Evaluation of leptin levels in serum as a biomarker for suicide behavior: systematic review and meta-analysis
Abstract
Objective: We conducted a meta-analysis of case-control studies to determine whether leptin levels in serum contribute to the pathogenesis of suicide behavior.Methods: PubMed, EBSCO and Science Direct databases were used to search for relevant articles published before January 2020. The systematic review included nine case-control studies that measured leptin levels. The standardized mean difference (d) and 95% confidence intervals were calculated in a fixed-effects model and a random-effects model when appropriate.Results: The results of our meta-analysis indicated that individuals with suicide behavior presented reduced levels of leptin (d: −1.80, 95% CI: −2.21 to −01.38 ng/ml, I2 = 0, p(Q) = 0.59). Sensitivity and publication bias analyses confirmed these results.Conclusions: The current meta-analysis suggests that leptin levels might be associated with an increased risk of suicide behavior. However, more studies including larger sample sizes are needed to reach conclusive result.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Several studies report lower circulating leptin levels in suicidal individuals.
“Several studies report lower circulating leptin levels in suicidal individuals (91)”
From Exploring the neurobiological markers of suicidal behaviors in pediatric population: a narrative review (2026) · cites this paper as [91]
Cites
(2014) · Medical Entomology and Zoology · Cited by 17,633 · see citing works
Basics of meta‐analysis: <i>I</i> <sup>2</sup> is not an absolute measure of heterogeneity
Borenstein, M., Higgins, J. P. T., Hedges, L. V., & Rothstein, H. R. (2017) · Research Synthesis Methods · doi:10.1002/jrsm.1230 · Cited by 1,848 · see citing works
Metabolic syndrome in psychiatric patients: overview, mechanisms, and implications
Penninx, B. W. J. H., & Lange, S. M. M. (2018) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2018.20.1/bpenninx · Cited by 566 · see citing works
Vancampfort, D., Vansteelandt, K., Correll, C. U., Mitchell, A. J., Herdt, A. D., Sienaert, P. A., Probst, M., & Binder, M. D. (2013) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2012.12050620 · Cited by 441 · see citing works
Lai, K. S. P., Liu, C. S., Rau, A., Lanctôt, K. L., Köhler, C. A., Pakosh, M., Carvalho, A. F., & Herrmann, N. (2017) · Journal of Neurology, Neurosurgery & Psychiatry · doi:10.1136/jnnp-2017-316201 · Cited by 433 · see citing works
Obesity, Fat Mass and Immune System: Role for Leptin
Francisco, V., Pino, J., Campos-Cabaleiro, V., Ruiz-Fernández, C., Mera, A., Gonzalez-Gay, M. A., Gómez, R., & Gualillo, O. (2018) · Frontiers in Physiology · doi:10.3389/fphys.2018.00640 · Cited by 411 · 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
Farr, O. M., Tsoukas, M. A., & Mantzoros, C. S. (2014) · Metabolism · doi:10.1016/j.metabol.2014.07.004 · Cited by 146 · see citing works
Carrard, A., Salzmann, A., Malafosse, A., & Karege, F. (2011) · Journal of Affective Disorders · doi:10.1016/j.jad.2011.03.018 · Cited by 138 · see citing works
Serum Leptin and Cholesterol Values in Suicide Attempters
Atmaca, M., Kuloğlu, M., Tezcan, E., Üstündağ, B., Geçici, Ö., & Firidin, B. (2002) · Neuropsychobiology · doi:10.1159/000054950 · Cited by 91 · see citing works
Farias, D. R., Pinto, T., Teofilo, M. M. A., Vilela, A. A. F., Vaz, J. D. S., Nardi, A. E., & Kac, G. (2013) · Psychiatry Research · doi:10.1016/j.psychres.2013.08.053 · Cited by 90 · 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
Low CSF leptin in female suicide attempters with major depression
Westling, S., Åhrén, B., Träskman‐Bendz, L., & Westrin, Å. (2003) · Journal of Affective Disorders · doi:10.1016/j.jad.2003.07.002 · Cited by 83 · see citing works
Maioli, S., Lodeiro, M., Merino‐Serrais, P., Falahati, F., Khan, W., Puerta, E., Codita, A., Rimondini, R., Ramírez, M. J., Simmons, A., et al. (2014) · Aging Cell · doi:10.1111/acel.12281 · Cited by 75 · 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 leptin and cholesterol levels in schizophrenic patients with and without suicide attempts
Atmaca, M., Kuloğlu, M., Tezcan, E., & Üstündağ, B. (2003) · Acta Psychiatrica Scandinavica · doi:10.1034/j.1600-0447.2003.00145.x · Cited by 68 · see citing works
Stubbs, B., Wang, A. K., Vancampfort, D., & Miller, B. J. (2015) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2015.09.026 · Cited by 66 · see citing works
Lalovic, A., Klempan, T., Sequeira, A., Luheshi, G. N., & Turecki, G. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.04.007 · Cited by 62 · see citing works
Serum Cholesterol and Leptin Levels in Patients with Borderline Personality Disorder
Atmaca, M., Kuloğlu, M., Tezcan, E., Geçici, Ö., & Üstündağ, B. (2002) · Neuropsychobiology · doi:10.1159/000063665 · Cited by 60 · see citing works
Glucose metabolism alterations in patients with bipolar disorder
Rosso, G., Cattaneo, A., Zanardini, R., Gennarelli, M., Maina, G., & Bocchio‐Chiavetto, L. (2015) · Journal of Affective Disorders · doi:10.1016/j.jad.2015.06.006 · Cited by 49 · see citing works
Reduced brain leptin in patients with major depressive disorder and in suicide victims
Eikelis, N., Esler, M., Barton, D., Dawood, T., Wiesner, G., & Lambert, G. W. (2006) · Molecular Psychiatry · doi:10.1038/sj.mp.4001862 · Cited by 47 · see citing works
González‐Castro, T. B., Salas‐Magaña, M., Juárez‐Rojop, I. E., López‐Narváez, M. L., Tovilla‐Zárate, C. A., & Hernández‐Díaz, Y. (2017) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2017.07.020 · Cited by 47 · see citing works
Self-citationLeptin in bipolar disorder: A systematic review and meta-analysis
Fernandes, B. S., Dash, S. R., Jacka, F. N., Dodd, S., Carvalho, A. F., Köhler, C. A., Steiner, J. H., Cantarelli, M. D. G., Nardin, P., Gonçalves, C.-A., et al. (2016) · European Psychiatry · doi:10.1016/j.eurpsy.2016.02.003 · Cited by 44 · see citing works
Inflammatory markers and suicidal attempts in depressed patients: A review
Marini, S., Vellante, F., Matarazzo, I., Berardis, D. D., Serroni, N., Gianfelice, D., Olivieri, L., Renzo, F. D., Marco, A. D., Fornaro, M., et al. (2016) · International Journal of Immunopathology and Pharmacology · doi:10.1177/0394632015623793 · Cited by 42 · 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
Salas-Magaña, M., Tovilla-Zárate, C., González-Castro, T., Juárez-Rojop, I., López-Narváez, M., Rodríguez-Pérez, J., & Ramírez-Bello, J. (2017) · Brain and Behavior · doi:10.1002/brb3.706 · Cited by 30 · see citing works
Self-citationShakeri, 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
Pawlak, D., Domaniewski, T., Znorko, B., Oksztulska-Kolanek, E., Lipowicz, P., Doroszko, M., Karbowska, M., & Pawlak, K. (2017) · Bone · doi:10.1016/j.bone.2017.08.004 · Cited by 25 · see citing works
Investigation of completed suicide and genes involved in cholesterol metabolism
Lalovic, A., Sequeira, A., DeGuzman, R., Chawky, N., LESAGE, A. D., Séguin, M., & Turecki, G. (2003) · Journal of Affective Disorders · doi:10.1016/s0165-0327(02)00453-6 · Cited by 22 · see citing works
Serum leptin and its relationship with psychopathology in schizophrenia
Nurjono, M., Neelamekam, S., & Lee, J. (2014) · Psychoneuroendocrinology · doi:10.1016/j.psyneuen.2014.08.017 · Cited by 21 · see citing works
Association between serotonin 2A receptor genetic variations, stressful life events and suicide
Ghasemi, A., Seifi, M., Baybordi, F., Danaei, N., & Samadirad, B. (2018) · Gene · doi:10.1016/j.gene.2018.03.023 · Cited by 21 · see citing works
Lima, L. B., Metzger, M., Furigo, I. C., & Donato, J. (2016) · Brain Research · doi:10.1016/j.brainres.2016.06.024 · Cited by 20 · see citing works
Gómez-Peralta, T. G., González‐Castro, T. B., Fresán, A., Tovilla‐Zárate, C. A., Juárez‐Rojop, I. E., Villar-Soto, M., Hernández‐Díaz, Y., López‐Narváez, M. L., Blé‐Castillo, J. L., Pérez‐Hernández, N., et al. (2018) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph15061198 · Cited by 19 · see citing works
Self-citationKusuhara, M., Maruyama, K., Ishii, H., Masuda, Y., Sakurai, K., Tamai, E., & Urakami, K. (2019) · Integrative Cancer Therapies · doi:10.1177/1534735419845139 · Cited by 17 · see citing works
Synergistic effect of leptin and lipidized PrRP on metabolic pathways in ob/ob mice
Kořínková, L., Holubová, M., Neprašová, B., Hrubá, L., Pražienková, V., Bencze, M., Haluzı́k, M., Kuneš, J., Maletı́nská, L., & Železná, B. (2019) · Journal of Molecular Endocrinology · doi:10.1530/jme-19-0188 · Cited by 16 · see citing works
Akgün, S., Köken, T., & Kahraman, A. (2017) · Journal of Psychopharmacology · doi:10.1177/0269881117715608 · Cited by 11 · see citing works
The role of the Cys23Ser (rs6318) polymorphism of the HTR2C gene in suicidal behavior
González‐Castro, T. B., Hernández‐Díaz, Y., Juárez‐Rojop, I. E., López‐Narváez, M. L., Tovilla‐Zárate, C. A., Rodrı́guez-Pérez, J. M., & Cruz, J. (2017) · Psychiatric Genetics · doi:10.1097/ypg.0000000000000184 · Cited by 9 · see citing works
Self-citationZhou, F., & Chen, S.-R. (2018) · Journal of Alzheimer's Disease · doi:10.3233/jad-170983 · Cited by 9 · see citing works
Zepf, F. D., Dingerkus, V. L. S., Helmbold, K., Bubenzer‐Busch, S., Biskup, C. S., Herpertz‐Dahlmann, B., Schaab, M., Kratzsch, J., Eisert, A., Rink, L., et al. (2014) · Journal of Neural Transmission · doi:10.1007/s00702-014-1292-1 · Cited by 8 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
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
Liu, J., Jia, F., Li, C., Yuan, H., Yang, H., Yang, R., Yue, Y., Zhang, G., Zhang, X., Ye, G., et al. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.06.064 · Cited by 28 · see citing works
Blood hormones and suicidal behaviour: A systematic review and meta-analysis
Fu, X., Li, X., Ji, J.-M., Wu, H., & Chen, H. (2022) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2022.104725 · Cited by 25 · see citing works
Kim, J., Kang, H., Kim, J.-W., Choi, W., Lee, J., Kim, S., Shin, I., Kim, M., Chun, B. J., & Stewart, R. J. (2022) · Psychological Medicine · doi:10.1017/s0033291722001180 · Cited by 18 · see citing works
Lei, Y., Wang, D., Bai, Y., Nougaisse, J., Weintraub, N. L., Guo, M., & Lu, X. (2022) · Molecular Psychiatry · doi:10.1038/s41380-022-01778-2 · Cited by 18 · see citing works
The impact of body mass index on the clinical features of bipolar disorder: A STEP‐BD study
Kadriu, B., Deng, Z., Kraus, C., Johnston, J. N., Fijtman, A., Henter, I. D., Kasper, S. F., & Zarate, C. A. (2023) · Bipolar Disorders · doi:10.1111/bdi.13370 · Cited by 14 · see citing works
Liu, J.-J., Li, Z., Jia, F.-N., Yuan, H.-S., Zhou, Y., Xia, X., Yang, R.-C., Wu, Y., Zhang, X.-B., Ye, G., et al. (2023) · Scientific Reports · doi:10.1038/s41598-023-43166-y · Cited by 11 · see citing works
Peripheral Markers of Suicidal Behavior: Current Findings and Clinical Implications
Kang, H.-J., Kim, J.-W., Kim, S.-W., Han, J.-S., Lyoo, I., & Kim, J.-M. (2023) · Clinical Psychopharmacology and Neuroscience · doi:10.9758/cpn.22.1046 · Cited by 9 · see citing works
Elwyn, R., Mitchell, J., Kohn, M. R., Driver, C., Hay, P., Lagopoulos, J., & Hermens, D. F. (2023) · Neuroscience & Biobehavioral Reviews · doi:10.1016/j.neubiorev.2023.105122 · Cited by 10 · see citing works
Anzolin, A. P., Goularte, J. F., Pinto, J. V., Belmonte-de-Abreu, P. S., Cruz, L. N., Cordova, V. H. S., Magalhães, L. S., Rosa, A. R., Ceresér, K. M. M., & Kauer‐Sant’Anna, M. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1147298 · Cited by 4 · see citing works
Pak, T. K., Ayvaci, E. R., Carmody, T. J., Jamma, L., Feng, Z., Nekovei, A., Emslie, G. J., & Trivedi, M. H. (2025) · iScience · doi:10.1016/j.isci.2025.112290 · Cited by 4 · see citing works
SNORD3C, a blood biomarker associated to suicide attempts in patients with anorexia nervosa
Verebi, C., Lebrun, N., Duriez, P., Adoux, L., Saintpierre, B., Gorwood, P. A. P. M., Ramoz, N., & Bienvenu, T. (2025) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2025.01.026 · Cited by 2 · see citing works
Genetic signatures of suicide attempt behavior: insights and applications
Drago, A. (2024) · Expert Review of Proteomics · doi:10.1080/14789450.2024.2314143 · Cited by 2 · see citing works
Tokdemır, M., Erbak, E., Tunçez, F. T., Elmalı, F., & Yılmaz, H. E. (2025) · Journal of Affective Disorders · doi:10.1016/j.jad.2025.04.015 · Cited by 1 · see citing works
Neurobiological basis of suicidal behavior in adolescents
Omelchenko, M. A., Klyushnik, T. P., Obodzinskaya, I. E., & Generalov, V. O. (2025) · S S Korsakov Journal of Neurology and Psychiatry · doi:10.17116/jnevro20251251025 · Cited by 1 · see citing works
Salehi, M., Saeidi, M., Amanat, M., Barias, T., Anyeji, U., Alzein, O., & Gunturu, S. (2026) · Frontiers in Pediatrics · doi:10.3389/fped.2026.1738009
Neurobiological Basis of Suicidal Behavior in Adolescents
Omelchenko, M. A., Klyushnik, T. P., Obodzinskaya, I. E., & Generalov, V. O. (2026) · Neuroscience and Behavioral Physiology · doi:10.1007/s11055-026-01989-y
- Authors
- González-Castro, T. B., Almeida de la O, P. D. L. A., Tovilla-Zárate, C. A., López-Narváez, M. L., Genis Mendoza, A. D., Juárez-Rojop, I. E., Pérez-Hernández, N., & Rodriguez-Perez, J. M.
- Affiliations
- División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa, Tabasco, México;
- División Académica Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, Comalcalco, Tabasco, México;
- Hospital General de Yajalón “Dr. Manuel Velasco Suarez”, Secretaría de Salud, Yajalón, Chiapas, México;
- Laboratorio de Genómica de Enfermedades Psiquiátricas y Neurodegenerativas, Instituto Nacional de Medicina Genómica, Ciudad de México, México;
- Departamento de Biología Molecular, Instituto Nacional de Cardiología Ignacio Chávez, Ciudad de México, México
- Venue
- International Journal of Neuroscience
- Publisher
- Informa UK Limited
- Published
- 2020-02-28
- Volume
- 131
- Issue
- 1
- Pages
- 49-55
- ISSN
- 0020-7454 (ISSN-L)
- 1543-5245
- OpenAlex
- W3008445964
- Cited by
- 17
- References
- 39
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 1 · 2023: 6 · 2022: 3 · 2021: 1
- FWCI
- 0.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Neuroscience (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Regulation of Appetite and Obesity
- Social Sciences › Sociology and Political Science › Homicide, Infanticide, and Child Abuse
- Keywords
- leptin, suicidal behavior, serum leptin, biomarkers, suicide risk, adipokines, case-control study
- MeSH terms
- Humans, Suicide, Biomarkers, Case-Control Studies, Leptin, 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