Dissociable patterns of neural activity during response inhibition in depressed adolescents with and without suicidal behavior
Open accessAbstract
Objectives Impaired attentional control and behavioral control are implicated in adult suicidal behavior. Little is known about the functional integrity of neural circuitry supporting these processes in suicidal behavior in adolescence.Method Functional magnetic resonance imaging was used in 15 adolescent suicide attempters with a history of major depressive disorder (ATTs), 15 adolescents with a history of depressive disorder but no suicide attempt (NATs), and 14 healthy controls (HCs) during the performance of a well-validated go-no-go response inhibition and motor control task that measures attentional and behavioral control and has been shown to activate prefrontal, anterior cingulate, and parietal cortical circuitries. Questionnaires assessed symptoms and standardized interviews characterized suicide attempts.Results A 3 group by 2 condition (go-no-go response inhibition versus go motor control blocks) block-design whole-brain analysis (p < .05, corrected) showed that NATs showed greater activity than ATTs in the right anterior cingulate gyrus (p = .008), and that NATs, but not ATTs, showed significantly greater activity than HCs in the left insula (p = .004) to go-no-go response inhibition blocks.Conclusions Although ATTs did not show differential patterns of neural activity from HCs during the go-no-go response inhibition blocks, ATTs and NATs showed differential activation of the right anterior cingulate gyrus during response inhibition. These findings indicate that suicide attempts during adolescence are not associated with abnormal activity in response inhibition neural circuitry. The differential patterns of activity in response inhibition neural circuitry in ATTs and NATs, however, suggest different neural mechanisms for suicide attempt versus major depressive disorder in general in adolescence that should be a focus of further study.
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On a response inhibition task, non-attempters exhibit greater right ACC activation relative to attempters but not healthy controls.
“non-attempters exhibit greater activation within the right ACC relative to attempters but not healthy controls (78).”
From Neural correlates associated with suicide and nonsuicidal self-injury in youth (2021) · cites this paper as [78]
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- Authors
- Pan, L. A., Batezati-Alves, S. C., Almeida, J. R. C., Segreti, A., Akkal, D., Hassel, S., Lakdawala, S., Brent, D. A., & Phillips, M. L.
- Affiliations
- University of Pittsburgh (US)
- Aalto University (FI)
- University of Calgary (CA)
- Corresponding author
- Pan, Lisa A.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 2011-06
- Volume
- 50
- Issue
- 6
- Pages
- 602-611.e3
- ISSN
- 0890-8567 (ISSN-L)
- PMC
- PMC3104246
- OpenAlex
- W2081894953
- Cited by
- 127
- References
- 52
- Citations by year
- 2026: 4 · 2025: 5 · 2024: 6 · 2023: 2 · 2022: 7 · 2021: 12 · 2020: 11 · 2019: 11 · 2018: 23 · 2017: 7 · 2016: 4 · 2015: 12 · 2014: 11 · 2013: 7 · 2012: 5
- FWCI
- 7.92
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- ORCA Online Research @Cardiff (Cardiff University) (submittedVersion)
- Funders
- American Foundation for Suicide Prevention
- Klingenstein Third Generation Foundation
- University of Pittsburgh
- Carnegie Mellon University
- University of Calgary
- Cardiff University
- Aalto-Yliopisto
- National Institutes of Health (UL1TR000005, 5r01mh076971-05)
- Medical Center, University of Pittsburgh
- National Institute of Mental Health (R01-MH076971, MH076971, -MH56612, MH-18951, -MH65368, R10MH056612, K23MH082884, R01MH056612, U10MH066775, L40 MH069406, R01MH065368, MH66775, T32MH018951)
- National Center for Advancing Translational Sciences
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Health Sciences › Medicine › Pharmacology › Treatment of Major Depression
- Keywords
- adolescent suicide attempts, response inhibition, major depressive disorder, attentional control, behavioral control, anterior cingulate cortex, insula, go/no-go task, motor control, neural circuits, suicide risk
- MeSH terms
- Adolescent, Anticonvulsants, Antidepressive Agents, Attention, Brain, Brain Mapping, Cerebral Cortex, Major Depressive Disorder, Dominance, Cerebral, Female, Frontal Lobe, Gyrus Cinguli, Humans, Image Processing, Computer-Assisted, Inhibition, Psychological, Magnetic Resonance Imaging, Male, Mesencephalon, Nerve Net, Oxygen Consumption, Parietal Lobe, Pattern Recognition, Visual, Psychomotor Performance, Reference Values, Suicide, Attempted, Temporal Lobe, Antipsychotic Agents, Prefrontal Cortex, Imaging, Three-Dimensional, Suicidal Ideation
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