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Understanding the Complex of Suicide in Depression

From Research to Clinics

Bibliographic Data

ID23320910
AuthorsLaura Orsolini (0000-0002-6882-3770, University of Teramo), Roberto Latini (0000-0002-3729-4650), Maurizio Pompili (0000-0003-1886-4977), Gianluca Serafini (0000-0002-6631-856X, Ospedale Policlinico San Martino), Umberto Volpe (0000-0001-9166-7609, Marche Polytechnic University), Federica Vellante (0000-0002-4844-5688, University of Chieti-Pescara), Michele Fornaro (0000-0002-9647-0853, University of Teramo), Alessandro Valchera (0000-0003-3378-6831, University of Teramo), Carmine Tomasetti (0000-0002-3130-6569, Ospedale SS. Annunziata), Silvia Fraticelli (University of Chieti-Pescara), Marco Alessandrini (0000-0002-2821-4620, University of Chieti-Pescara), Raffaella La Rovere (ASL Roma), Sabatino Trotta (ASL Roma), Giovanni Martinotti (0000-0002-7292-2341, University of Chieti-Pescara), Massimo Di Giannantonio (0000-0001-9681-8058, University of Chieti-Pescara), Domenico De Berardis (0000-0003-4415-5058, University of Chieti-Pescara)
Year2020
Volume17
Issue3
Pages207-221
Publication date2020-03-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePsychiatry Investigation (JOURNAL)
Journal identifiersISSN: 1738-3684 • E-ISSN: 1976-3026
PublisherKorean Neuropsychiatric Association (PUBLISHER • KR)
DOI10.30773/pi.2019.0171
PMID32209966
OpenAlexW3013504912
LanguageEN
Citations received83
References cited174

Objective Amongst psychiatric disorders, major depressive disorder (MDD) is the most prevalent, by affecting approximately 15–17% of the population and showing a high suicide risk rate equivalent to around 15%. The present comprehensive overview aims at evaluating main research studies in the field of MDD at suicide risk, by proposing as well as a schematic suicide risk stratification and useful flow-chart for planning suicide preventive and therapeutic interventions for clinicians.Methods A broad and comprehensive overview has been here conducted by using PubMed/Medline, combining the search strategy of free text terms and exploded MESH headings for the topics of ‘Major Depressive Disorder’ and ‘Suicide’ as following: (( suicide [Title/Abstract]) AND ( major depressive disorder [Title/Abstract])). All articles published in English through May 31, 2019 were summarized in a comprehensive way.Results Despite possible pathophysiological factors which may explain the complexity of suicide in MDD, scientific evidence supposed the synergic role of genetics, exogenous and endogenous stressors (i.e., interpersonal, professional, financial, as well as psychiatric disorders), epigenetic, the hypothalamic-pituitary-adrenal stress-response system, the involvement of the monoaminergic neurotransmitter systems, particularly the serotonergic ones, the lipid profile, neuro-immunological biomarkers, the Brain-derived neurotrophic factor and other neuromodulators.Conclusion The present overview reported that suicide is a highly complex and multifaceted phenomenon in which a large plethora of mechanisms could be variable implicated, particularly amongst MDD subjects. Beyond these consideration, modern psychiatry needs a better interpretation of suicide risk with a more careful assessment of suicide risk stratification and planning of clinical and treatment interventions.

Cognition · Major depressive disorder · Medical emergency · Poison control · Psychiatry · Psychological intervention · Psychosocial · Clinical Psychology · Medicine · Psychology · Suicide and Self-Harm Studies · Treatment of Major Depression · Tryptophan and brain disorders

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Citations per year13,83
Citation span2020 - 2026 (7)
Citation velocitycurrent
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Citation typesNeutral: 71

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