Skip to main content

Neuroinflammation in Suicide

  • Chapter
  • First Online:
Book cover Understanding Suicide

Abstract

Recent findings suggest the existence of a chronic low-grade inflammation in suicidal behavior. Postmortem studies demonstrated associations between suicide and inflammatory cytokines in the orbitofrontal cortex, a brain region involved in suicidal vulnerability. Also, microgliosis and monocyte–macrophage system activation may be a useful marker of suicide neurobiology. Kynurenine may influence inflammatory processes, and related molecular pathways may be involved in SB pathophysiology. Studies associated inflammatory markers with several indicators of suicidal vulnerability: serotonin dysfunction, impulsivity, and childhood trauma. Furthermore, the perception of threat that leads suicidal individuals to contemplate suicide may activate biological stress responses, including inflammatory responses. This new line of evidence involving inflammation along the development of a suicidal vulnerability should foster translational projects aimed at identifying potential biomarkers of suicidal behavior. These researches might lead to new biomarkers and novel directions for therapeutic strategies.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 89.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 119.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 169.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Aliberti J, Bafica A (2005) Anti-inflammatory pathways as a host evasion mechanism for pathogens. Prostaglandins Leukot Essent Fat Acids 73:283–288. doi:10.1016/j.plefa.2005.05.018

    Article  CAS  Google Scholar 

  • American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC

    Google Scholar 

  • Arling TA, Yolken RH, Lapidus M, Langenberg P, Dickerson FB, Zimmerman SA, Balis T, Cabassa JA, Scrandis DA, Tonelli LH, Postolache TT (2009) Toxoplasma gondii antibody titers and history of suicide attempts in patients with recurrent mood disorders. J Nerv Ment Dis 197:905–908. doi:10.1097/NMD.0b013e3181c29a23

    Article  PubMed  Google Scholar 

  • Arnarsson A, Sveinbjornsdottir S, Thorsteinsson EB, Bjarnason T (2015) Suicidal risk and sexual orientation in adolescence: a population-based study in Iceland. Scand J Public Health. doi:10.1177/1403494815585402

    Google Scholar 

  • Artero S, Astruc B, Courtet P, Ritchie K (2006) Life-time history of suicide attempts and coronary artery disease in a community-dwelling elderly population. Int J Geriatr Psychiatry 21:108–112. doi:10.1002/gps.1429

    Article  CAS  PubMed  Google Scholar 

  • Asano NMJ, Coriolano M d GW d S, Asano BJ, Lins OG (2013) Psychiatric comorbidities in patients with systemic lupus erythematosus: a systematic review of the last 10 years. Rev Bras Reumatol 53:431–437

    Article  PubMed  Google Scholar 

  • Ballard ED, Ionescu DF, Vande Voort JL, Niciu MJ, Richards EM, Luckenbaugh DA, Brutsché NE, Ameli R, Furey ML, Zarate CA (2014) Improvement in suicidal ideation after ketamine infusion: relationship to reductions in depression and anxiety. J Psychiatr Res 58:161–166. doi:10.1016/j.jpsychires.2014.07.027

    Article  PubMed  Google Scholar 

  • Baron DA, Hardie T, Baron SH (1993) Possible association of interleukin-2 treatment with depression and suicide. J Am Osteopath Assoc 93:799–800

    CAS  PubMed  Google Scholar 

  • Bayard-Burfield L, Alling C, Blennow K, Jönsson S, Träskman-Bendz L (1996) Impairment of the blood-CSF barrier in suicide attempters. Eur Neuropsychopharmacol J Eur Coll Neuropsychopharmacol 6:195–199

    Article  CAS  Google Scholar 

  • Bay-Richter C, Linderholm KR, Lim CK, Samuelsson M, Träskman-Bendz L, Guillemin GJ, Erhardt S, Brundin L (2015) A role for inflammatory metabolites as modulators of the glutamate N-methyl-D-aspartate receptor in depression and suicidality. Brain Behav Immun 43:110–117. doi:10.1016/j.bbi.2014.07.012

    Article  CAS  PubMed  Google Scholar 

  • Bergen H, Hawton K, Waters K, Ness J, Cooper J, Steeg S, Kapur N (2012) Premature death after self-harm: a multicentre cohort study. Lancet 380:1568–1574. doi:10.1016/S0140-6736(12)61141-6

    Article  PubMed  Google Scholar 

  • Berk M, Kapczinski F, Andreazza AC, Dean OM, Giorlando F, Maes M, Yücel M, Gama CS, Dodd S, Dean B, Magalhães PVS, Amminger P, McGorry P, Malhi GS (2011) Pathways underlying neuroprogression in bipolar disorder: focus on inflammation, oxidative stress and neurotrophic factors. Neurosci Biobehav Rev 35:804–817. doi:10.1016/j.neubiorev.2010.10.001

    Article  CAS  PubMed  Google Scholar 

  • Berman RM, Cappiello A, Anand A, Oren DA, Heninger GR, Charney DS, Krystal JH (2000) Antidepressant effects of ketamine in depressed patients. Biol Psychiatry 47:351–354

    Article  CAS  PubMed  Google Scholar 

  • Bevilacqua L, Doly S, Kaprio J, Yuan Q, Tikkanen R, Paunio T, Zhou Z, Wedenoja J, Maroteaux L, Diaz S, Belmer A, Hodgkinson CA, Dell’osso L, Suvisaari J, Coccaro E, Rose RJ, Peltonen L, Virkkunen M, Goldman D (2010) A population-specific HTR2B stop codon predisposes to severe impulsivity. Nature 468:1061–1066. doi:10.1038/nature09629

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Black C, Miller BJ (2014) Meta-analysis of cytokines and chemokines in suicidality: distinguishing suicidal versus nonsuicidal patients. Biol Psychiatry. doi:10.1016/j.biopsych.2014.10.014

    PubMed  Google Scholar 

  • Blosnich J, Bossarte R (2012) Drivers of disparity: differences in socially based risk factors of self-injurious and suicidal behaviors among sexual minority college students. J Am Coll Health J ACH 60:141–149. doi:10.1080/07448481.2011.623332

    Article  Google Scholar 

  • Bower JE, Crosswell AD, Stanton AL, Crespi CM, Winston D, Arevalo J, Ma J, Cole SW, Ganz PA (2015) Mindfulness meditation for younger breast cancer survivors: a randomized controlled trial. Cancer 121:1231–1240. doi:10.1002/cncr.29194

    Article  PubMed  Google Scholar 

  • Brodsky BS, Stanley B (2008) Adverse childhood experiences and suicidal behavior. Psychiatr Clin North Am 31:223–235. doi:10.1016/j.psc.2008.02.002

    Article  PubMed  Google Scholar 

  • Brønnum-Hansen H, Stenager E, Nylev Stenager E, Koch-Henriksen N (2005) Suicide among Danes with multiple sclerosis. J Neurol Neurosurg Psychiatry 76:1457–1459. doi:10.1136/jnnp.2004.056747

    Article  PubMed  PubMed Central  Google Scholar 

  • Bryant PA, Trinder J, Curtis N (2004) Sick and tired: does sleep have a vital role in the immune system? Nat Rev Immunol 4:457–467. doi:10.1038/nri1369

    Article  CAS  PubMed  Google Scholar 

  • Capuron L, Pagnoni G, Demetrashvili M, Woolwine BJ, Nemeroff CB, Berns GS, Miller AH (2005) Anterior cingulate activation and error processing during interferon-alpha treatment. Biol Psychiatry 58:190–196. doi:10.1016/j.biopsych.2005.03.033

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Carlborg A, Jokinen J, Jönsson EG, Erhardt S, Nordström P (2013) CSF kynurenic acid and suicide risk in schizophrenia spectrum psychosis. Psychiatry Res 205:165–167. doi:10.1016/j.psychres.2012.08.021

    Article  CAS  PubMed  Google Scholar 

  • Carter GL, Clover K, Whyte IM, Dawson AH, D’Este C (2005) Postcards from the EDge project: randomised controlled trial of an intervention using postcards to reduce repetition of hospital treated deliberate self poisoning. BMJ 331:805. doi:10.1136/bmj.38579.455266.E0

    Article  PubMed  PubMed Central  Google Scholar 

  • Caspi A, Harrington H, Moffitt TE, Milne BJ, Poulton R (2006) Socially isolated children 20 years later: risk of cardiovascular disease. Arch Pediatr Adolesc Med 160:805–811. doi:10.1001/archpedi.160.8.805

    Article  PubMed  Google Scholar 

  • Christodoulou C, Douzenis A, Papadopoulos FC, Papadopoulou A, Bouras G, Gournellis R, Lykouras L (2012) Suicide and seasonality. Acta Psychiatr Scand 125:127–146. doi:10.1111/j.1600-0447.2011.01750.x

    Article  CAS  PubMed  Google Scholar 

  • Cipriani A, Hawton K, Stockton S, Geddes JR (2013) Lithium in the prevention of suicide in mood disorders: updated systematic review and meta-analysis. BMJ 346:f3646

    Article  PubMed  Google Scholar 

  • Coccaro EF, Lee R, Coussons-Read M (2014) Elevated plasma inflammatory markers in individuals with intermittent explosive disorder and correlation with aggression in humans. JAMA Psychiatry 71:158–165. doi:10.1001/jamapsychiatry.2013.3297

    Article  PubMed  Google Scholar 

  • Coelho R, Viola TW, Walss-Bass C, Brietzke E, Grassi-Oliveira R (2014) Childhood maltreatment and inflammatory markers: a systematic review. Acta Psychiatr Scand 129:180–192. doi:10.1111/acps.12217

    Article  CAS  PubMed  Google Scholar 

  • Cole SW (2008) Social regulation of leukocyte homeostasis: the role of glucocorticoid sensitivity. Brain Behav Immun 22:1049–1055. doi:10.1016/j.bbi.2008.02.006

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Cole SW, Hawkley LC, Arevalo JM, Sung CY, Rose RM, Cacioppo JT (2007) Social regulation of gene expression in human leukocytes. Genome Biol 8:R189. doi:10.1186/gb-2007-8-9-r189

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Costanzo ES, Lutgendorf SK, Sood AK, Anderson B, Sorosky J, Lubaroff DM (2005) Psychosocial factors and interleukin-6 among women with advanced ovarian cancer. Cancer 104:305–313. doi:10.1002/cncr.21147

    Article  PubMed  Google Scholar 

  • Courtet P, Gottesman II, Jollant F, Gould TD (2011) The neuroscience of suicidal behaviors: what can we expect from endophenotype strategies? Transl Psychiatry 1:pii: e7

    Google Scholar 

  • Courtet P, Giner L, Seneque M, Guillaume S, Olie E, Ducasse D (2015a) Neuroinflammation in suicide: toward a comprehensive model. World J Biol Psychiatry 0:1–23. doi:10.3109/15622975.2015.1054879

    Article  Google Scholar 

  • Courtet P, Jaussent I, Genty C, Dupuy AM, Guillaume S, Ducasse D, Olié E (2015b) Increased CRP levels may be a trait marker of suicidal attempt. Eur Neuropsychopharmacol J Eur Coll Neuropsychopharmacol. doi:10.1016/j.euroneuro.2015.05.003

    Google Scholar 

  • Coussons-Read ME, Okun ML, Nettles CD (2007) Psychosocial stress increases inflammatory markers and alters cytokine production across pregnancy. Brain Behav Immun 21:343–350. doi:10.1016/j.bbi.2006.08.006

    Article  CAS  PubMed  Google Scholar 

  • Couzin-Frankel J (2010) Inflammation bares a dark side. Science 330:1621. doi:10.1126/science.330.6011.1621

    Article  CAS  PubMed  Google Scholar 

  • Creswell JD, Irwin MR, Burklund LJ, Lieberman MD, Arevalo JMG, Ma J, Breen EC, Cole SW (2012) Mindfulness-based stress reduction training reduces loneliness and pro-inflammatory gene expression in older adults: a small randomized controlled trial. Brain Behav Immun 26:1095–1101. doi:10.1016/j.bbi.2012.07.006

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Danese A, McEwen BS (2012) Adverse childhood experiences, allostasis, allostatic load, and age-related disease. Physiol Behav 106:29–39. doi:10.1016/j.physbeh.2011.08.019

    Article  CAS  PubMed  Google Scholar 

  • Danese A, Moffitt TE, Pariante CM, Ambler A, Poulton R, Caspi A (2008) Elevated inflammation levels in depressed adults with a history of childhood maltreatment. Arch Gen Psychiatry 65:409–415. doi:10.1001/archpsyc.65.4.409

    Article  PubMed  PubMed Central  Google Scholar 

  • Danesh J, Whincup P, Walker M, Lennon L, Thomson A, Appleby P, Gallimore JR, Pepys MB (2000) Low grade inflammation and coronary heart disease: prospective study and updated meta-analyses. BMJ 321:199–204

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Davis MC, Zautra AJ, Younger J, Motivala SJ, Attrep J, Irwin MR (2008) Chronic stress and regulation of cellular markers of inflammation in rheumatoid arthritis: implications for fatigue. Brain Behav Immun 22:24–32. doi:10.1016/j.bbi.2007.06.013

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dervic K, Oquendo MA, Grunebaum MF, Ellis S, Burke AK, Mann JJ (2004) Religious affiliation and suicide attempt. Am J Psychiatry 161:2303–2308. doi:10.1176/appi.ajp.161.12.2303

    Article  PubMed  Google Scholar 

  • DiazGranados N, Ibrahim LA, Brutsche NE, Ameli R, Henter ID, Luckenbaugh DA, Machado-Vieira R, Zarate CA (2010) Rapid resolution of suicidal ideation after a single infusion of an N-methyl-D-aspartate antagonist in patients with treatment-resistant major depressive disorder. J Clin Psychiatry 71:1605–1611. doi:10.4088/JCP.09m05327blu

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dich N, Hansen ÅM, Avlund K, Lund R, Mortensen EL, Bruunsgaard H, Rod NH (2015) Early life adversity potentiates the effects of later life stress on cumulative physiological dysregulation. Anxiety Stress Coping 28:372–390. doi:10.1080/10615806.2014.969720

    Article  PubMed  Google Scholar 

  • Dickerson SS, Kemeny ME, Aziz N, Kim KH, Fahey JL (2004) Immunological effects of induced shame and guilt. Psychosom Med 66:124–131

    Article  CAS  PubMed  Google Scholar 

  • Ding Y, Lawrence N, Olié E, Cyprien F, le Bars E, Bonafé A, Phillips ML, Courtet P, Jollant F (2015) Prefrontal cortex markers of suicidal vulnerability in mood disorders: a model-based structural neuroimaging study with a translational perspective. Transl Psychiatry 5:e516. doi:10.1038/tp.2015.1

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Dong H, Zhang X, Dai X, Lu S, Gui B, Jin W, Zhang S, Zhang S, Qian Y (2014) Lithium ameliorates lipopolysaccharide-induced microglial activation via inhibition of toll-like receptor 4 expression by activating the PI3K/Akt/FoxO1 pathway. J Neuroinflammation 11:140. doi:10.1186/s12974-014-0140-4

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Dowlati Y, Herrmann N, Swardfager W, Liu H, Sham L, Reim EK, Lanctôt KL (2010) A meta-analysis of cytokines in major depression. Biol Psychiatry 67:446–457. doi:10.1016/j.biopsych.2009.09.033

    Article  CAS  PubMed  Google Scholar 

  • Ducasse D, René E, Béziat S, Guillaume S, Courtet P, Olié E (2014) Acceptance and commitment therapy for management of suicidal patients: a pilot study. Psychother Psychosom 83:374–376. doi:10.1159/000365974

    PubMed  Google Scholar 

  • Ducasse D, Jaussent I, Guillaume S, Azorin JM, Bellivier F, Belzeaux R, Bougerol T, Etain B, Gard S, Henry C, Kahn JP, Leboyer M, Loftus J, Passerieux C, Courtet PH, Olié E, FondaMental Advanced Centers of Expertise in Bipolar Disorders (FACE-BD) Collaborators (2015a) Increased risk of suicide attempt in bipolar patients with severe tobacco dependence. J Affect Disord 183:113–118. doi:10.1016/j.jad.2015.04.038

    Article  CAS  PubMed  Google Scholar 

  • Ducasse D, Olié E, Guillaume S, Artéro S, Courtet P (2015b) A meta-analysis of cytokines in suicidal behavior. Brain Behav Immun 46:203–211. doi:10.1016/j.bbi.2015.02.004

    Article  PubMed  CAS  Google Scholar 

  • Eisenberger NI, Inagaki TK, Mashal NM, Irwin MR (2010) Inflammation and social experience: an inflammatory challenge induces feelings of social disconnection in addition to depressed mood. Brain Behav Immun 24:558–563. doi:10.1016/j.bbi.2009.12.009

    Article  PubMed  PubMed Central  Google Scholar 

  • Erhardt S, Lim CK, Linderholm KR, Janelidze S, Lindqvist D, Samuelsson M, Lundberg K, Postolache TT, Träskman-Bendz L, Guillemin GJ, Brundin L (2013) Connecting inflammation with glutamate agonism in suicidality. Neuropsychopharmacol Off Publ Am Coll Neuropsychopharmacol 38:743–752. doi:10.1038/npp.2012.248

    Article  CAS  Google Scholar 

  • Falcone T, Fazio V, Lee C, Simon B, Franco K, Marchi N, Janigro D (2010) Serum S100B: a potential biomarker for suicidality in adolescents? PLoS One 5:e11089. doi:10.1371/journal.pone.0011089

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Fardet L, Petersen I, Nazareth I (2012) Suicidal behavior and severe neuropsychiatric disorders following glucocorticoid therapy in primary care. Am J Psychiatry 169:491–497

    Article  PubMed  Google Scholar 

  • Fässberg MM, van Orden KA, Duberstein P, Erlangsen A, Lapierre S, Bodner E, Canetto SS, De Leo D, Szanto K, Waern M (2012) A systematic review of social factors and suicidal behavior in older adulthood. Int J Environ Res Public Health 9:722–745. doi:10.3390/ijerph9030722

    Article  PubMed  PubMed Central  Google Scholar 

  • Feinstein A (2002) An examination of suicidal intent in patients with multiple sclerosis. Neurology 59:674–678

    Article  PubMed  Google Scholar 

  • Feinstein A (2011) Multiple sclerosis and depression. Mult Scler Houndmills Basingstoke Engl 17:1276–1281. doi:10.1177/1352458511417835

    Article  Google Scholar 

  • Felger JC, Lotrich FE (2013) Inflammatory cytokines in depression: neurobiological mechanisms and therapeutic implications. Neuroscience 246:199–229. doi:10.1016/j.neuroscience.2013.04.060

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ford ES, Loucks EB, Berkman LF (2006) Social integration and concentrations of C-reactive protein among US adults. Ann Epidemiol 16:78–84. doi:10.1016/j.annepidem.2005.08.005

    Article  PubMed  Google Scholar 

  • Fragoso YD, Frota ERC, Lopes JS, Noal JS, Giacomo MC, Gomes S, Gonçalves MVM, da Gama PD, Finkelsztejn A (2010) Severe depression, suicide attempts, and ideation during the use of interferon beta by patients with multiple sclerosis. Clin Neuropharmacol 33:312–316. doi:10.1097/WNF.0b013e3181f8d513

    Article  CAS  PubMed  Google Scholar 

  • Fredrikson S, Cheng Q, Jiang G-X, Wasserman D (2003) Elevated suicide risk among patients with multiple sclerosis in Sweden. Neuroepidemiology 22:146–152, doi:68746

    Article  CAS  PubMed  Google Scholar 

  • Friedman EM, Hayney MS, Love GD, Urry HL, Rosenkranz MA, Davidson RJ, Singer BH, Ryff CD (2005) Social relationships, sleep quality, and interleukin-6 in aging women. Proc Natl Acad Sci U S A 102:18757–18762. doi:10.1073/pnas.0509281102

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Frisch JU, Häusser JA, Mojzisch A (2015) The Trier Social Stress Test as a paradigm to study how people respond to threat in social interactions. Front Psychol 6:14

    Google Scholar 

  • Fukunishi K, Tanaka H, Maruyama J, Takahashi H, Kitagishi H, Ueshima T, Maruyama K, Sakata I (1998) Burns in a suicide attempt related to psychiatric side effects of interferon. Burns J Int Soc Burn Inj 24:581–583

    Article  CAS  Google Scholar 

  • Fuligni AJ, Telzer EH, Bower J, Cole SW, Kiang L, Irwin MR (2009) A preliminary study of daily interpersonal stress and C-reactive protein levels among adolescents from Latin American and European backgrounds. Psychosom Med 71:329–333. doi:10.1097/PSY.0b013e3181921b1f

    Article  PubMed  PubMed Central  Google Scholar 

  • Gallegos AM, Lytle MC, Moynihan JA, Talbot NL (2015) Mindfulness-based stress reduction to enhance psychological functioning and improve inflammatory biomarkers in trauma-exposed women: a pilot study. Psychol Trauma Theory Res Pract Policy. doi:10.1037/tra0000053

    Google Scholar 

  • Gettings L (2010) Psychological well-being in rheumatoid arthritis: a review of the literature. Musculoskeletal Care 8:99–106. doi:10.1002/msc.171

    PubMed  Google Scholar 

  • Goodin DS, Corwin M, Kaufman D, Golub H, Reshef S, Rametta MJ, Knappertz V, Cutter G, Pleimes D (2014) Causes of death among commercially insured multiple sclerosis patients in the United States. PLoS One 9:e105207. doi:10.1371/journal.pone.0105207

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Goodwin RD, Eaton WW (2005) Asthma, suicidal ideation, and suicide attempts: findings from the Baltimore epidemiologic catchment area follow-up. Am J Public Health 95:717–722. doi:10.2105/AJPH.2003.019109

    Article  PubMed  PubMed Central  Google Scholar 

  • Goodwin RD, Messineo K, Bregante A, Hoven CW, Kairam R (2005) Prevalence of probable mental disorders among pediatric asthma patients in an inner-city clinic. J Asthma Off J Assoc Care Asthma 42:643–647. doi:10.1080/02770900500264770

    Article  Google Scholar 

  • Greden JF (2001) The burden of disease for treatment-resistant depression. J Clin Psychiatry 62(Suppl 16):26–31

    PubMed  Google Scholar 

  • Hanke ML, Kielian T (2011) Toll-like receptors in health and disease in the brain: mechanisms and therapeutic potential. Clin Sci Lond Engl 1979(121):367–387. doi:10.1042/CS20110164

    Article  CAS  Google Scholar 

  • Haroon E, Raison CL, Miller AH (2012) Psychoneuroimmunology meets neuropsychopharmacology: translational implications of the impact of inflammation on behavior. Neuropsychopharmacol Off Publ Am Coll Neuropsychopharmacol 37:137–162. doi:10.1038/npp.2011.205

    Article  CAS  Google Scholar 

  • Harris R (2013) Getting unstuck in act: a clinician’s guide to overcoming common obstacles in acceptance and commitment therapy. New Harbinger Publications, Oakland

    Google Scholar 

  • Harris EC, Barraclough BM (1994) Suicide as an outcome for medical disorders. Medicine (Baltimore) 73:281–296

    Article  CAS  Google Scholar 

  • Heikkinen M, Aro H, Lönnqvist J (1994) Recent life events, social support and suicide. Acta Psychiatr Scand Suppl 377:65–72

    Article  CAS  PubMed  Google Scholar 

  • Henningsson S, Baghaei F, Rosmond R, Holm G, Landén M, Anckarsäter H, Ekman A (2008) Association between serum levels of C-reactive protein and personality traits in women. Behav Brain Funct BBF 4:16. doi:10.1186/1744-9081-4-16

    Article  PubMed  CAS  Google Scholar 

  • Holsboer F (2000) The corticosteroid receptor hypothesis of depression. Neuropsychopharmacol Off Publ Am Coll Neuropsychopharmacol 23:477–501. doi:10.1016/S0893-133X(00)00159-7

    Article  CAS  Google Scholar 

  • Hsu P-C, Groer M, Beckie T (2014) New findings: depression, suicide, and Toxoplasma gondii infection. J Am Assoc Nurse Pract 26:629–637. doi:10.1002/2327-6924.12129

    PubMed  Google Scholar 

  • Isometsä E, Heikkinen M, Henriksson M, Aro H, Lönnqvist J (1995) Recent life events and completed suicide in bipolar affective disorder. A comparison with major depressive suicides. J Affect Disord 33:99–106

    Article  PubMed  Google Scholar 

  • Isung J, Mobarrez F, Nordström P, Asberg M, Jokinen J (2012) Low plasma vascular endothelial growth factor (VEGF) associated with completed suicide. World J Biol Psychiatry Off J World Fed Soc Biol Psychiatry 13:468–473. doi:10.3109/15622975.2011.624549

    Article  Google Scholar 

  • Janssen HL, Brouwer JT, van der Mast RC, Schalm SW (1994) Suicide associated with alfa-interferon therapy for chronic viral hepatitis. J Hepatol 21:241–243

    Article  CAS  PubMed  Google Scholar 

  • Joiner TE, Sachs-Ericsson NJ, Wingate LR, Brown JS, Anestis MD, Selby EA (2007) Childhood physical and sexual abuse and lifetime number of suicide attempts: a persistent and theoretically important relationship. Behav Res Ther 45:539–547. doi:10.1016/j.brat.2006.04.007

    Article  PubMed  Google Scholar 

  • Jollant F et al (2011) The suicidal mind and brain?: a review of neuropsychological and neuroimaging studies. World J Biol Psychiatry 12(5):319–339

    Article  PubMed  Google Scholar 

  • Kaliman P, Alvarez-López MJ, Cosín-Tomás M, Rosenkranz MA, Lutz A, Davidson RJ (2014) Rapid changes in histone deacetylases and inflammatory gene expression in expert meditators. Psychoneuroendocrinology 40:96–107. doi:10.1016/j.psyneuen.2013.11.004

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Kessler RC, Berglund P, Borges G, Nock M, Wang PS (2005) Trends in suicide ideation, plans, gestures, and attempts in the United States, 1990–1992 to 2001–2003. JAMA 293:2487–2495. doi:10.1001/jama.293.20.2487

    Article  CAS  PubMed  Google Scholar 

  • Kiecolt-Glaser JK, Newton TL (2001) Marriage and health: his and hers. Psychol Bull 127:472–503

    Article  CAS  PubMed  Google Scholar 

  • Kiecolt-Glaser JK, Loving TJ, Stowell JR, Malarkey WB, Lemeshow S, Dickinson SL, Glaser R (2005) Hostile marital interactions, proinflammatory cytokine production, and wound healing. Arch Gen Psychiatry 62:1377–1384. doi:10.1001/archpsyc.62.12.1377

    Article  PubMed  Google Scholar 

  • Kiecolt-Glaser JK, Gouin J-P, Hantsoo L (2010) Close relationships, inflammation, and health. Neurosci Biobehav Rev 35:33–38. doi:10.1016/j.neubiorev.2009.09.003

    Article  PubMed  PubMed Central  Google Scholar 

  • Kiecolt-Glaser JK, Gouin J-P, Weng N-P, Malarkey WB, Beversdorf DQ, Glaser R (2011) Childhood adversity heightens the impact of later-life caregiving stress on telomere length and inflammation. Psychosom Med 73:16–22. doi:10.1097/PSY.0b013e31820573b6

    Article  PubMed  PubMed Central  Google Scholar 

  • Kodaka M, Matsumoto T, Katsumata Y, Akazawa M, Tachimori H, Kawakami N, Eguchi N, Shirakawa N, Takeshima T (2014) Suicide risk among individuals with sleep disturbances in Japan: a case-control psychological autopsy study. Sleep Med 15:430–435. doi:10.1016/j.sleep.2013.11.789

    Article  PubMed  Google Scholar 

  • Kraus MR, Schäfer A, Faller H, Csef H, Scheurlen M (2003) Psychiatric symptoms in patients with chronic hepatitis C receiving interferon alfa-2b therapy. J Clin Psychiatry 64:708–714

    Article  PubMed  Google Scholar 

  • Kudoh A, Takahira Y, Katagai H, Takazawa T (2002) Small-dose ketamine improves the postoperative state of depressed patients. Anesth Analg 95:114–118, table of contents

    Article  CAS  PubMed  Google Scholar 

  • Labonte B, Yerko V, Gross J, Mechawar N, Meaney MJ, Szyf M, Turecki G (2012) Differential glucocorticoid receptor exon 1(B), 1(C), and 1(H) expression and methylation in suicide completers with a history of childhood abuse. Biol Psychiatry 72:41–48. doi:10.1016/j.biopsych.2012.01.034

    Article  CAS  PubMed  Google Scholar 

  • Lacey RE, Kumari M, Bartley M (2014) Social isolation in childhood and adult inflammation: evidence from the National Child Development Study. Psychoneuroendocrinology 50:85–94. doi:10.1016/j.psyneuen.2014.08.007

    Article  PubMed  Google Scholar 

  • Lana-Peixoto MA, Teixeira AL, Haase VG (2002) Interferon beta-1a-induced depression and suicidal ideation in multiple sclerosis. Arq Neuropsiquiatr 60:721–724

    Article  PubMed  Google Scholar 

  • Lanquillon S, Krieg JC, Bening-Abu-Shach U, Vedder H (2000) Cytokine production and treatment response in major depressive disorder. Neuropsychopharmacol Off Publ Am Coll Neuropsychopharmacol 22:370–379. doi:10.1016/S0893-133X(99)00134-7

    Article  CAS  Google Scholar 

  • Larkin GL, Beautrais AL (2011) A preliminary naturalistic study of low-dose ketamine for depression and suicide ideation in the emergency department. Int J Neuropsychopharmacol Off Sci J Coll Int Neuropsychopharmacol CINP 14:1127–1131. doi:10.1017/S1461145711000629

    CAS  Google Scholar 

  • Leonard B (2000) Stress, depression and the activation of the immune system. World J Biol Psychiatry Off J World Fed Soc Biol Psychiatry 1:17–25

    Article  CAS  Google Scholar 

  • Li H, Li Q, Du X, Sun Y, Wang X, Kroemer G, Blomgren K, Zhu C (2011) Lithium-mediated long-term neuroprotection in neonatal rat hypoxia-ischemia is associated with antiinflammatory effects and enhanced proliferation and survival of neural stem/progenitor cells. J Cereb Blood Flow Metab Off J Int Soc Cereb Blood Flow Metab 31:2106–2115. doi:10.1038/jcbfm.2011.75

    Article  CAS  Google Scholar 

  • Ling VJ, Lester D, Mortensen PB, Langenberg PW, Postolache TT (2011) Toxoplasma gondii seropositivity and suicide rates in women. J Nerv Ment Dis 199:440–444. doi:10.1097/NMD.0b013e318221416e

    Article  PubMed  PubMed Central  Google Scholar 

  • Lutgendorf SK, DeGeest K, Sung CY, Arevalo JM, Penedo F, Lucci J, Goodheart M, Lubaroff D, Farley DM, Sood AK, Cole SW (2009) Depression, social support, and beta-adrenergic transcription control in human ovarian cancer. Brain Behav Immun 23:176–183. doi:10.1016/j.bbi.2008.04.155

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Malhi GS, Tanious M, Das P, Coulston CM, Berk M (2013) Potential mechanisms of action of lithium in bipolar disorder. Current understanding. CNS Drugs 27:135–153. doi:10.1007/s40263-013-0039-0

    Article  PubMed  Google Scholar 

  • Matsukawa Y, Sawada S, Hayama T, Usui H, Horie T (1994) Suicide in patients with systemic lupus erythematosus: a clinical analysis of seven suicidal patients. Lupus 3:31–35

    Article  CAS  PubMed  Google Scholar 

  • McGowan PO, Sasaki A, D’Alessio AC, Dymov S, Labonté B, Szyf M, Turecki G, Meaney MJ (2009) Epigenetic regulation of the glucocorticoid receptor in human brain associates with childhood abuse. Nat Neurosci 12:342–348. doi:10.1038/nn.2270

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • McNally L, Bhagwagar Z, Hannestad J (2008) Inflammation, glutamate, and glia in depression: a literature review. CNS Spectr 13:501–510

    Article  PubMed  Google Scholar 

  • Meier-Ewert HK, Ridker PM, Rifai N, Regan MM, Price NJ, Dinges DF, Mullington JM (2004) Effect of sleep loss on C-reactive protein, an inflammatory marker of cardiovascular risk. J Am Coll Cardiol 43:678–683. doi:10.1016/j.jacc.2003.07.050

    Article  CAS  PubMed  Google Scholar 

  • Michaels MS, Parent MC, Torrey CL (2015) A minority stress model for suicidal ideation in gay men. Suicide Life Threat Behav. doi:10.1111/sltb.12169

    Google Scholar 

  • Miller GE, Rohleder N, Cole SW (2009) Chronic interpersonal stress predicts activation of pro- and anti-inflammatory signaling pathways 6 months later. Psychosom Med 71:57–62. doi:10.1097/PSY.0b013e318190d7de

    Article  PubMed  PubMed Central  Google Scholar 

  • Mitchell AM, Pössel P, Sjögren E, Kristenson M (2013) Hopelessness the “active ingredient”? Associations of hopelessness and depressive symptoms with interleukin-6. Int J Psychiatry Med 46:109–117

    Article  PubMed  Google Scholar 

  • Modabbernia A, Taslimi S, Brietzke E, Ashrafi M (2013) Cytokine alterations in bipolar disorder: a meta-analysis of 30 studies. Biol Psychiatry 74:15–25. doi:10.1016/j.biopsych.2013.01.007

    Article  CAS  PubMed  Google Scholar 

  • Mok CC, Chan KL, Cheung EFC, Yip PSF (2014) Suicidal ideation in patients with systemic lupus erythematosus: incidence and risk factors. Rheumatol Oxf Engl 53:714–721. doi:10.1093/rheumatology/ket404

    Article  Google Scholar 

  • Morandini JS, Blaszczynski A, Dar-Nimrod I, Ross MW (2015) Minority stress and community connectedness among gay, lesbian and bisexual Australians: a comparison of rural and metropolitan localities. Aust N Z J Public Health. doi:10.1111/1753-6405.12364

    PubMed  Google Scholar 

  • Motivala SJ, Sarfatti A, Olmos L, Irwin MR (2005) Inflammatory markers and sleep disturbance in major depression. Psychosom Med 67:187–194. doi:10.1097/01.psy.0000149259.72488.09

    Article  CAS  PubMed  Google Scholar 

  • Müller N, Schwarz MJ (2007) The immune-mediated alteration of serotonin and glutamate: towards an integrated view of depression. Mol Psychiatry 12:988–1000. doi:10.1038/sj.mp.4002006

    Article  PubMed  CAS  Google Scholar 

  • Mullington JM, Haack M, Toth M, Serrador JM, Meier-Ewert HK (2009) Cardiovascular, inflammatory, and metabolic consequences of sleep deprivation. Prog Cardiovasc Dis 51:294–302. doi:10.1016/j.pcad.2008.10.003

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Neeleman J, Wessely S (1999) Ethnic minority suicide: a small area geographical study in south London. Psychol Med 29:429–436

    Article  CAS  PubMed  Google Scholar 

  • Nock MK, Deming CA, Fullerton CS, Gilman SE, Goldenberg M, Kessler RC, McCarroll JE, McLaughlin KA, Peterson C, Schoenbaum M, Stanley B, Ursano RJ (2013) Suicide among soldiers: a review of psychosocial risk and protective factors. Psychiatry 76:97–125. doi:10.1521/psyc.2013.76.2.97

    Article  PubMed  PubMed Central  Google Scholar 

  • Norra C, Richter N, Juckel G (2011) Sleep disturbances and suicidality: a common association to look for in clinical practise and preventive care. EPMA J 2:295–307. doi:10.1007/s13167-011-0101-2

    Article  PubMed  PubMed Central  Google Scholar 

  • Nowak G, Ordway GA, Paul IA (1995) Alterations in the N-methyl-D-aspartate (NMDA) receptor complex in the frontal cortex of suicide victims. Brain Res 675:157–164

    Article  CAS  PubMed  Google Scholar 

  • O’Carroll PW, Berman AL, Maris RW, Moscicki EK, Tanney BL, Silverman MM (1996) Beyond the Tower of Babel: a nomenclature for suicidology. Suicide Life Threat Behav 26:237–252

    PubMed  Google Scholar 

  • O’Donovan A, Lin J, Tillie J, Tillie JM, Dhabhar FS, Wolkowitz OM, Wolkowitz O, Blackburn EH, Blackburn E, Epel ES, Epel E (2009) Pessimism correlates with leukocyte telomere shortness and elevated interleukin-6 in post-menopausal women. Brain Behav Immun 23:446–449. doi:10.1016/j.bbi.2008.11.006

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  • Okusaga O, Postolache TT (2012) Toxoplasma gondii, the immune system, and suicidal behavior. In: Dwivedi Y (ed) The neurobiological basis of suicide, frontiers in neuroscience. CRC Press, Boca Raton

    Google Scholar 

  • Okusaga O, Langenberg P, Sleemi A, Vaswani D, Giegling I, Hartmann AM, Konte B, Friedl M, Groer MW, Yolken RH, Rujescu D, Postolache TT (2011) Toxoplasma gondii antibody titers and history of suicide attempts in patients with schizophrenia. Schizophr Res 133:150–155. doi:10.1016/j.schres.2011.08.006

    Article  PubMed  Google Scholar 

  • Opp M, Born J, Irwin M. Sleep and the immune system (2007) In: Psychoneuroimmunology. Ader R, editor. Burlington, Massachusetts: Elsevier Academic Press; pp. 579–618

    Google Scholar 

  • Oquendo MA, Galfalvy H, Russo S, Ellis SP, Grunebaum MF, Burke A, Mann JJ (2004) Prospective study of clinical predictors of suicidal acts after a major depressive episode in patients with major depressive disorder or bipolar disorder. Am J Psychiatry 161:1433–1441. doi:10.1176/appi.ajp.161.8.1433

    Article  PubMed  Google Scholar 

  • Oquendo MA, Sullivan GM, Sudol K, Baca-Garcia E, Stanley BH, Sublette ME, Mann JJ (2014) Toward a biosignature for suicide. Am J Psychiatry 171:1259–1277. doi:10.1176/appi.ajp.2014.14020194

    Article  PubMed  PubMed Central  Google Scholar 

  • Ostry A, Maggi S, Tansey J, Dunn J, Hershler R, Chen L, Louie AM, Hertzman C (2007) The impact of psychosocial work conditions on attempted and completed suicide among western Canadian sawmill workers. Scand J Public Health 35:265–271. doi:10.1080/14034940601048091

    Article  PubMed  Google Scholar 

  • Pace TWW, Gaylord RI, Jarvis E, Girotti M, Spencer RL (2009a) Differential glucocorticoid effects on stress-induced gene expression in the paraventricular nucleus of the hypothalamus and ACTH secretion in the rat. Stress Amst Neth 12:400–411. doi:10.1080/10253890802530730

    Article  CAS  Google Scholar 

  • Pace TWW, Negi LT, Adame DD, Cole SP, Sivilli TI, Brown TD, Issa MJ, Raison CL (2009b) Effect of compassion meditation on neuroendocrine, innate immune and behavioral responses to psychosocial stress. Psychoneuroendocrinology 34:87–98. doi:10.1016/j.psyneuen.2008.08.011

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Pandey GN, Rizavi HS, Ren X, Dwivedi Y, Palkovits M (2013) Region-specific alterations in glucocorticoid receptor expression in the postmortem brain of teenage suicide victims. Psychoneuroendocrinology 38:2628–2639. doi:10.1016/j.psyneuen.2013.06.020

    Article  CAS  PubMed  Google Scholar 

  • Pandey GN, Rizavi HS, Ren X, Bhaumik R, Dwivedi Y (2014) Toll-like receptors in the depressed and suicide brain. J Psychiatr Res 53:62–68. doi:10.1016/j.jpsychires.2014.01.021

    Article  PubMed  PubMed Central  Google Scholar 

  • Pedersen MG, Mortensen PB, Norgaard-Pedersen B, Postolache TT (2012) Toxoplasma gondii infection and self-directed violence in mothers. Arch Gen Psychiatry 69:1123–1130. doi:10.1001/archgenpsychiatry.2012.668

    Article  PubMed  Google Scholar 

  • Pérez-Ortiz JM, García-Gutiérrez MS, Navarrete F, Giner S, Manzanares J (2013) Gene and protein alterations of FKBP5 and glucocorticoid receptor in the amygdala of suicide victims. Psychoneuroendocrinology 38:1251–1258. doi:10.1016/j.psyneuen.2012.11.008

    Article  PubMed  CAS  Google Scholar 

  • Perroud N, Baud P, Mouthon D, Courtet P, Malafosse A (2011) Impulsivity, aggression and suicidal behavior in unipolar and bipolar disorders. J Affect Disord 134:112–118. doi:10.1016/j.jad.2011.05.048

    Article  PubMed  Google Scholar 

  • Perroud N, Baud P, Ardu S, Krejci I, Mouthon D, Vessaz M, Guillaume S, Jaussent I, Olié E, Malafosse A, Courtet P (2013) Temperament personality profiles in suicidal behaviour: an investigation of associated demographic, clinical and genetic factors. J Affect Disord 146:246–253. doi:10.1016/j.jad.2012.09.012

    Article  PubMed  Google Scholar 

  • Pescosolido BA, Georgianna S (1989) Durkheim, suicide, and religion: toward a network theory of suicide. Am Sociol Rev 54:33–48

    Article  CAS  PubMed  Google Scholar 

  • Pinho de Oliveira Ribeiro N, Rafael de Mello Schier A, Ornelas AC, Pinho de Oliveira CM, Nardi AE, Silva AC (2013) Anxiety, depression and suicidal ideation in patients with rheumatoid arthritis in use of methotrexate, hydroxychloroquine, leflunomide and biological drugs. Compr Psychiatry 54:1185–1189. doi:10.1016/j.comppsych.2013.05.010

    Article  PubMed  Google Scholar 

  • Postolache TT, Stiller JW, Herrell R, Goldstein MA, Shreeram SS, Zebrak R, Thrower CM, Volkov J, No MJ, Volkov I, Rohan KJ, Redditt J, Parmar M, Mohyuddin F, Olsen C, Moca M, Tonelli LH, Merikangas K, Komarow HD (2005) Tree pollen peaks are associated with increased nonviolent suicide in women. Mol Psychiatry 10:232–235. doi:10.1038/sj.mp.4001620

    Article  CAS  PubMed  Google Scholar 

  • Postolache TT, Mortensen PB, Tonelli LH, Jiao X, Frangakis C, Soriano JJ, Qin P (2010) Seasonal spring peaks of suicide in victims with and without prior history of hospitalization for mood disorders. J Affect Disord 121:88–93. doi:10.1016/j.jad.2009.05.015

    Article  PubMed  PubMed Central  Google Scholar 

  • Potvin S, Stip E, Sepehry AA, Gendron A, Bah R, Kouassi E (2008) Inflammatory cytokine alterations in schizophrenia: a systematic quantitative review. Biol Psychiatry 63:801–808. doi:10.1016/j.biopsych.2007.09.024

    Article  CAS  PubMed  Google Scholar 

  • Price RB, Nock MK, Charney DS, Mathew SJ (2009) Effects of intravenous ketamine on explicit and implicit measures of suicidality in treatment-resistant depression. Biol Psychiatry 66:522–526. doi:10.1016/j.biopsych.2009.04.029

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Price RB, Iosifescu DV, Murrough JW, Chang LC, Al Jurdi RK, Iqbal SZ, Soleimani L, Charney DS, Foulkes AL, Mathew SJ (2014) Effects of ketamine on explicit and implicit suicidal cognition: a randomized controlled trial in treatment-resistant depression. Depress Anxiety 31:335–343. doi:10.1002/da.22253

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Qin P, Mortensen PB, Waltoft BL, Postolache TT (2011) Allergy is associated with suicide completion with a possible mediating role of mood disorder – a population-based study. Allergy 66:658–664. doi:10.1111/j.1398-9995.2010.02523.x

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Raison CL, Borisov AS, Majer M, Drake DF, Pagnoni G, Woolwine BJ, Vogt GJ, Massung B, Miller AH (2009) Activation of central nervous system inflammatory pathways by interferon-alpha: relationship to monoamines and depression. Biol Psychiatry 65:296–303. doi:10.1016/j.biopsych.2008.08.010

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Raison CL, Rutherford RE, Woolwine BJ, Shuo C, Schettler P, Drake DF, Haroon E, Miller AH (2013) A randomized controlled trial of the tumor necrosis factor antagonist infliximab for treatment-resistant depression: the role of baseline inflammatory biomarkers. JAMA Psychiatry 70:31–41. doi:10.1001/2013.jamapsychiatry.4

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Ransohoff RM, Cardona AE (2010) The myeloid cells of the central nervous system parenchyma. Nature 468:253–262. doi:10.1038/nature09615

    Article  CAS  PubMed  Google Scholar 

  • Rohleder N, Chen E, Wolf JM, Miller GE (2008) The psychobiology of trait shame in young women: extending the social self preservation theory. Health Psychol Off J Div Health Psychol Am Psychol Assoc 27:523–532. doi:10.1037/0278-6133.27.5.523

    Google Scholar 

  • Roy B, Diez-Roux AV, Seeman T, Ranjit N, Shea S, Cushman M (2010) Association of optimism and pessimism with inflammation and hemostasis in the Multi-Ethnic Study of Atherosclerosis (MESA). Psychosom Med 72:134–140. doi:10.1097/PSY.0b013e3181cb981b

    Article  PubMed  PubMed Central  Google Scholar 

  • Ruud TE, Gundersen Y, Krohn CD, Sveen O, Aasen AO (2013) Effects of infliximab and hydrocortisone on in vitro cytokine responses after stimulation with lipopolysaccharide. Surg Infect 14:30–34. doi:10.1089/sur.2011.093

    Article  Google Scholar 

  • Sadovnick AD, Eisen K, Ebers GC, Paty DW (1991) Cause of death in patients attending multiple sclerosis clinics. Neurology 41:1193–1196

    Article  CAS  PubMed  Google Scholar 

  • Sbarra DA (2009) Marriage protects men from clinically meaningful elevations in C-reactive protein: results from the National Social Life, Health, and Aging Project (NSHAP). Psychosom Med 71:828–835. doi:10.1097/PSY.0b013e3181b4c4f2

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Schnieder TP, Trencevska I, Rosoklija G, Stankov A, Mann JJ, Smiley J, Dwork AJ (2014) Microglia of prefrontal white matter in suicide. J Neuropathol Exp Neurol 73:880–890. doi:10.1097/NEN.0000000000000107

    Article  PubMed  PubMed Central  Google Scholar 

  • Schwarcz R, Guidetti P, Sathyasaikumar KV, Muchowski PJ (2010) Of mice, rats and men: revisiting the quinolinic acid hypothesis of Huntington’s disease. Prog Neurobiol 90:230–245. doi:10.1016/j.pneurobio.2009.04.005

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sockalingam S, Links PS, Abbey SE (2011) Suicide risk in hepatitis C and during interferon-alpha therapy: a review and clinical update. J Viral Hepat 18:153–160. doi:10.1111/j.1365-2893.2010.01393.x

    Article  CAS  PubMed  Google Scholar 

  • Steiner J, Mawrin C, Ziegeler A, Bielau H, Ullrich O, Bernstein H-G, Bogerts B (2006) Distribution of HLA-DR-positive microglia in schizophrenia reflects impaired cerebral lateralization. Acta Neuropathol (Berl) 112:305–316. doi:10.1007/s00401-006-0090-8

    Article  CAS  Google Scholar 

  • Steiner J, Bielau H, Brisch R, Danos P, Ullrich O, Mawrin C, Bernstein H-G, Bogerts B (2008) Immunological aspects in the neurobiology of suicide: elevated microglial density in schizophrenia and depression is associated with suicide. J Psychiatr Res 42:151–157. doi:10.1016/j.jpsychires.2006.10.013

    Article  PubMed  Google Scholar 

  • Steiner J, Walter M, Gos T, Guillemin GJ, Bernstein H-G, Sarnyai Z, Mawrin C, Brisch R, Bielau H, Meyer zu Schwabedissen L, Bogerts B, Myint A-M (2011) Severe depression is associated with increased microglial quinolinic acid in subregions of the anterior cingulate gyrus: evidence for an immune-modulated glutamatergic neurotransmission? J Neuroinflammation 8:94. doi:10.1186/1742-2094-8-94

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Stenager EN, Stenager E, Koch-Henriksen N, Brønnum-Hansen H, Hyllested K, Jensen K, Bille-Brahe U (1992) Suicide and multiple sclerosis: an epidemiological investigation. J Neurol Neurosurg Psychiatry 55:542–545

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Stuart MJ, Baune BT (2014) Chemokines and chemokine receptors in mood disorders, schizophrenia, and cognitive impairment: a systematic review of biomarker studies. Neurosci Biobehav Rev 42:93–115. doi:10.1016/j.neubiorev.2014.02.001

    Article  CAS  PubMed  Google Scholar 

  • Suarez EC (2008) Self-reported symptoms of sleep disturbance and inflammation, coagulation, insulin resistance and psychosocial distress: evidence for gender disparity. Brain Behav Immun 22:960–968. doi:10.1016/j.bbi.2008.01.011

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Sublette ME, Galfalvy HC, Fuchs D, Lapidus M, Grunebaum MF, Oquendo MA, Mann JJ, Postolache TT (2011) Plasma kynurenine levels are elevated in suicide attempters with major depressive disorder. Brain Behav Immun 25:1272–1278. doi:10.1016/j.bbi.2011.05.002

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Suchankova P, Henningsson S, Baghaei F, Rosmond R, Holm G, Ekman A (2009) Genetic variability within the innate immune system influences personality traits in women. Genes Brain Behav 8:212–217. doi:10.1111/j.1601-183X.2008.00461.x

    Article  CAS  PubMed  Google Scholar 

  • Suchankova P, Holm G, Träskman-Bendz L, Brundin L, Ekman A (2013) The +1444C>T polymorphism in the CRP gene: a study on personality traits and suicidal behaviour. Psychiatr Genet 23:70–76. doi:10.1097/YPG.0b013e32835d71b6

    Article  CAS  PubMed  Google Scholar 

  • Sutin AR, Terracciano A, Deiana B, Naitza S, Ferrucci L, Uda M, Schlessinger D, Costa PT (2010) High neuroticism and low conscientiousness are associated with interleukin-6. Psychol Med 40:1485–1493. doi:10.1017/S0033291709992029

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Termorshuizen F, Braam AW, van Ameijden EJC (2015) Neighborhood ethnic density and suicide risk among different migrant groups in the four big cities in the Netherlands. Soc Psychiatry Psychiatr Epidemiol 50:951–962. doi:10.1007/s00127-014-0993-y

    Article  PubMed  Google Scholar 

  • Thakurta RG, Das R, Bhattacharya AK, Saha D, Sen S, Singh OP, Bisui B (2012) Rapid response with ketamine on suicidal cognition in resistant depression. Indian J Psychol Med 34:170–175. doi:10.4103/0253-7176.101793

    Article  PubMed  PubMed Central  Google Scholar 

  • Tiihonen J, Virkkunen M, Räsänen P, Pennanen S, Sainio EL, Callaway J, Halonen P, Liesivuori J (2001) Free L-tryptophan plasma levels in antisocial violent offenders. Psychopharmacology (Berl) 157:395–400. doi:10.1007/s002130100842

    Article  CAS  Google Scholar 

  • Timonen M, Viilo K, Hakko H, Särkioja T, Ylikulju M, Meyer-Rochow VB, Väisänen E, Räsänen P (2003) Suicides in persons suffering from rheumatoid arthritis. Rheumatol Oxf Engl 42:287–291

    Article  CAS  Google Scholar 

  • Timonen M, Viilo K, Hakko H, Särkioja T, Meyer-Rochow VB, Väisänen E, Räsänen P (2004) Is seasonality of suicides stronger in victims with hospital-treated atopic disorders? Psychiatry Res 126:167–175. doi:10.1016/j.psychres.2004.02.005

    Article  PubMed  Google Scholar 

  • Torres-Platas SG, Hercher C, Davoli MA, Maussion G, Labonté B, Turecki G, Mechawar N (2011) Astrocytic hypertrophy in anterior cingulate white matter of depressed suicides. Neuropsychopharmacol Off Publ Am Coll Neuropsychopharmacol 36:2650–2658. doi:10.1038/npp.2011.154

    Article  Google Scholar 

  • Torres-Platas SG, Cruceanu C, Chen GG, Turecki G, Mechawar N (2014) Evidence for increased microglial priming and macrophage recruitment in the dorsal anterior cingulate white matter of depressed suicides. Brain Behav Immun 42:50–59. doi:10.1016/j.bbi.2014.05.007

    Article  CAS  PubMed  Google Scholar 

  • Treharne GJ, Lyons AC, Kitas GD (2000) Suicidal ideation in patients with rheumatoid arthritis. Research may help identify patients at high risk. BMJ 321:1290

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Turiano NA, Mroczek DK, Moynihan J, Chapman BP (2013) Big 5 personality traits and interleukin-6: evidence for “healthy Neuroticism” in a US population sample. Brain Behav Immun 28:83–89. doi:10.1016/j.bbi.2012.10.020

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Turner AP, Williams RM, Bowen JD, Kivlahan DR, Haselkorn JK (2006) Suicidal ideation in multiple sclerosis. Arch Phys Med Rehabil 87:1073–1078. doi:10.1016/j.apmr.2006.04.021

    Article  PubMed  Google Scholar 

  • Tursich M, Neufeld RWJ, Frewen PA, Harricharan S, Kibler JL, Rhind SG, Lanius RA (2014) Association of trauma exposure with proinflammatory activity: a transdiagnostic meta-analysis. Transl Psychiatry 4:e413. doi:10.1038/tp.2014.56

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Tyrka AR, Burgers DE, Philip NS, Price LH, Carpenter LL (2013) The neurobiological correlates of childhood adversity and implications for treatment. Acta Psychiatr Scand 128:434–447. doi:10.1111/acps.12143

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Uher R, Tansey KE, Dew T, Maier W, Mors O, Hauser J, Dernovsek MZ, Henigsberg N, Souery D, Farmer A, McGuffin P (2014) An inflammatory biomarker as a differential predictor of outcome of depression treatment with escitalopram and nortriptyline. Am J Psychiatry 171:1278–1286. doi:10.1176/appi.ajp.2014.14010094

    Article  PubMed  Google Scholar 

  • Vaiva G, Vaiva G, Ducrocq F, Meyer P, Mathieu D, Philippe A, Libersa C, Goudemand M (2006) Effect of telephone contact on further suicide attempts in patients discharged from an emergency department: randomised controlled study. BMJ 332:1241–1245. doi:10.1136/bmj.332.7552.1241

    Article  PubMed  PubMed Central  Google Scholar 

  • Valkanova V, Ebmeier KP, Allan CL (2013) CRP, IL-6 and depression: a systematic review and meta-analysis of longitudinal studies. J Affect Disord 150:736–744. doi:10.1016/j.jad.2013.06.004

    Article  CAS  PubMed  Google Scholar 

  • Vgontzas AN, Papanicolaou DA, Bixler EO, Lotsikas A, Zachman K, Kales A, Prolo P, Wong ML, Licinio J, Gold PW, Hermida RC, Mastorakos G, Chrousos GP (1999) Circadian interleukin-6 secretion and quantity and depth of sleep. J Clin Endocrinol Metab 84:2603–2607. doi:10.1210/jcem.84.8.5894

    Article  CAS  PubMed  Google Scholar 

  • Vgontzas AN, Zoumakis E, Bixler EO, Lin H-M, Follett H, Kales A, Chrousos GP (2004) Adverse effects of modest sleep restriction on sleepiness, performance, and inflammatory cytokines. J Clin Endocrinol Metab 89:2119–2126. doi:10.1210/jc.2003-031562

    Article  CAS  PubMed  Google Scholar 

  • Vignau J, Soichot M, Imbenotte M, Jacquemont M-C, Danel T, Vandamme M, Lhermitte M, Allorge D (2010) Impact of tryptophan metabolism on the vulnerability to alcohol-related blackouts and violent impulsive behaviours. Alcohol Alcohol Oxf Oxfs 45:79–88. doi:10.1093/alcalc/agp044

    Article  CAS  Google Scholar 

  • Viner R, Patten SB, Berzins S, Bulloch AGM, Fiest KM (2014) Prevalence and risk factors for suicidal ideation in a multiple sclerosis population. J Psychosom Res 76:312–316. doi:10.1016/j.jpsychores.2013.12.010

    Article  PubMed  Google Scholar 

  • Whisman MA, Sbarra DA (2012) Marital adjustment and interleukin-6 (IL-6). J Fam Psychol JFP J Div Fam Psychol Am Psychol Assoc Div 43(26):290–295. doi:10.1037/a0026902

    Google Scholar 

  • Woo J-M, Gibbons RD, Qin P, Komarow H, Kim JB, Rogers CA, Mann JJ, Postolache TT (2011) Suicide and prescription rates of intranasal corticosteroids and nonsedating antihistamines for allergic rhinitis: an ecological study. J Clin Psychiatry 72:1423–1428. doi:10.4088/JCP.10m06765

    Article  PubMed  Google Scholar 

  • Woo J-M, Okusaga O, Postolache TT (2012) Seasonality of suicidal behavior. Int J Environ Res Public Health 9:531–547. doi:10.3390/ijerph9020531

    Article  PubMed  PubMed Central  Google Scholar 

  • Xie L-F, Chen P-L, Pan H-F, Tao J-H, Li X-P, Zhang Y-J, Zhai Y, Ye D-Q (2012) Prevalence and correlates of suicidal ideation in SLE inpatients: Chinese experience. Rheumatol Int 32:2707–2714. doi:10.1007/s00296-011-2043-3

    Article  PubMed  Google Scholar 

  • Yagmur F, Yazar S, Temel HO, Cavusoglu M (2010) May Toxoplasma gondii increase suicide attempt-preliminary results in Turkish subjects? Forensic Sci Int 199:15–17. doi:10.1016/j.forsciint.2010.02.020

    Article  PubMed  Google Scholar 

  • Yang J-J, Wang N, Yang C, Shi J-Y, Yu H-Y, Hashimoto K (2015) Serum interleukin-6 is a predictive biomarker for ketamine’s antidepressant effect in treatment-resistant patients with major depression. Biol Psychiatry 77:e19–e20. doi:10.1016/j.biopsych.2014.06.021

    Article  CAS  PubMed  Google Scholar 

  • Zarate CA, Brutsche NE, Ibrahim L, Franco-Chaves J, Diazgranados N, Cravchik A, Selter J, Marquardt CA, Liberty V, Luckenbaugh DA (2012) Replication of ketamine’s antidepressant efficacy in bipolar depression: a randomized controlled add-on trial. Biol Psychiatry 71:939–946. doi:10.1016/j.biopsych.2011.12.010

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Zhang Y, Träskman-Bendz L, Janelidze S, Langenberg P, Saleh A, Constantine N, Okusaga O, Bay-Richter C, Brundin L, Postolache TT (2012) Toxoplasma gondii immunoglobulin G antibodies and nonfatal suicidal self-directed violence. J Clin Psychiatry 73:1069–1076. doi:10.4088/JCP.11m07532

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Philippe Courtet .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2016 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Ducasse, D., Girod, C., Courtet, P. (2016). Neuroinflammation in Suicide. In: Courtet, P. (eds) Understanding Suicide. Springer, Cham. https://doi.org/10.1007/978-3-319-26282-6_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-26282-6_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-26280-2

  • Online ISBN: 978-3-319-26282-6

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics