Stress system alterations and mood disorders in suicidal patients. A review

• Published in: Biomedicine & pharmacotherapy Vol. 54; no. 3; pp. 142 - 145
• Main Author: Westrin, A
• Format: Journal Article
• Language: English
• Published: France Elsevier SAS 01.04.2000
• Subjects: Animals; delta-sleep-inducing peptide; Hormones - blood; Humans; hypothalamic-pituitary-adrenocortical axis; major depressive disorder; Mood Disorders - physiopathology; Mood Disorders - psychology; neuropeptide Y; noradrenaline; stress; Stress, Psychological - blood; Stress, Psychological - physiopathology; Stress, Psychological - psychology; suicide; Suicide - psychology; delta-sleep-inducing peptide; stress; major depressive disorder; neuropeptide Y; suicide; hypothalamic-pituitary-adrenocortical axis; noradrenaline
• ISSN: 0753-3322; 1950-6007
• DOI: 10.1016/S0753-3322(00)89047-2

Stress system alterations, in particular HPA axis hyperactivations, are fairly well documented in suicide victims and in depressed suicide attempters who subsequently complete suicide. In suicide attempters with no documented completed suicide, the results are more inconsistent. This may depend on differences in studies due to diagnostic heterogeneity among suicide attempters, and the time between the suicide attempt and the examination. Recent data suggests differences in the stress system between depressed patients with a recent suicide attempt and depressed patients in general. The field merits further examination, with thorough examinations of genotypes, actual suicide attempts and stress in combination with examinations of the stress system.