[en] The current main neurochemical theories of the biological correlates of suicidal behavior involve serotonergic and, to a lesser extent, dopaminergic systems. Few data are available about the possible implication of the noradrenergic function. In the present study, we assessed the growth hormone response to clonidine, a selective alpha 2-adrenergic agonist, in 15 DSM-III-R major depressive inpatients with a history of suicide attempts, compared with 15 age- and gender-matched major depressive inpatients without a history of suicidal behavior. Mean (+/- SD) growth hormone peak responses to clonidine were significantly lower in the group of suicide attempters than in the control group: 2.93 +/- 3.01 ng/ml vs. 8.28 +/- 8.15 ng/ml. Therefore, these results suggest that a blunted growth hormone response to clonidine could be a biological correlate of suicidal behavior.
Disciplines :
Psychiatry
Author, co-author :
Pitchot, William ; Centre Hospitalier Universitaire de Liège - CHU > Psychiatrie et psychologie médicale
Ansseau, Marc ; Centre Hospitalier Universitaire de Liège - CHU > Psychiatrie et psychologie médicale
Gonzalez Moreno, Antonio; Centre Hospitalier Universitaire de Liège - CHU > Psychiatrie et psychologie médicale
Wauthy, Jacques ; Centre Hospitalier Universitaire de Liège - CHU > Psychiatrie et psychologie médicale
Hansenne, Michel ; Université de Liège - ULiège > Département des sciences cognitives > Psycho. de la personnalité et des différences individuelles
von Frenckell, Rémy ; Université de Liège - ULiège > Psychiatrie et psychologie médicale
Language :
English
Title :
Relationship between alpha 2-adrenergic function and suicidal behavior in depressed patients.
Publication date :
1994
Journal title :
Psychiatry Research
ISSN :
0165-1781
eISSN :
1872-7123
Publisher :
Elsevier North Holland Biomedical Press, Limerick, Ireland
Ågren (1980) Symptom patterns in unipolar and bipolar depression correlating with monoamine metabolites in the cerebrospinal fluid: II. Suicide. Psychiatry Research 3:225-236.
Ågren (1983) Life at risk: Markers of suicidality in depression. Psychiatric Developments 1:87-104.
American Psychiatric Association DSM-III-R: Diagnostic and Statistical Manual of Mental Disorders, 3rd ed., American Psychiatric Press, Washington, DC, revised; 1987.
Ansseau, Scheyvaerts, Doumont, Poirrier, Legros, Franck (1984) Concurrent use of REM latency, dexamethasone suppression, clonidine, and apomorphine tests as biological markers of endogenous depression: A pilot stu. Psychiatry Research 12:261-272.
Ansseau, von Frenckell, Cerfontaine, Papart, Franck, Timsit-Berthier, Geenen, Legros (1987) Neuroendocrine evaluation of catecholaminergic neurotransmission in mania. Psychiatry Research 22:193-206.
Ansseau, von Frenckell, Cerfontaine, Papart, Franck, Timsit-Berthier, Geenen, Legros (1988) Blunted response of growth hormone to clonidine and apomorphine in endogenous depression. British Journal of Psychiatry 153:65-71.
Åsberg, Thorén, Träskman, Bertilsson, Ringberger (1976) "Serotonin depression"--a biochemical subgroup within the affective disorders?. Science 191:478-480.
Åsberg, Träskman, Thorén (1976) 5-HIAA in the cerebrospinal fluid: A biochemical suicide predictor. Archives of General Psychiatry 33:1193-1197.
Banki, Arató (1983) Amine metabolites and neuroendocrine response related to depression and suicide. Journal of Affective Disorders 5:223-232.
Beskow, Gottfries, Roos, Winblåd (1976) Determination of monoamine and monoamine metabolites in the human brain: Post-mortem studies in a group of suicides and in a control group. Acta Psychiatrica Scandinavica 53:7-20.
Boyer, Davila, Schaub, Nassiet (1986) Growth hormone response to clonidine stimulation in depressive states: Part I. Psychiatrie et Psychobiologie 1:189-195.
Brown, Ebert, Goyer, Jimerson, Klein, Bunney, Goodwin (1982) Aggression, suicide, and serotonin: Relationship to CSF amine metabolites. American Journal of Psychiatry 139:741-746.
Brown, Goodwin, Ballenger, Goyer, Major (1979) Aggression in humans: Correlates with cerebrospinal fluid amine metabolites. Psychiatry Research 1:131-139.
Charney, Heninger, Sternberg, Hafstad, Giddings, Landis (1982) Adrenergic receptor sensitivity in depression: Effects of clonidine in depressed patients and healthy subjects. Archives of General Psychiatry 39:290-294.
Checkley, Glass, Thompson, Corn, Robinson (1984) The GH response to clonidine in endogenous as compared with reactive depression. Psychological Medicine 14:773-779.
Checkley, Slade, Shur (1981) Growth hormone and other responses to clonidine in patients with endogenous depression. British Journal of Psychiatry 138:51-55.
Coccaro, Lawrence, Trestman, Gabriel, Klar, Siever (1991) Growth hormone responses to intravenous clonidine challenge correlate with behavioral irritability in psychiatric patients and healthy volunteers. Psychiatry Research 39:129-139.
Corn, Thompson, Checkley (1984) Effects of desipramine treatment upon central adrenoreceptor function in normal subjects. British Journal of Psychiatry 145:139-145.
Franchimont (1968) Le dosage radioimmunologique de l'hormone de croissance humaine. Cahiers Médicaux Lyonnais 44:887-898.
Hamilton (1960) A rating scale for depression. Journal of Neurology, Neurosurgery, and Psychiatry 23:56-62.
Hoehe, Valido, Matussek (1986) Growth hormone response to clonidine in endogenous depressive patients: Evidence for a trait marker in depression. Biological Psychiatry 1985 , C. Shagass, R.C. Josiassen, W.H. Bridger, K.S. Weiss, D. Stoff, G.M. Simpson, Elsevier, New York; 862.
Laakmann Psychopharmacoendocrinology and Depression Research, Springer-Verlag, Berlin; 1990.
Lal, Martin (1980) Neuroanatomy and neuropharmacological regulation of neuroendocrine function. Handbook of Biological Psychiatry: Part III. Brain Mechanisms and Abnormal Behavior. Genetics and Neuroendocrinology, H.M. van Praag, M.H. Lader, O.J. Rafaelsen, E.J. Sachar, Marcel Dekker, New York; .
Mann, McBride, Stanley (1986) Post-mortem monoamine receptor and enzyme studies in suicide. Annals of the New York Academy of Sciences 487:114-121.
Mann, Stanley, Mc Bride, McEwen (1986) Increased serotonin-2 and betaadrenergic receptor binding in the frontal cortices of suicide victims. Archives of General Psychiatry 43:984-995.
Matussek, Ackenheil, Hippius, Müller, Schröder, Schultes, Wasilewski (1980) Effect of clonidine on growth hormone release in psychiatric patients and controls. Psychiatry Research 2:25-36.
Meltzer, Arora (1986) Platelet markers of suicidality. Annals of the New York Academy of Sciences 487:271-280.
Mitchell, Bearn, Corn, Checkley (1988) Growth hormone response to clonidine after recovery in patients with endogenous depression. British Journal of Psychiatry 152:34-38.
Montgomery, Montogomery (1982) Pharmacological prevention of suicidal behavior. Journal of Affective Disorders 4:291-298.
Ninan, van Kammen, Scheinin, Linnoila, Bunney, Goodwin (1984) CSF 5-hydroxyindoleacetic acid levels in suicidal schizophrenic patients. American Journal of Psychiatry 141:566-569.
Ostroff, Giller, Bonese, Ebersole, Harkness, Mason (1982) Neuroendocrine risk factors of suicidal behavior. American Journal of Psychiatry 139:1323-1325.
Pitchot, Hansenne, Gonzalez Moreno, Ansseau (1992) Suicidal behavior and growth hormone response to apomorphine test. Biological Psychiatry 31:1213-1219.
Roy, Ågren, Pickar, Linnoila, Doran, Cutler, Paul (1986) Reduced CSF concentrations of homovanillic acid and homovanillic acid to 5-hydroxyindoleacetic acid ratios in depressed patients: Relationship to suic idal behavior and dexamethasone nonsuppression. American Journal of Psychiatry 143:1539-1545.
Roy, Pickar, De Jong, Karoum, Linnoila (1989) Suicidal behavior in depression: Relationship to noradrenergic function. Biological Psychiatry 25:341-350.
Schittecatte, Charles, Machowski, Wilmotte (1989) Tricyclic wash-out and growth hormone response to clonidine. British Journal of Psychiatry 154:858-863.
Secunda, Cross, Koslow, Katz, Kocsis, Maas, Landis (1986) Biochemistry and suicidal behavior in depressed patients. Biological Psychiatry 21:756-767.
Siever, Coccaro, Adan, Benjamin, Davis (1986) The growth hormone response to clonidine in acute and remitted affective disorder patients. Biological Psychiatry 1985 , C. Shagass, R.C. Josiassen, W.H. Bridger, K.S. Weiss, D. Stoff, G.M. Simpson, Elsevier, New York; 791.
Siever, Uhde (1984) New studies and perspectives on the noradrenergic receptor system in depression: Effects of the alpha-2-adrenergic agonist clonidine. Biological Psychiatry 19:131-156.
Siever, Uhde, Silberman, Jimerson, Aloi, Post, Murphy (1982) Growth hormone response to clonidine as a probe of noradrenergic receptor responsiveness in affective disorder patients and controls. Psychiatry Research 6:171-183.
Träskman, Åsberg, Bertilsson, Sjöstrand (1981) Monoamine metabolites in CSF and suicidal behavior. Archives of General Psychiatry 38:631-636.
Tulandi, Lal, Guyda (1987) Effect of estrogen on the growth hormone response to the alpha-adrenergic agonist clonidine in women with menopausal flushing. Journal of Clinical Endocrinology and Metabolism 65:6-10.
van Praag (1982) Depression, suicide and metabolism of serotonin in the brain. Journal of Affective Disorders 4:275-290.
van Praag (1983) CSF 5-HIAA and suicide in non-depressed schizophrenics. Lancet , (Letter); 2:977-978.
Zanko, Biegon (1983) Increased beta-adrenergic receptor binding in human frontal cortex of suicide victims. Abstracts of the 13th Annual Meeting of the Society for Neuroscience, Boston, MA, Abstract 210.5; .