A COMPARATIVE STUDY OF INFLAMMATORY MARKER HIGHLY SENSITIVE C-REACTIVE PROTEIN BETWEEN DEPRESSION PATIENTS WITH SUICIDAL ATTEMPT AND DEPRESSION PATIENTS WITH SUICIDAL IDEATION
Abstract
BACKGROUND: Suicidal ideation and attempt in context of depression is very common. Many studies
have demonstrated an association between suicidal behaviour and inammatory markers primarily
CRP. We explore a clinical inammatory marker (CRP) in psychiatric patients hospitalized in an acute adult inpatient facility
following suicidal attempt and ideation
AIMS: To compare hsCRP levels between depression patients with suicidal attempt and suicidal ideation.
Methodology: Comparison of 25 depression patients with suicidal attempt and 25 depression patients with suicidal ideation
was done, diagnosis as per ICD10. Hamilton Depression Rating Scale (HDRS-17), Beck Scale for Suicidal Ideation (BSSI),
Suicide behaviour Questionnaire- Revised (SBQ-R), were applied for assessment of depression and suicidality. Highly
sensitive CRP was measured using autoanalyzer.
RESULTS: hsCRP levels were signicantly high in depression patients with suicidal attempt (6.11 mg/dl) than depression with
suicidal ideation (2.14 mg/dl). Duration of illness, HAM-D, BSSI & SBQ-R scores correlated positively with hsCRP levels.
CONCLUSION: Depression with suicidal attempt patients demonstrated a statistically higher hs-CRP levels than depression
with suicidal ideation. Patients of depression with suicidal attempt have a strong positive correlation between hs-CRP levels
and HAM-D, BSSI & SBQ-R scores.
Keywords
Full Text:
PDFReferences
Klonsky ED, May AM, Saffer BY Suicide, Suicide Attempts, and Suicidal Ideation, Annu Rev Clin Psychol. 2016;12:307-30. doi: 10.1146/annurev-clinpsy-021815-093204. Epub 2016 Jan 11.
Brundin L, Erhardt S, Bryleva EY, Achtyes ED, Postolache TT. The role of inflammation in suicidal behaviour. Acta Psychiatr Scand. 2015;132(3):192–203. doi:10.1111/acps.12458
Thompson, D., Pepys, M.B., Wood, S.P., 1999. The physiological structure of human C-reactive protein and its complex with phosphocholine. Structure 7 (2), 169e177.
Courtet P1, Jaussent I2, Genty C1, Dupuy AM3, Guillaume S1, Ducasse D4, Olié E1 Increased CRP levels may be a trait marker of suicidal attempt.Eur Neuropsychopharmacol. 2015 Oct;25(10):1824-31
Suchankova, P., et al., 2013. The þ1444C>T polymorphism in the CRP gene: a study on personality traits and suicidal behaviour. Psychiatr. Genet. 23 (2), 70e76.
O'Donovan, A., et al., 2013. Suicidal ideation is associated with elevated inflammation in patients with major depressive disorder. Depress. Anxiety 30 (4), 307e314.
Gibbs HM1, Davis L2, Han X2, Clothier J2, Eads LA2, Cáceda R2.Association between C-reactive protein and suicidal behavior in an adult inpatient population. J Psychiatr Res. 2016 Aug;79:28-33.
Loas G1, Dalleau E2, Lecointe H2, Yon V2.Relationships between anhedonia, alexithymia, impulsivity, suicidal ideation, recent suicide attempt, C-reactive protein and serum lipid levels among 122 inpatients with mood or anxious disorders. Psychiatry Res. 2016 Dec 30;246:296-302
E Gambji, D. De Berardis i -3, D. Campanella A. Carano G. Sepedel , G. Salini, A retrospective evaluation of the inflammatory marker c-reactive protein (CRP), cholesterol and high-density lipoproteins in patients with major depression: Preliminary findings, European journal of inflammation vol. 3, no. 3,127-134 (2005)
Ryoung JinPark, Yang HyunKim Association between high sensitivity CRP and suicidal ideation in the Korean general population 10.1016/j.euroneuro.2017.06.010
World Health Organization. The ICD‑10 Classification of Mental and Behavioural Disorders: Diagnostic Criteria for Research. Geneva: World Health Organization; 1993. p. 89‑103.
Hamilton M. A rating scale for depression. J Neurol Neurosurg Psychiatry 1960;23:56‑62.
Beck A, Kovacs M, Assessment of Suicidal Intention:The Scale for Suicide IdeationJournal of Consulting and Clinical Psychology 1979, Vol. 47, No. 2, 343-352
Osman, A; Bagge, CL; Gutierrez, PM; Konick, LC; Kopper, BA; Barrios, FX (December 2001). "The Suicidal Behaviors Questionnaire-Revised (SBQ-R): validation with clinical and nonclinical samples". Assessment. 8 (4): 443–54. doi:10.1177/107319110100800409
Islam, Md.R. and Adnan, R. (2017) Socio-Demographic Factors and Their Correlation with the Severity of Major Depressive Disorder: A Population Based Study. World Journal of Neuroscience , 7, 193-202. https://doi.org/10.4236/wjns.2017.72014
Maqbool Dar, Mohammad & Tarfarosh, Shah Faisal Ahmad & Manzoor Kullah, Shahid & Mushtaq, Raheel & Manzoor, Mushbiq & Maqbool, Sumaira. (2016). Socio-Demographic and Clinical Profile of Patients Suffering from Severe Depressive Disorders in Kashmir Valley. International Journal of Contemporary Medical Research. 3. 3389-3392.
Okeafor CU, Chukwujekwu CD, Olose EO (2017) Socio Demographic Correlates of Depressed Patients Attending a Tertiary Hospital in Nigeria. J Addict Res Ther 8:313. doi:10.4172/2155-6105.1000313
Sanja Musić Milanović, Katja Erjavec, Tamara Poljičanin, Božena Vrabec & Petrana Brečić: Prevalence of depression symptoms and associated socio-demographic factors in primary health care patients Psychiatria Danubina, 2015; Vol. 27, No. 1, pp 31–37
Kessler RC, Borges G, Walters EE. Prevalence of and risk factors for lifetime suicide attempts in the National Comorbidity Survey. Arch Gen Psychiatry 1999;56:617–26.
Poongothai S, Pradeepa R, Ganesan A, Mohan V (2009) Prevalence of Depression in a Large Urban South Indian Population — The Chennai Urban Rural Epidemiology Study (Cures – 70). PLOS ONE 4(9): e7185. https://doi.org/10.1371/journal.pone.0007185.
Bagadia VN, Shah LP, Pradhan PV, Gada MT. A double blind controlled study of amoxapine and imipramine in cases of depression. Curr Ther Res. 1979;26:417–29.
Srivastava A S, Kumar R. Suicidal ideation and attempts in patients with major depression: Sociodemographic and clinical variables. Indian J Psychiatry 2005;47:225-8
Solomon DA, Keller MB, Leon AC, Mueller TI, Shea MT, Warshaw M, Maser JD, Coryell W, Endicott J Arch Gen Psychiatry. 1997 Nov; 54(11):1001-6
Yang F, Li Y, Xie D, Shao C, Ren J, Wu W, et al. Age at onset of major depressive disorder in Han Chinese women: relationship with clinical features and family history. J Affect Disord. 2011;135:89–94.
Narang RL, Mishra BP, Mohan N. Attempted suicide in Ludhiana. Indian J Psychiatry 2000;42:83–7.
Hawton K, Comabella C, Haw C, Saunders K et al. Risk factors for suicide in individuals with depression: A systematic review Journal of Affective Disorders Volume 147, Issues 1–3, May 2013, Pages 17-28
Franklin JC, Ribeiro JD, Fox KR, et al. Risk factors for suicidal thoughts and behaviors: a meta-analysis of 50 years of research. Psychol Bull. 2017;143:187-232.
Coentre R, Faravelli C, Figueira ML. Assessment of depression and suicidal behaviour among medical students in Portugal. Int J Med Educ. 2016;7:354–363. Published 2016 Oct 29. doi:10.5116/ijme.57f8.c468
Krogh, Jesper & Benros, Michael & Balslev Jørgensen, Martin & Vesterager, Lone & Elfving, Betina & Nordentoft, Merete. (2013). The association between depressive symptoms, cognitive function, and inflammation in major depression. Brain, behavior, and immunity. 35. 10.1016/j.bbi.2013.08.014.
Ma Y, Chiriboga DE, Pagoto SL, Rosal MC, Li W, Merriam PA, Hebert JR, Whited M, Ockene IS. (2011). Association between Depression and C-Reactive Protein. Preventive and Behavioral Medicine Publications. https://doi.org/10.4061/2011/286509
Refbacks
- There are currently no refbacks.