Altered resting-state functional network connectivity is associated with suicide attempt in young depressed patients
Abstract
The purpose of this study was to investigate the changes in resting-state brain functional network connectivity (FNC) in young depressed patients with and without suicidal behavior, and the relationship between FNC and suicidal attempts in depressed youths using resting-state fMRI (RS-fMRI). We conducted independent component analysis (ICA) to identify intrinsically connected neural networks and analyze the alterations of intra- and inter-network connectivity using FNC analysis in 35 depressed youth with suicidal attempts (SU group), 18 patients without suicidal attempts (NSU group) and 47 healthy controls (HC), and investigate brain-behavior associations between the FNC coefficients and clinical behavior in the SU group. SU group showed significantly decreased internetwork connectivity between anterior default mode network (aDMN) and salience network (SN), as well as the right frontal-parietal network (rFPN). However, the internetwork connectivity between the SN and rFPN in SU group was higher than that in NSU group. Moreover, decreased aDMN-rFPN connectivity was negatively correlated with BHS scores, and the differences in SN-rFPN and aDMN-pDMN connectivity were negatively associated with the HAMD score in the SU group. Our findings may provide new insights into the patterns of functional organization in the brain of suicidal depressed patients.
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In adolescents who were currently experiencing depressive symptoms and had a history of suicide attempt, decreased connectivity between the default mode, salience, and executive control networks was reported, in addition to increased connectivity between the salience and executive control networks.
“For example, decreased connectivity between the default mode, salience, and executive control networks was reported in adolescents who were currently experiencing depressive symptoms and had a history of suicide attempt, in addition to increased connectivity between the salience and executive control networks (71).”
From New methods for assessing rapid changes in suicide risk (2021) · cites this paper as [71]
These studies have mostly assessed suicide risk in larger clinical samples of participants diagnosed with mood disorders and other psychiatric conditions with which suicide is a comorbid phenotype, but rarely have they investigated suicide transdiagnostically.
“Finally, these studies have mostly assessed suicide risk in larger clinical samples of participants diagnosed with mood disorders (64–75) and other psychiatric conditions (76–79) with which suicide is a comorbid phenotype, but rarely have they investigated suicide transdiagnostically.”
From New methods for assessing rapid changes in suicide risk (2021) · cites this paper as [71]
In attempters, resting-state functional connectivity shows reduced positive connectivity between the default mode network and salience network.
“Resting state functional connectivity findings highlight reduced positive connectivity between the default mode network and salience network in attempters”
From Neural correlates associated with suicide and nonsuicidal self-injury in youth (2021) · cites this paper as [103]
Across ICA networks, patients with an attempt history show reduced positive RSFC between anterior DMN and salience network, less negative anterior DMN-right fronto-parietal network connectivity, and increased right FPN-SN and DMN-cerebellum connectivity compared to patients without attempt history.
“Across ICA networks, however, there is reduced positive RSFC between the anterior portion of the DMN and the salience network (SN), less negative anterior DMN-right fronto-parietal network connectivity, as well as increased right FPN-SN and DMN-cerebellum connectivity in patients with versus without an attempt history (102, 103).”
From Neural correlates associated with suicide and nonsuicidal self-injury in youth (2021) · cites this paper as [103]
Compared to psychiatric controls, attempters show increased connectivity between an ICA-derived DMN component and cerebellum and lingual gyrus, and decreased connectivity with precuneus.
“Compared to psychiatric controls, attempters show increased connectivity between an ICA-derived DMN component and the cerebellum and lingual gyrus, and decreased connectivity with precuneus.”
From Neural correlates associated with suicide and nonsuicidal self-injury in youth (2021) · cites this paper as [103]
Youth STB research is characterized by alterations within prefrontal and limbic systems, where a compromised regulatory system may potentiate suicidal thinking, and perturbations in top-down and bottom-up connections may lead to suicidal behaviors.
“Consistent with Schmaal and colleagues (32), youth STB research is characterized by alterations within prefrontal (53–55) and limbic (62, 75, 102, 103) systems whereby a compromised regulatory system may potentiate suicidal thinking, and perturbations in top-down and bottom-up connections may lead to suicidal behaviors.”
From Neural correlates associated with suicide and nonsuicidal self-injury in youth (2021) · cites this paper as [103]
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- Authors
- Cao, J., Ai, M., Chen, X., Chen, J., Wang, W., & Kuang, L.
- Affiliations
- The Affiliated Yongchuan Hospital of Chongqing Medical University (CN)
- Chongqing Medical University (CN)
- Corresponding author
- Kuang, Li
- Venue
- Psychiatry Research
- Publisher
- Elsevier BV
- Published
- 2020-03
- Volume
- 285
- Pages
- 112713
- ISSN
- 0165-1781 (ISSN-L)
- OpenAlex
- W2990193169
- Cited by
- 48
- References
- 58
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 7 · 2023: 10 · 2022: 5 · 2021: 9 · 2020: 1
- FWCI
- 2.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatry Research (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Chongqing Health and Family Planning Committee (2018QNXM014)
- Natural Science Fund from Chongqing Science and Technology Commission (cstc2018jcyjAX0164)
- First Affiliated Hospital of Chongqing Medical University (PYJJ2018-20)
- National Natural Science Foundation of China (81671360)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- suicide attempts, adolescent depression, resting-state functional connectivity, default mode network, salience network, frontoparietal network, brain-behavior relationship, Hamilton Depression Rating Scale, Beck Hopelessness Scale
- MeSH terms
- Adolescent, Adult, Brain, Brain Mapping, Depressive Disorder, Female, Humans, Magnetic Resonance Imaging, Male, Nerve Net, Suicide, Attempted, Young Adult, Suicidal Ideation
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