Reduced dopamine function in depressed patients is related to suicidal behavior but not its lethality.

Abstract:

:Several lines of evidence suggest a role for dopamine in the control of suicidal behaviour. Previously, we suggested an involvement of D2-dopaminergic function in the biology of suicide by demonstrating a smaller growth hormone (GH) response to apomorphine, a dopaminergic agonist, in depressed patients who later died by suicide. The purpose of the present study was to assess GH response to apomorphine in major depressed in-patients with a history of highly lethal suicide attempt compared to depressed patients with a low lethal lifetime suicide attempt history and non-attempters. The study was performed in a sample of 26 male depressed in-patients with a history of suicide attempt compared to 26 male depressed non-attempters. We observed a significant difference between suicide attempters and non-attempters (for GH peak, 6.3+/-5.1 ng/ml vs 15.8+/-14.2 ng/ml, F=10.3, df=1, 50, P=0.002). Moreover, GH peak responses to apomorphine did not differ between depressed patients with a high lethal lifetime suicide attempt history and patients who made low lethal lifetime suicide attempt. In conclusion, the results of the present study support a role for dopamine in the biology of suicidal behaviour. More specifically, an impaired GH response to apomorphine could be a marker of suicide risk.

journal_title

Psychoneuroendocrinology

authors

Pitchot W,Hansenne M,Gonzalez Moreno A,Pinto E,Reggers J,Fuchs S,Pirard S,Ansseau M

doi

10.1016/s0306-4530(01)00021-x

keywords:

subject

Has Abstract

pub_date

2001-10-01 00:00:00

pages

689-96

issue

7

eissn

0306-4530

issn

1873-3360

pii

S030645300100021X

journal_volume

26

pub_type

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