Genetics of suicide
Abstract
The concept that genetic factors contribute to the complex trait of suicidal behaviour has stimulated much work aimed at identifying susceptibility genes. So far molecular genetic studies focused on the serotonergic pathway as the intent to die and the lethality of suicide acts were related to the serotonergic system. Two genes have so far emerged as being involved in the vulnerability for suicidality: first, the intronic polymorphisms (A218C or A779C) of the tryptophan hydroxylase 1 (TPH1) gene, which was suggested as a quantitative risk factor for suicidal behaviour; second, the insertion/deletion polymorphism of the serotonin transporter gene (5-HTTLPR), which does not seem to be involved in general suicidal behaviour, but in violent and repeated suicide attempts. The data have further shown that the MAOA gene, which is consistently associated with impulsive-aggressive personality traits, is not related to suicide but might induce violent methods in subjects with other suicide risk factors. Predominantly negative were the findings with any type of the serotonin receptors and inconsistent with catecholamine-synthesizing and -metabolizing enzymes or with the dopaminergic receptors. This paper reviews the status of current knowledge in this area, points to the weakness of the investigations and presents new approaches beyond the serotonergic system.
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Lithium's antisuicidal effect might be mediated by decreased aggression or impulsivity.
“which might be another mechanism mediating the antisuicidal effect.”
From Lithium in the prevention of suicide in mood disorders: updated systematic review and meta-analysis (2013) · cites this paper as [35]
There is some evidence that lithium decreases aggression and possibly impulsivity.
“because there is some evidence that lithium decreases aggression and possibly impulsivity”
From Lithium in the prevention of suicide in mood disorders: updated systematic review and meta-analysis (2013) · cites this paper as [35]
Cites
Influence of life stress on depression: moderation by a polymorphism in the 5-HTT gene
Caspi, A., Sugden, K., Moffitt, T. E., Taylor, A., Craig, I. W., Harrington, H., McClay, J., Mill, J., Martin, J., Braithwaite, A., et al. (2003) · Science · doi:10.1126/science.1083968 · Cited by 8,120 · see citing works
Suicide Prevention Strategies: A Systematic Review
Mann, J. J., Apter, A., Bertolote, J., Beautrais, A., Currier, D., Haas, A., Hegerl, U., Lonnqvist, J., Malone, K., Marusic, A., et al. (2005) · JAMA · doi:10.1001/jama.294.16.2064 · Cited by 2,852 · see citing works
Allelic Variation of Human Serotonin Transporter Gene Expression
Heils, A., Teufel, A., Petri, S., Stöber, G., Riederer, P., Bengel, D., & Lesch, K. P. (1996) · Journal of Neurochemistry · doi:10.1046/j.1471-4159.1996.66062621.x · Cited by 2,221 · see citing works
Lachman, H. M., Papolos, D. F., Saito, T., Yu, Y.-M., Szumlanski, C. L., & Weinshilboum, R. M. (1996) · Pharmacogenetics · doi:10.1097/00008571-199606000-00007 · Cited by 1,788 · cited 1× · see citing works
“At position 158, a valine (Val) is replaced by methionine (Met) and the Val allele is associated with a relatively high activity (H-allele), whereas the Met allele is associated with relatively low activity (L-allele)”
BackgroundNeurobiology of suicidal behaviour
Mann, J. J. (2003) · Nature Reviews Neuroscience · doi:10.1038/nrn1220 · Cited by 1,260 · see citing works
Suicide rates in China, 1995–99
Phillips, M. R., Li, X., & Zhang, Y. (2002) · The Lancet · doi:10.1016/s0140-6736(02)07954-0 · Cited by 800 · see citing works
Dumais, A., Lesage, A. D., Alda, M., Rouleau, G., Dumont, M., Chawky, N., Roy, M., Mann, J. J., Benkelfat, C., & Turecki, G. (2005) · American Journal of Psychiatry · doi:10.1176/appi.ajp.162.11.2116 · Cited by 583 · see citing works
Suicidal behaviour: an epidemiological and genetic study
STATHAM, D. J., HEATH, A. C., MADDEN, P. A. F., BUCHOLZ, K. K., BIERUT, L., DINWIDDIE, S. H., SLUTSKE, W. S., DUNNE, M. P., & MARTIN, N. G. (1998) · Psychological Medicine · doi:10.1017/s0033291798006916 · Cited by 471 · see citing works
Anguelova, M., Benkelfat, C., & Turecki, G. (2003) · Molecular Psychiatry · doi:10.1038/sj.mp.4001328 · Cited by 276 · see citing works
Dysfunctional Attitudes and 5-HT<sub>2</sub> Receptors During Depression and Self-Harm
Meyer, J. H., McMain, S., Kennedy, S. H., Korman, L., Brown, G. M., DaSilva, J. N., Wilson, A. A., Blak, T., Eynan-Harvey, R., Goulding, V. S., et al. (2003) · American Journal of Psychiatry · doi:10.1176/appi.ajp.160.1.90 · Cited by 264 · see citing works
Hurd, Y. L., Herman, M. M., Hyde, T. M., Bigelow, L. B., Weinberger, D. R., & Kleinman, J. E. (1997) · Molecular Psychiatry · doi:10.1038/sj.mp.4000319 · Cited by 75 · cited 1× · see citing works
“Overall, no alterations were found for mRNA levels of the D1 and D2 receptor in the caudate nuclei of suicide victim”
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Nock, M. K., Hwang, I., Sampson, N. A., & Kessler, R. C. (2010) · Molecular Psychiatry · doi:10.1038/mp.2009.29 · Cited by 1,125 · see citing works
Lithium in the prevention of suicide in mood disorders: updated systematic review and meta-analysis
Cipriani, A., Hawton, K., Stockton, S., & Geddes, J. R. (2013) · BMJ · doi:10.1136/bmj.f3646 · Cited by 920 · see citing works
Suicide and Youth: Risk Factors
Bilsen, J. (2018) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2018.00540 · Cited by 584 · see citing works
“There may certainly be a kind of imitation behavior in the child, but adoption studies have reported a greater concordance of suicidal behavior with biological relatives than adoptive relatives, which points more toward a genetic explanation (26).”
BackgroundGenetics of suicide: a systematic review of twin studies
Voracek, M., & Loibl, L. M. (2007) · Wiener klinische Wochenschrift · doi:10.1007/s00508-007-0823-2 · Cited by 342 · see citing works
McGirr, A., Renaud, J., Bureau, A., Seguin, M., Lesage, A., & Turecki, G. (2008) · Psychological Medicine · doi:10.1017/s0033291707001419 · Cited by 332 · see citing works
Roy, A., Gorodetsky, E., Yuan, Q., Goldman, D., & Enoch, M.-A. (2010) · Neuropsychopharmacology · doi:10.1038/npp.2009.236 · Cited by 282 · see citing works
The role of child sexual abuse in the etiology of suicide and non-suicidal self-injury
Maniglio, R. (2011) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2010.01612.x · Cited by 225 · see citing works
Serotonergic genes and suicide: A systematic review
Antypa, N., Serretti, A., & Rujescu, D. (2013) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2013.03.013 · Cited by 150 · see citing works
Genomewide Association Scan of Suicidal Thoughts and Behaviour in Major Depression
Schosser, A., Butler, A. W., Ising, M., Perroud, N., Uher, R., Ng, M. Y., Cohen-Woods, S., Craddock, N., Owen, M. J., Korszun, A., et al. (2011) · PLoS ONE · doi:10.1371/journal.pone.0020690 · Cited by 108 · see citing works
Perroud, N., Uher, R., Marusic, A., Rietschel, M., Mors, O., Henigsberg, N., Hauser, J., Maier, W., Souery, D., Placentino, A., et al. (2009) · BMC Medicine · doi:10.1186/1741-7015-7-60 · Cited by 57 · see citing works
“As overactivity of the noradrenergic system is associated with anxiety and agitation, the increase in noradrenergic transmission induced by nortriptyline may drive the suicidal risk [37,38].”
Schenkel, L. C., Segal, J., Becker, J. A., Manfro, G. G., Bianchin, M. M., & Leistner-Segal, S. (2010) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2010.04.023 · Cited by 53 · see citing works
Calderaro, M., Baethge, C., Bermpohl, F., Gutwinski, S., Schouler-Ocak, M., & Henssler, J. (2022) · The British Journal of Psychiatry · doi:10.1192/bjp.2021.158 · Cited by 50 · see citing works
Neurobiological aspects of suicide and suicide attempts in bipolar disorder
Mathews, D., Richards, E., Niciu, M., Ionescu, D., Rasimas, J., & Zarate, C. (2013) · Translational Neuroscience · doi:10.2478/s13380-013-0120-7 · Cited by 39 · see citing works
Lee, D., Baek, J. H., Ha, K., Cho, E.-Y., Choi, Y., Yang, S.-Y., Kim, J. S., Cho, Y., Won, H.-H., & Hong, K. S. (2022) · International Journal of Bipolar Disorders · doi:10.1186/s40345-022-00251-x · Cited by 12 · see citing works
- Authors
- Bondy, B., Buettner, A., & Zill, P.
- Affiliations
- Ludwig-Maximilians-Universität München (DE)
- Corresponding author
- Bondy, B
- ORCID
- Zill, P
- Venue
- Molecular Psychiatry
- Published
- 2006-02-07
- Volume
- 11
- Issue
- 4
- Pages
- 336-351
- ISSN
- 1359-4184 (ISSN-L)
- 1476-5578
- OpenAlex
- W2068500609
- Cited by
- 319
- References
- 11
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 6 · 2023: 8 · 2022: 7 · 2021: 9 · 2020: 14 · 2019: 8 · 2018: 17 · 2017: 10 · 2016: 9 · 2015: 16 · 2014: 15 · 2013: 22 · 2012: 15
- FWCI
- 4.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Molecular Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neurotransmitter Receptor Influence on Behavior
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Keywords
- suicidal behavior, susceptibility genes, serotonergic system, tryptophan hydroxylase 1, serotonin transporter gene, 5-HTTLPR, MAOA gene, serotonin receptors, catecholamine metabolism, dopamine receptors, suicide attempts, violent suicide methods
- MeSH terms
- Mental Disorders, Brain Chemistry, Genetics, Behavioral, Humans, Monoamine Oxidase, Pedigree, Receptors, Serotonin, Suicide, Tryptophan Hydroxylase, Self-Injurious Behavior, Genetic Predisposition to Disease, Serotonin Plasma Membrane Transport Proteins
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