The prevalence, metabolic disturbances and clinical correlates of recent suicide attempts in Chinese inpatients with major depressive disorder

Abstract Background Metabolic disturbances have been correlated with suicidality, but little is known about the association between suicide risk and metabolic disturbances among individuals with depression. This study was to evaluate the prevalence and clinical correlations, especially cardio-metabo...

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Main Authors: Yue-Jiao Ma, Dong-Fang Wang, Ming Yuan, Xiao-Jie Zhang, Jiang Long, Shu-Bao Chen, Qiu-Xia Wu, Xu-Yi Wang, Marguerite Patel, Christopher D. Verrico, Tie-Qiao Liu, Xiang-Yang Zhang
Format: Article
Language:English
Published: BMC 2019-05-01
Series:BMC Psychiatry
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12888-019-2131-6
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author Yue-Jiao Ma
Dong-Fang Wang
Ming Yuan
Xiao-Jie Zhang
Jiang Long
Shu-Bao Chen
Qiu-Xia Wu
Xu-Yi Wang
Marguerite Patel
Christopher D. Verrico
Tie-Qiao Liu
Xiang-Yang Zhang
author_facet Yue-Jiao Ma
Dong-Fang Wang
Ming Yuan
Xiao-Jie Zhang
Jiang Long
Shu-Bao Chen
Qiu-Xia Wu
Xu-Yi Wang
Marguerite Patel
Christopher D. Verrico
Tie-Qiao Liu
Xiang-Yang Zhang
author_sort Yue-Jiao Ma
collection DOAJ
description Abstract Background Metabolic disturbances have been correlated with suicidality, but little is known about the association between suicide risk and metabolic disturbances among individuals with depression. This study was to evaluate the prevalence and clinical correlations, especially cardio-metabolic associated factors of recent suicide attempts in Chinese patients with major depressive disorder (MDD). Methods A total of 288 MDD inpatients were recruited. Their clinical and demographic data together with plasma glucose, lipid and thyroid function parameters were collected. Self-Rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS) and Eysenck Personality Questionnaire (EPQ) were rated for most of the patients. Results Of these MDD inpatients, 20.14% had attempted suicide during the past 1 month. Compared to those who had not attempted suicide, the suicide attempters had a significantly longer duration of illness, lower low-density lipoprotein (LDL) cholesterol, lower total cholesterol, and more psychotic symptoms. However, all these significant results did not survive after the bonferroni correction (all p > 0.05). A logistic regression analysis indicated that suicide attempts were associated with the lower total cholesterol and more psychotic symptoms. Conclusions Our findings support the hypothesis of the association of low plasma cholesterol level and recent suicidal attempts in patients with MDD.
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spelling doaj.art-a4db2b9d83f1489291a9d52762a80fff2022-12-22T03:00:36ZengBMCBMC Psychiatry1471-244X2019-05-011911710.1186/s12888-019-2131-6The prevalence, metabolic disturbances and clinical correlates of recent suicide attempts in Chinese inpatients with major depressive disorderYue-Jiao Ma0Dong-Fang Wang1Ming Yuan2Xiao-Jie Zhang3Jiang Long4Shu-Bao Chen5Qiu-Xia Wu6Xu-Yi Wang7Marguerite Patel8Christopher D. Verrico9Tie-Qiao Liu10Xiang-Yang Zhang11Department of Psychiatry, The Second Xiangya Hospital, Central South University, The China National Clinical Research Center for Mental Health Disorders, Chinese National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan ProvincePsychosomatic Health Institute of the Third Xiangya Hospital, Central South UniversityDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, The China National Clinical Research Center for Mental Health Disorders, Chinese National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan ProvinceDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, The China National Clinical Research Center for Mental Health Disorders, Chinese National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan ProvinceDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, The China National Clinical Research Center for Mental Health Disorders, Chinese National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan ProvinceDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, The China National Clinical Research Center for Mental Health Disorders, Chinese National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan ProvinceDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, The China National Clinical Research Center for Mental Health Disorders, Chinese National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan ProvinceDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, The China National Clinical Research Center for Mental Health Disorders, Chinese National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan ProvinceDepartment of Psychiatry and Behavioral Sciences, Baylor College of MedicineDepartment of Psychiatry and Behavioral Sciences, Baylor College of MedicineDepartment of Psychiatry, The Second Xiangya Hospital, Central South University, The China National Clinical Research Center for Mental Health Disorders, Chinese National Technology Institute of Psychiatry, Key Laboratory of Psychiatry and Mental Health of Hunan ProvinceInstitute of Psychology, Chinese Academy of SciencesAbstract Background Metabolic disturbances have been correlated with suicidality, but little is known about the association between suicide risk and metabolic disturbances among individuals with depression. This study was to evaluate the prevalence and clinical correlations, especially cardio-metabolic associated factors of recent suicide attempts in Chinese patients with major depressive disorder (MDD). Methods A total of 288 MDD inpatients were recruited. Their clinical and demographic data together with plasma glucose, lipid and thyroid function parameters were collected. Self-Rating Depression Scale (SDS), Self-Rating Anxiety Scale (SAS) and Eysenck Personality Questionnaire (EPQ) were rated for most of the patients. Results Of these MDD inpatients, 20.14% had attempted suicide during the past 1 month. Compared to those who had not attempted suicide, the suicide attempters had a significantly longer duration of illness, lower low-density lipoprotein (LDL) cholesterol, lower total cholesterol, and more psychotic symptoms. However, all these significant results did not survive after the bonferroni correction (all p > 0.05). A logistic regression analysis indicated that suicide attempts were associated with the lower total cholesterol and more psychotic symptoms. Conclusions Our findings support the hypothesis of the association of low plasma cholesterol level and recent suicidal attempts in patients with MDD.http://link.springer.com/article/10.1186/s12888-019-2131-6DepressionSuicide attemptPrevalenceClinical correlatesMetabolic disturbance
spellingShingle Yue-Jiao Ma
Dong-Fang Wang
Ming Yuan
Xiao-Jie Zhang
Jiang Long
Shu-Bao Chen
Qiu-Xia Wu
Xu-Yi Wang
Marguerite Patel
Christopher D. Verrico
Tie-Qiao Liu
Xiang-Yang Zhang
The prevalence, metabolic disturbances and clinical correlates of recent suicide attempts in Chinese inpatients with major depressive disorder
BMC Psychiatry
Depression
Suicide attempt
Prevalence
Clinical correlates
Metabolic disturbance
title The prevalence, metabolic disturbances and clinical correlates of recent suicide attempts in Chinese inpatients with major depressive disorder
title_full The prevalence, metabolic disturbances and clinical correlates of recent suicide attempts in Chinese inpatients with major depressive disorder
title_fullStr The prevalence, metabolic disturbances and clinical correlates of recent suicide attempts in Chinese inpatients with major depressive disorder
title_full_unstemmed The prevalence, metabolic disturbances and clinical correlates of recent suicide attempts in Chinese inpatients with major depressive disorder
title_short The prevalence, metabolic disturbances and clinical correlates of recent suicide attempts in Chinese inpatients with major depressive disorder
title_sort prevalence metabolic disturbances and clinical correlates of recent suicide attempts in chinese inpatients with major depressive disorder
topic Depression
Suicide attempt
Prevalence
Clinical correlates
Metabolic disturbance
url http://link.springer.com/article/10.1186/s12888-019-2131-6
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