)
- Locations
- European Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion, other-oa)
- Social Science Open Access Repository (GESIS – Leibniz Institute for the Social Sciences) (submittedVersion)
- Trinity's Access to Research Output (TARA) (Trinity College Dublin) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
- Keywords
- total cholesterol, suicide attempts, suicidal behavior, adolescents, children, psychiatric inpatients, serum lipids, suicide risk factors
- MeSH terms
- Adolescent, Mental Disorders, Child, Cholesterol, Depressive Disorder, Female, Hospitalization, Humans, Male, Reference Values, Retrospective Studies, Risk Factors, Spain, Suicide, Attempted, Case-Control Studies
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review