Association between suicide attempts and anemia in late-life depression inpatients

Abstract Background Anemia is strongly associated with late-life depression (LLD), however, few studies have investigated the relationship between anemia and suicide attempts in LLD patients. It is still challenging to predict suicide risk in patients with depression. Therefore, there is growing int...

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Main Authors: Jie Li, Lan Wang, Ziyi Wang, Fengxue Zhao, Yadi Sun, Ying Lu, Lei Yang
Format: Article
Language:English
Published: BMC 2024-01-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-023-04649-9
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author Jie Li
Lan Wang
Ziyi Wang
Fengxue Zhao
Yadi Sun
Ying Lu
Lei Yang
author_facet Jie Li
Lan Wang
Ziyi Wang
Fengxue Zhao
Yadi Sun
Ying Lu
Lei Yang
author_sort Jie Li
collection DOAJ
description Abstract Background Anemia is strongly associated with late-life depression (LLD), however, few studies have investigated the relationship between anemia and suicide attempts in LLD patients. It is still challenging to predict suicide risk in patients with depression. Therefore, there is growing interest in potential biomarkers of depressive disorders and suicidal behavior, which may play a significant role in the early diagnosis and treatment of depression. This study aimed to compare serum ferritin, folate, vitamin B12, and erythrocyte parameter levels in patients with LLD with those in healthy older adults, and the relationship between serum ferritin, folate, vitamin B12, and suicide attempts in patients. Methods Serum ferritin, folate, vitamin B12, and erythrocyte parameter levels were measured in 66 hospitalized LLD patients (30 without suicide attempt, 36 with suicide attempt) and 47 healthy individuals. All participants were surveyed for basic conditions and suicide attempts, and depression was assessed in LLD patients. Results Serum ferritin, folate, vitamin B12, red blood cell count, hemoglobin, hematocrit, mean platelet volume and plateletcrit levels were significantly lower in LLD patients compared with healthy older adults (P < 0.05). Further analysis of the relationship between serum ferritin, folate, and vitamin B12 levels and LLD patients’ suicide attempts and showed a significant negative association between serum folate and vitamin B12 and suicide attempts (P < 0.05). Conclusions Serum ferritin, folate, vitamin B12, red blood cell count, hemoglobin, hematocrit, mean platelet volume and plateletcrit levels were significantly lower in LLD patients than in healthy older adults. In addition, reduced serum folate and vitamin B12 levels in patients may have some effect on suicide attempts. More mechanistic studies are needed to further explain this association.
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spelling doaj.art-3aee5c0708294b22814b3a2fcefbd41e2024-01-14T12:35:36ZengBMCBMC Geriatrics1471-23182024-01-012411710.1186/s12877-023-04649-9Association between suicide attempts and anemia in late-life depression inpatientsJie Li0Lan Wang1Ziyi Wang2Fengxue Zhao3Yadi Sun4Ying Lu5Lei Yang6The Second Affiliated Hospital, School of Nursing, Xinxiang Medical UniversityThe Second Affiliated Hospital, School of Nursing, Xinxiang Medical UniversityThe Second Affiliated Hospital, School of Nursing, Xinxiang Medical UniversityThe Second Affiliated Hospital, School of Nursing, Xinxiang Medical UniversityThe Second Affiliated Hospital, School of Nursing, Xinxiang Medical UniversityNursing Department of Henan Provincial People’s HospitalThe Second Affiliated Hospital, School of Nursing, Xinxiang Medical UniversityAbstract Background Anemia is strongly associated with late-life depression (LLD), however, few studies have investigated the relationship between anemia and suicide attempts in LLD patients. It is still challenging to predict suicide risk in patients with depression. Therefore, there is growing interest in potential biomarkers of depressive disorders and suicidal behavior, which may play a significant role in the early diagnosis and treatment of depression. This study aimed to compare serum ferritin, folate, vitamin B12, and erythrocyte parameter levels in patients with LLD with those in healthy older adults, and the relationship between serum ferritin, folate, vitamin B12, and suicide attempts in patients. Methods Serum ferritin, folate, vitamin B12, and erythrocyte parameter levels were measured in 66 hospitalized LLD patients (30 without suicide attempt, 36 with suicide attempt) and 47 healthy individuals. All participants were surveyed for basic conditions and suicide attempts, and depression was assessed in LLD patients. Results Serum ferritin, folate, vitamin B12, red blood cell count, hemoglobin, hematocrit, mean platelet volume and plateletcrit levels were significantly lower in LLD patients compared with healthy older adults (P < 0.05). Further analysis of the relationship between serum ferritin, folate, and vitamin B12 levels and LLD patients’ suicide attempts and showed a significant negative association between serum folate and vitamin B12 and suicide attempts (P < 0.05). Conclusions Serum ferritin, folate, vitamin B12, red blood cell count, hemoglobin, hematocrit, mean platelet volume and plateletcrit levels were significantly lower in LLD patients than in healthy older adults. In addition, reduced serum folate and vitamin B12 levels in patients may have some effect on suicide attempts. More mechanistic studies are needed to further explain this association.https://doi.org/10.1186/s12877-023-04649-9Late-life depressionAnemiaSuicide attemptSerum ferritinFolateVitamin B12
spellingShingle Jie Li
Lan Wang
Ziyi Wang
Fengxue Zhao
Yadi Sun
Ying Lu
Lei Yang
Association between suicide attempts and anemia in late-life depression inpatients
BMC Geriatrics
Late-life depression
Anemia
Suicide attempt
Serum ferritin
Folate
Vitamin B12
title Association between suicide attempts and anemia in late-life depression inpatients
title_full Association between suicide attempts and anemia in late-life depression inpatients
title_fullStr Association between suicide attempts and anemia in late-life depression inpatients
title_full_unstemmed Association between suicide attempts and anemia in late-life depression inpatients
title_short Association between suicide attempts and anemia in late-life depression inpatients
title_sort association between suicide attempts and anemia in late life depression inpatients
topic Late-life depression
Anemia
Suicide attempt
Serum ferritin
Folate
Vitamin B12
url https://doi.org/10.1186/s12877-023-04649-9
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