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Neurobiology of suicide: do biomarkers exist?
Clinical risk factors have a low predictive value on suicide. This may explain the increasing interest in potential neurobiological correlates and specific heritable markers of suicide vulnerability. This review aims to present the current neurobiological findings that have been shown to be implicat...
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Published in: | International journal of legal medicine 2014, Vol.128 (1), p.73-82 |
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container_title | International journal of legal medicine |
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creator | Costanza, Alessandra D’Orta, Isabella Perroud, Nader Burkhardt, Sandra Malafosse, Alain Mangin, Patrice La Harpe, Romano |
description | Clinical risk factors have a low predictive value on suicide. This may explain the increasing interest in potential neurobiological correlates and specific heritable markers of suicide vulnerability. This review aims to present the current neurobiological findings that have been shown to be implicated in suicide completers and to discuss how postmortem studies may be useful in characterizing these individuals. Data on the role of the main neurobiological systems in suicidality, such as the neurotransmitter families, hypothalamic–pituitary–adrenal axis, neurotrophic factors, and polyamines, are exposed at the different biochemical, genetic, and epigenetic levels. Some neuroanatomic and neuropathological aspects as well as their in vivo morphological and functional neuroimaging correlates are also described. Except for the serotoninergic system, particularly with respect to the polymorphism of the gene coding for the serotonin transporter (5-HTTLPR) and brain-derived neurotrophic factor, data did not converge to produce a univocal consensus. The possible limitations of currently published studies are discussed, as well as the scope for long-term prospective studies. |
doi_str_mv | 10.1007/s00414-013-0835-6 |
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This may explain the increasing interest in potential neurobiological correlates and specific heritable markers of suicide vulnerability. This review aims to present the current neurobiological findings that have been shown to be implicated in suicide completers and to discuss how postmortem studies may be useful in characterizing these individuals. Data on the role of the main neurobiological systems in suicidality, such as the neurotransmitter families, hypothalamic–pituitary–adrenal axis, neurotrophic factors, and polyamines, are exposed at the different biochemical, genetic, and epigenetic levels. Some neuroanatomic and neuropathological aspects as well as their in vivo morphological and functional neuroimaging correlates are also described. Except for the serotoninergic system, particularly with respect to the polymorphism of the gene coding for the serotonin transporter (5-HTTLPR) and brain-derived neurotrophic factor, data did not converge to produce a univocal consensus. 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This may explain the increasing interest in potential neurobiological correlates and specific heritable markers of suicide vulnerability. This review aims to present the current neurobiological findings that have been shown to be implicated in suicide completers and to discuss how postmortem studies may be useful in characterizing these individuals. Data on the role of the main neurobiological systems in suicidality, such as the neurotransmitter families, hypothalamic–pituitary–adrenal axis, neurotrophic factors, and polyamines, are exposed at the different biochemical, genetic, and epigenetic levels. Some neuroanatomic and neuropathological aspects as well as their in vivo morphological and functional neuroimaging correlates are also described. Except for the serotoninergic system, particularly with respect to the polymorphism of the gene coding for the serotonin transporter (5-HTTLPR) and brain-derived neurotrophic factor, data did not converge to produce a univocal consensus. 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Academic</collection><jtitle>International journal of legal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Costanza, Alessandra</au><au>D’Orta, Isabella</au><au>Perroud, Nader</au><au>Burkhardt, Sandra</au><au>Malafosse, Alain</au><au>Mangin, Patrice</au><au>La Harpe, Romano</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neurobiology of suicide: do biomarkers exist?</atitle><jtitle>International journal of legal medicine</jtitle><stitle>Int J Legal Med</stitle><addtitle>Int J Legal Med</addtitle><date>2014</date><risdate>2014</risdate><volume>128</volume><issue>1</issue><spage>73</spage><epage>82</epage><pages>73-82</pages><issn>0937-9827</issn><eissn>1437-1596</eissn><abstract>Clinical risk factors have a low predictive value on suicide. 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subjects | Behavior Biomarkers Biomarkers - blood Brain - physiopathology Brain-Derived Neurotrophic Factor - blood Brain-Derived Neurotrophic Factor - genetics Epigenetics Forensic Medicine Genetic Association Studies Genetic Markers - genetics Humans Medical Law Medicine Medicine & Public Health Murders & murder attempts Nerve Growth Factors - blood Neurobiology Neuropathology Neurosciences Neurotransmitter Agents - blood Polyamines Polyamines - blood Polymorphism, Genetic - genetics Predictive Value of Tests Review Article Risk Factors Serotonin Serotonin Plasma Membrane Transport Proteins Suicide - legislation & jurisprudence Suicide - psychology Suicides & suicide attempts |
title | Neurobiology of suicide: do biomarkers exist? |
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