Reduced frontal-subcortical white matter connectivity in association with suicidal ideation in major depressive disorder
Open accessAbstract
Major depressive disorder (MDD) and suicidal behavior have been associated with structural and functional changes in the brain. However, little is known regarding alterations of brain networks in MDD patients with suicidal ideation. We investigated whether or not MDD patients with suicidal ideation have different topological organizations of white matter networks compared with MDD patients without suicidal ideation. Participants consisted of 24 patients with MDD and suicidal ideation, 25 age- and gender-matched MDD patients without suicidal ideation and 31 healthy subjects. A network-based statistics (NBS) and a graph theoretical analysis were performed to assess differences in the inter-regional connectivity. Diffusion tensor imaging (DTI) was performed to assess topological changes according to suicidal ideation in MDD patients. The Scale for Suicide Ideation (SSI) and the Korean version of the Barrett Impulsiveness Scale (BIS) were used to assess the severity of suicidal ideation and impulsivity, respectively. Reduced structural connectivity in a characterized subnetwork was found in patients with MDD and suicidal ideation by utilizing NBS analysis. The subnetwork included the regions of the frontosubcortical circuits and the regions involved in executive function in the left hemisphere (rostral middle frontal, pallidum, superior parietal, frontal pole, caudate, putamen and thalamus). The graph theoretical analysis demonstrated that network measures of the left rostral middle frontal had a significant positive correlation with severity of SSI ( r =0.59, P =0.02) and BIS ( r =0.59, P =0.01). The total edge strength that was significantly associated with suicidal ideation did not differ between MDD patients without suicidal ideation and healthy subjects. Our findings suggest that the reduced frontosubcortical circuit of structural connectivity, which includes regions associated with executive function and impulsivity, appears to have a role in the emergence of suicidal ideation in MDD patients.
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DTI studies of suicidal ideation are inconclusive.
“DTI studies of suicidal ideation are inconclusive (77, 83, 84).”
From A brain-centric model of suicidal behavior (2020) · cites this paper as [84]
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- Authors
- Myung, W., Han, C. E., Fava, M., Mischoulon, D., Papakostas, G. I., Heo, J.-Y., Kim, K. W., Kim, S. T., Kim, D. J. H., Kim, D. K., Seo, S. W., Seong, J.-K., & Jeon, H. J.
- Affiliations
- Samsung Medical Center (KR)
- Korea University (KR)
- Harvard University (US)
- Corresponding author
- Seong, J-K
- Jeon, H J
- Venue
- Translational Psychiatry
- Published
- 2016-06-07
- Volume
- 6
- Issue
- 6
- Pages
- e835-e835
- ISSN
- 2158-3188 (ISSN-L)
- PMC
- PMC4931608
- OpenAlex
- W2417438976
- Cited by
- 101
- References
- 82
- Citations by year
- 2026: 11 · 2025: 5 · 2024: 9 · 2023: 11 · 2022: 12 · 2021: 12 · 2020: 12 · 2019: 11 · 2018: 7 · 2017: 9 · 2016: 2
- FWCI
- 6.15
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Translational Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
- Funders
- National Research Foundation (2010-0028631)
- Ministry of Science, ICT and Future Planning (B0132-15-1003, 2010‐0028631, 2015M3C7A1029034)
- National Research Foundation of Korea (2010-0028631, 2015M3C7A1029034)
- Ministry of Science ICT and Future Planning
- Ministry of Education, Science and Technology (2013-004157, 2011-0013064, 2010-0028631)
- Samsung
- Institute for Information and Communications Technology Promotion (B0132-15-1003)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Functional Brain Connectivity Studies
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Advanced Neuroimaging Techniques and Applications
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Keywords
- major depressive disorder, suicidal ideation, white matter connectivity, structural connectivity, impulsivity, executive function, graph theory, network-based statistics, diffusion tensor imaging
- MeSH terms
- Brain, Brain Mapping, Major Depressive Disorder, Dominance, Cerebral, Female, Humans, Image Interpretation, Computer-Assisted, Impulsive Behavior, Male, Middle Aged, Nerve Net, Surveys and Questionnaires, Reference Values, Diffusion Magnetic Resonance Imaging, Executive Function, Suicidal Ideation, White Matter
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 ›
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