Recent suicide attempts and serum lipid profile in subjects with mental disorders: a cross-sectional study
Open accessAbstract
Peripheral biomarkers for suicide have been studied generating mixed results. We investigated the association between serum lipid levels and suicide attempts in subjects with different mental disorders. We conducted a cross-sectional study, including 593 inpatients with schizophrenia spectrum, bipolar, major depressive, and personality disorders, hypothesizing that subjects with lower total cholesterol levels would have higher rates of recent suicide attempts. Contrary to our hypothesis, individuals with lower total cholesterol levels (<160 mg/dL) showed lower rates also of suicide attempts (OR adjusted for age and gender: 0.56; one-tailed p = 0.03). Further logistic regression models failed to estimate any association of continuous levels between total/low-density lipoprotein (LDL) cholesterol/ triglycerides, and suicide attempts, also considering diagnosis and suicide methods. An association between lipid profile and suicide attempts in subjects with mental disorders is not fully supported. Further research is needed to clarify the role of biomarkers in suicidal behaviors.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The text we found for this paper looks like another document, so the self-check wasn’t run.
Cites
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., Vandenbroucke, J. P., & Initiative, F. T. S. (2007) · PLoS Medicine · doi:10.1371/journal.pmed.0040296 · Cited by 23,020 · see citing works
von Elm, E., Altman, D. G., Egger, M., Pocock, S. J., Gøtzsche, P. C., Vandenbroucke, J. P., & Initiative, F. T. S. (2007) · Annals of Internal Medicine · doi:10.7326/0003-4819-147-8-200710160-00010 · Cited by 17,796 · see citing works
Nock, M. K., Borges, G., Bromet, E. J., Cha, C. B., Kessler, R. C., & Lee, S. (2008) · Epidemiologic Reviews · doi:10.1093/epirev/mxn002 · Cited by 2,897 · see citing works
Muldoon, M. F., Manuck, S. B., & Matthews, K. A. (1990) · BMJ · doi:10.1136/bmj.301.6747.309 · Cited by 960 · see citing works
Correll, C. U., Detraux, J., De Lepeleire, J., & De Hert, M. (2015) · World Psychiatry · doi:10.1002/wps.20204 · Cited by 820 · see citing works
von Elm, E. B., Altman, D. G., Egger, M., Pocock, S., Gøtzsche, P. C., & Vandenbroucke, J. P. (2008) · Revista Española de Salud Pública · doi:10.1590/s1135-57272008000300002 · Cited by 228 · see citing works
Biomarkers of Suicide Attempt Behavior: Towards a Biological Model of Risk
Sudol, K., & Mann, J. J. (2017) · Current Psychiatry Reports · doi:10.1007/s11920-017-0781-y · Cited by 225 · see citing works
Suicide as a derangement of the self-sacrificial aspect of eusociality.
Joiner, T. E., Hom, M. A., Hagan, C. R., & Silva, C. (2015) · Psychological Review · doi:10.1037/rev0000020 · Cited by 161 · 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
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
Baek, J. H., Kang, E., D, M. F. M., Mischoulon, D., Nierenberg, A. A., Yu, B., Lee, D., & Jeon, H. J. (2014) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2014.01.018 · Cited by 94 · 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
Stenbacka, M., & Jokinen, J. (2015) · BMC Psychiatry · doi:10.1186/s12888-015-0570-2 · Cited by 87 · see citing works
Cantarelli, M. D. G., Nardin, P., Buffon, A., Eidt, M. C., Godoy, L. A., Fernandes, B. S., & Gonçalves, C. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.10.033 · Cited by 87 · see citing works
Combined biological tests for suicide prediction
Coryell, W. H., & Schlesser, M. A. (2007) · Psychiatry Research · doi:10.1016/j.psychres.2006.01.021 · Cited by 82 · see citing works
Loas, G., Dalleau, E., Lecointe, H., & Yon, V. (2016) · Psychiatry Research · doi:10.1016/j.psychres.2016.09.056 · 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
Peng, R., Dai, W., & Li, Y. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.05.059 · Cited by 71 · see citing works
Serum leptin and cholesterol values in violent and non-violent suicide attempters
Atmaca, M., Kuloğlu, M., Tezcan, E., & Üstündağ, B. (2008) · Psychiatry Research · doi:10.1016/j.psychres.2003.05.002 · Cited by 68 · see citing works
Serum lipids, metabolic syndrome and lifetime suicide attempts in patients with bipolar disorder
D’Ambrosio, V., Salvi, V., Bogetto, F., & Maina, G. (2011) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2011.12.009 · Cited by 64 · 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
Polyunsaturated fatty acids and suicide risk in mood disorders: A systematic review
Pompili, M., Longo, L., Dominici, G., Serafini, G., Lamis, D. A., Sarris, J. J., Amore, M., & Girardi, P. (2016) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2016.11.007 · Cited by 54 · 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
Potential neurochemical links between cholesterol and suicidal behavior
Cantarelli, M. D. G., Tramontina, A. C., Leite, M. C., & Gonçalves, C. (2014) · Psychiatry Research · doi:10.1016/j.psychres.2014.10.017 · Cited by 51 · see citing works
Low cholesterol is a risk factor for attentional impulsivity in patients with mood symptoms
Troisi, A. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2010.11.005 · Cited by 50 · see citing works
Bartoli, F., Crocamo, C., Dakanalis, A., Riboldi, I., Miotto, A., Brosio, E., Clerici, M., & Carrà, G. (2017) · Clinical Biochemistry · doi:10.1016/j.clinbiochem.2016.11.035 · Cited by 48 · see citing works
de León, J., Mallory, P., Maw, L., Susce, M. T., Pérez-Rodríguez, M. M., & Baca‐García, E. (2011) · Annals of Clinical Psychiatry · doi:10.1177/104012371102300302 · Cited by 41 · see citing works
Park, S., Yi, K. K., Na, R., Lim, A., & Hong, J. P. (2013) · Behavioral and Brain Functions · doi:10.1186/1744-9081-9-45 · Cited by 41 · see citing works
Bartoli, F., Brita, C. D., Crocamo, C., Clerici, M., & Carrà, G. (2017) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2017.06.008 · Cited by 39 · see citing works
Bipolar Disorder, Schizophrenia, and Metabolic Syndrome
Bartoli, F., Carrà, G., Crocamo, C., Carretta, D., & Clerici, M. (2013) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2013.13040447 · Cited by 35 · see citing works
Ayesa‐Arriola, R., Canal‐Rivero, M., Delgado‐Alvarado, M., Setién‐Suero, E., Gómez, J. G., Labad, J., David, A. S., & Crespo‐Facorro, B. (2017) · The World Journal of Biological Psychiatry · doi:10.1080/15622975.2017.1414305 · Cited by 33 · see citing works
Disentangling the genetic overlap between cholesterol and suicide risk
Knowles, E. E. M., Curran, J. E., Meikle, P. J., Huynh, K., Mathias, S. R., Göring, H. H. H., VandeBerg, J. L., Mahaney, M. C., Jalbrzikowski, M., Mosior, M. K., et al. (2018) · Neuropsychopharmacology · doi:10.1038/s41386-018-0162-1 · Cited by 33 · see citing works
Semisa, D., CASACCHIA, M., Munzio, W. D., Neri, G., Buscaglia, G., Burti, L., Pucci, C., Corlito, G., Bacigalupi, M., Parravani, R., et al. (2008) · Epidemiology and Psychiatric Sciences · doi:10.1017/s1121189x00000130 · Cited by 30 · see citing works
Shakeri, J., Farnia, V., Valinia, K., Hashemian, A. H., Bajoghli, H., Holsboer‐Trachsler, E., & Brand, S. (2014) · International Journal of Psychiatry in Clinical Practice · doi:10.3109/13651501.2014.988271 · Cited by 29 · see citing works
Ahmadpanah, M., Haghighi, M., Jahangard, L., Borzooei, S., Heshmati, S., Bajoghli, H., Holsboer‐Trachsler, E., & Brand, S. (2015) · International Journal of Psychiatry in Clinical Practice · doi:10.3109/13651501.2015.1049277 · Cited by 19 · see citing works
Cicero, A. F. G., Rosticci, M., Cagnati, M., Urso, R., Scapagnini, G., Morbini, M., Grandi, E., D’Addato, S., & Claudio Borghi for the Brisighella Heart Study Group (2014) · Polskie Archiwum Medycyny Wewnętrznej · doi:10.20452/pamw.2548 · Cited by 19 · see citing works
Ahmadpanah, M., Rahighi, A. H., & Haghighi, M. (2017) · Neuropsychobiology · doi:10.1159/000487859 · Cited by 11 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Ma, Y., Wang, D., Yuan, M., Zhang, X., Long, J., Chen, S., Wu, Q., Wang, X., Patel, M. M., Verrico, C. D., et al. (2019) · BMC Psychiatry · doi:10.1186/s12888-019-2131-6 · Cited by 62 · see citing works
Johnston, J. N., Campbell, D., Caruncho, H. J., Henter, I. D., Ballard, E. D., & Zarate, C. A. (2021) · The International Journal of Neuropsychopharmacology · doi:10.1093/ijnp/pyab083 · Cited by 50 · see citing works
Biomarkers of suicidal behaviors: A comprehensive critical review
Capuzzi, E., Caldiroli, A., Capellazzi, M., Tagliabue, I., Buoli, M., & Clerici, M. (2019) · Advances in clinical chemistry · doi:10.1016/bs.acc.2019.11.005 · Cited by 48 · see citing works
Predictors of relapse in high lethality suicide attempters: a six-month prospective study
Aguglia, A., Solano, P., Parisi, V. M., Asaro, P., Caprino, M., Trabucco, A., Amerio, A., Amore, M., & Serafini, G. (2020) · Journal of Affective Disorders · doi:10.1016/j.jad.2020.04.006 · Cited by 42 · see citing works
Su, M., Li, E., Tang, C., Zhao, Y., Liu, R., & Gao, K. (2019) · Molecular Medicine · doi:10.1186/s10020-019-0119-9 · Cited by 39 · see citing works
Are lipids possible markers of suicide behaviors?
Kułak-Bejda, A., Bejda, G., Lech, M., & Waszkiewicz, N. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10020333 · Cited by 25 · see citing works
Fusar-Poli, L., Amerio, A., Cimpoesu, P., Natale, A., Salvi, V., Zappa, G., Serafini, G., Amore, M., Aguglia, E., & Aguglia, A. (2020) · Medicina · doi:10.3390/medicina57010028 · Cited by 28 · see citing works
Chen, J.-X., Feng, J., Zhang, L.-G., Liu, Y., Yang, F., Wang, S., Tan, Y., & Su, Y. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-02891-8 · Cited by 24 · see citing works
Zhang, Q., Zhao, S., Liu, Z., Luo, B., Yang, Y., Shi, Y., Geng, F., Xia, L., Zhang, K., & Liu, H. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2022.1031945 · Cited by 24 · see citing works
Dmitrzak‐Węglarz, M., Szczepankiewicz, A., RYBAKOWSKI, J. K., Kapelski, P., Bilska, K., Skibińska, M., Reszka, E., Lesicka, M., Jabłońska, E., Wieczorek, E., et al. (2021) · The World Journal of Biological Psychiatry · doi:10.1080/15622975.2021.1907715 · Cited by 23 · see citing works
Sen, P., Adewusi, D., Blakemore, A. I. F., & Kumari, V. (2021) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/00048674211025608 · Cited by 23 · see citing works
Candidate Biological Markers for Social Anxiety Disorder: A Systematic Review
Caldiroli, A., Capuzzi, E., Affaticati, L. M., Surace, T., Forti, C. L. D., Dakanalis, A., Clerici, M., & Buoli, M. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms24010835 · Cited by 23 · see citing works
Sublette, M. E. (2020) · Current topics in behavioral neurosciences · doi:10.1007/7854_2020_163 · Cited by 18 · see citing works
Capuzzi, E., Caldiroli, A., Capellazzi, M., Tagliabue, I., Auxilia, A. M., Ghilardi, G. I., Buoli, M., & Clerici, M. (2020) · CNS Spectrums · doi:10.1017/s1092852920002199 · Cited by 18 · see citing works
Liu, Z., Sun, L., Sun, F., Zhang, Y., Wang, J., Zhang, Z., Sun, G., Sun, L., Yang, R., Yao, G., et al. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e30344 · Cited by 17 · see citing works
Lipid Profile and Impulsivity in Suicidal Patients with Major Depressive Disorder
Shaker, N. M., Sultan, M. A.-R., Mohamed, M. Y., Helal, S. A., & Moneam, M. H. A. E. (2020) · Archives of Suicide Research · doi:10.1080/13811118.2020.1746456 · Cited by 17 · see citing works
Jiang, Y., Lu, Y., Cai, Y., Liu, C., & Zhang, X. (2023) · BMC Psychiatry · doi:10.1186/s12888-022-04511-z · Cited by 15 · see citing works
Surace, T., Capuzzi, E., Caldiroli, A., Ceresa, A., Esposito, C. M., Auxilia, A. M., Tagliabue, I., Capellazzi, M., Legnani, F., Paolo, M. D., et al. (2022) · Diagnostics · doi:10.3390/diagnostics12092215 · Cited by 10 · see citing works
Depicting the molecular features of suicidal behavior: a review from an “omics” perspective
Pereira, C. A., Reis‐de‐Oliveira, G., Pierone, B. C., Martins‐de‐Souza, D., & Kaster, M. P. (2023) · Psychiatry Research · doi:10.1016/j.psychres.2023.115682 · Cited by 9 · see citing works
Mulchandani, R., Lyngdoh, T., Nangia, R., Singh, S., Grover, S., & Thakur, J. (2023) · Indian Journal of Psychiatry · doi:10.4103/indianjpsychiatry.indianjpsychiatry_967_21 · Cited by 8 · see citing works
Shang, Z., Fang, C., Luo, G., Lang, X., & Zhang, X. (2024) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2024.06.042 · Cited by 6 · see citing works
Sex differences of the lipid profile, impulsivity and suicidality in psychiatric inpatients
Bella, E., Kafetzopoulos, V., & Chatzittofis, A. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1595783 · Cited by 5 · see citing works
Choi, W., Kang, H.-J., Kim, J.-W., Kim, H., Kang, H.-C., Lee, J.-Y.-O., Kim, S.-W., Stewart, R., & Kim, J.-M. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1095579 · Cited by 6 · see citing works
Zhang, A., Qin, Y., Wang, H., Lyu, N., Zhao, Q., Zhang, L., & Huang, J. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07183-7 · Cited by 4 · see citing works
Chen, Q., Sun, T., Li, D., Zhao, Z., & Li, Y. (2022) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2022.111042 · Cited by 3 · see citing works
Sun, X., Yin, L., Zhang, Y., Liu, X., & Ma, J. (2023) · Annals of General Psychiatry · doi:10.1186/s12991-023-00484-9 · Cited by 3 · see citing works
Cong, X., Zhang, T., Bian, R., Li, Y., Liu, J., & Zhang, X. (2024) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2024.1366475 · Cited by 2 · see citing works
Li, Y., Liao, Z., Huang, Q., Wang, Q., Ren, H., Chen, X., Lin, S., Wang, C., Tang, Y. C., Hao, J., et al. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1171814 · Cited by 2 · see citing works
Jeong, C., Jung, J., Oh, D. J., Han, K., & Kim, M. K. (2024) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2024.111956 · Cited by 1 · see citing works
Zhu, Q., Wang, J., Wang, Y., & Zhang, X.-Y. (2025) · BMC Psychiatry · doi:10.1186/s12888-025-07059-w · Cited by 1 · see citing works
Zhao, L., Liu, L., Zhang, X., Zhang, X., Yao, X., Li, W., Xia, L., & Liu, H. (2025) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2025.1651246 · Cited by 1 · see citing works
Kalkman, H. O., & Smigielski, L. (2026) · Journal of Neurochemistry · doi:10.1111/jnc.70466 · Cited by 1 · see citing works
Relationship between blood cholesterol and suicidal behaviour
Makhanova, А. M., Понамарева, О. А., & Tatayeva, R. K. (2023) · BULLETIN of the L N Gumilyov Eurasian National University BIOSCIENCE Series · doi:10.32523/2616-7034-2023-144-3-95-114 · Cited by 1 · see citing works
Zhu, Q., Wang, J., Zheng, Y., Lang, X., & Zhang, X. (2024) · Heliyon · doi:10.1016/j.heliyon.2024.e40154 · Cited by 1 · see citing works
Суицидальное поведение больных шизофренией с метаболическим синдромом
Kornetova, E. G., Dmitrieva, E. G., Дубровская, В. В., Mednova, I. A., Александровна, Г. А., Корнетов, А. Н., Semke, A. V., Ivanova, S. А., & Bokhan, N. A. (2019) · Суицидология · doi:10.32878/suiciderus.19-10-02(35)-92-98
Capellazzi, M., Capuzzi, E., Caldiroli, A., Tagliabue, I., Auxilia, A. M., Buoli, M., & Clerici, M. (2020) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2020.09.310
Bhat, B. A., Dar, S., & Hussain, A. (2020) · Muller Journal of Medical Sciences and Research · doi:10.4103/mjmsr.mjmsr_26_19
Assessment of the glycemic and lipidemic profile of patients suffering from bipolar disorder.
Shah, F. U., Naeem, A., Naim, F., & Ahmad, W. (2022) · INTERNATIONAL JOURNAL OF ENDORSING HEALTH SCIENCE RESEARCH (IJEHSR) · doi:10.29052/ijehsr.v10.i1.2022.102-109
VARIABILITY OF HDL LEVELS AND THEIR ASSOCIATION IN PATIENTS WITH DEPRESSED SYMPTOMS
(2020) · International Journal of Biology Pharmacy and Allied Sciences · doi:10.31032/ijbpas/2020/9.9.5176
The Role of Serum Lipids in Predicting Suicidal Ideation in Isotretinoin Therapy for Acne
Gürok, N. G., Demir, B., & Atmaca, M. (2024) · Psychiatry and Clinical Psychopharmacology · doi:10.5152/pcp.2024.23718
Liang, Y., Tan, C., Liu, M., Wang, L., Zhang, S., & Liu, K. (2026) · BMC Psychiatry · doi:10.1186/s12888-025-07751-x
- Authors
- Capuzzi, E., Bartoli, F., Crocamo, C., Malerba, M. R., Clerici, M., & Carrà, G.
- Affiliations
- University of Milano-Bicocca (IT)
- University College London (GB)
- Corresponding author
- Capuzzi, Enrico
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2018-12
- Volume
- 270
- Pages
- 611-615
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2897958497
- Cited by
- 42
- References
- 37
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 6 · 2023: 9 · 2022: 3 · 2021: 4 · 2020: 9 · 2019: 5
- FWCI
- 5.28
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- BOA (University of Milano-Bicocca) (submittedVersion)
- BOA (University of Milano-Bicocca) (submittedVersion, other-oa)
- 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 › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- suicide attempts, lipid profile, total cholesterol, LDL cholesterol, triglycerides, mental illness, schizophrenia spectrum disorders, bipolar disorder, major depressive disorder, personality disorders, suicidal behavior
- MeSH terms
- Correlation of Data, Adult, Mental Disorders, Bipolar Disorder, Cholesterol, Cross-Sectional Studies, Major Depressive Disorder, Female, Humans, Lipids, Cholesterol, LDL, Male, Middle Aged, Personality Disorders, Reference Values, Risk Factors, Schizophrenia, Schizophrenic Psychology, Suicide, Attempted, Triglycerides, Logistic Models, Suicidal Ideation
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