Health Sciences Graduate Program, Health Sciences Center, State University of Londrina, Londrina, Brazil.
J Nerv Ment Dis. 2024 Nov 1;212(11):549-556. doi: 10.1097/NMD.0000000000001805. Epub 2024 Oct 13.
Lifetime history of suicide attempts is associated with inflammatory mechanisms, severity of depressive symptoms, and childhood trauma. This cross-sectional study enrolled 54 suicide attempters and 154 nonsuicide attempters. All individuals were assessed through a questionnaire, a structured clinical interview, scales, anthropometric measures, and laboratory biomarkers. Individuals with a history of lifetime suicide attempts showed significant positive correlations regarding soluble tumor necrosis factor receptor 1 and severity of depressive symptoms (p = 0.013), interleukin-1 receptor antagonist and severity of depressive symptoms (p = 0.04), and absenteeism from work and childhood physical abuse (p = 0.012). Suicide attempters also experienced more childhood trauma (sexual abuse, physical abuse, emotional abuse, emotional neglect, and physical neglect) compared with nonsuicide attempters. IL-4 levels were significantly lower in individuals who attempted suicide than in nonsuicidal individuals. Lifetime suicide attempts in major affective disorders were associated with childhood trauma and proinflammatory and anti-inflammatory cytokines.
一生中自杀未遂的经历与炎症机制、抑郁症状的严重程度和儿童期创伤有关。这项横断面研究纳入了 54 名自杀未遂者和 154 名非自杀未遂者。所有个体都通过问卷、结构化临床访谈、量表、人体测量学指标和实验室生物标志物进行评估。有一生中自杀未遂经历的个体,可溶性肿瘤坏死因子受体 1 和抑郁症状严重程度(p=0.013)、白细胞介素-1 受体拮抗剂和抑郁症状严重程度(p=0.04)以及旷工和儿童期身体虐待(p=0.012)呈显著正相关。与非自杀未遂者相比,自杀未遂者还经历了更多的儿童期创伤(性虐待、身体虐待、情感虐待、情感忽视和身体忽视)。与非自杀者相比,尝试过自杀的个体的 IL-4 水平明显较低。在主要情感障碍中,一生中自杀未遂与儿童期创伤以及促炎和抗炎细胞因子有关。