Increased CRP levels may be a trait marker of suicidal attempt
Abstract
Suicide is a leading cause of death worldwide. Identifying biomarkers will help enhance our understanding of suicidal pathophysiology and improve its prevention. Therefore, we investigated CRP levels in 600 depressed inpatients: 520 patients had a lifetime history of suicide attempts and 80 patients did not have any history of suicide attempts. For all patients, we assessed socio-demographic features, lifetime Axis I DSM-IV diagnoses, depression intensity, suicidal ideation, characteristics of suicidal history, and history of childhood trauma. The day following admission, fasting blood tests yielded samples collected for the measurement of high sensitivity hs-CRP. CRP levels were associated with a history of suicide attempts. The risk of suicide attempts increased with higher levels of CRP in a dose-response way before and after adjustments for age, gender, chronic diseases, addiction and anxiety comorbidities, antidepressants use, smoking status and sexual abuse. Noteworthy, the association between CRP levels and history of suicide attempts remained significant after having excluded patients with chronic diseases. There was no significant difference in CRP levels between patients who attempted suicide more or less than a week before plasma sampling, and no significant difference in CRP levels was evidenced between high vs low suicidal ideation. In conclusion, this is the first study suggesting that CRP may be a trait marker for suicidal vulnerability by associating CRP levels and a lifetime history of suicide attempts in depressed inpatients. Therefore, determining the inflammatory marker profile of individuals exhibiting suicidal behaviors could be relevant for anticipating behaviors and refining new therapeutic opportunities.
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Peripheral inflammatory biomarkers linked to suicide risk include elevated CRP, neutrophil-to-lymphocyte ratio, proinflammatory interleukins, cytokines such as IL-1β and IL-6, TNF-α, TGF-β1, and VEGF, and low levels of anti-inflammatory IL-2, IL-4, and IFN-γ in suicidal individuals.
“Peripheral inflammatory biomarkers linked to suicide risk include elevated C-reactive protein (CRP), neutrophil-to-lymphocyte ratio, proinflammatory interleukins (IL), cytokines that regulate the immune response (e.g., IL-1β and IL-6), tumor necrosis factor-α (TNF-α), tissue growth factor-β1 (TGF-β1), and vascular endothelial growth factor (VEGF) and low levels of the anti-inflammatory IL-2, IL-4,”
From A brain-centric model of suicidal behavior (2020) · cites this paper as [195]
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- Authors
- Courtet, P., Jaussent, I., Genty, C., Dupuy, A. M., Guillaume, S., Ducasse, D., & Olié, E.
- Affiliations
- Inserm (FR)
- Corresponding author
- Ducasse, D.
- Venue
- European Neuropsychopharmacology
- Publisher
- Elsevier BV
- Published
- 2015-10
- Volume
- 25
- Issue
- 10
- Pages
- 1824-1831
- ISSN
- 0924-977X (ISSN-L)
- OpenAlex
- W1816875290
- Cited by
- 96
- References
- 47
- Citations by year
- 2026: 3 · 2025: 10 · 2024: 11 · 2023: 12 · 2022: 10 · 2021: 15 · 2020: 9 · 2019: 6 · 2018: 7 · 2017: 7 · 2016: 5 · 2015: 1
- FWCI
- 8.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Neuropsychopharmacology (publishedVersion)
- PubMed (publishedVersion)
- HAL (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Life Sciences › Neuroscience › Biological Psychiatry › Tryptophan and brain disorders
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- C-reactive protein, suicide attempts, suicidal ideation, depression, inflammatory markers, trait markers, childhood trauma, suicide prevention, hospitalized patients
- MeSH terms
- Adult, C-Reactive Protein, Depressive Disorder, Female, Humans, Inpatients, Male, Suicide, Attempted, Cohort Studies, Biomarkers, Comorbidity
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