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Clinical application of low serum cholesterol as an indicator for suicide risk in major depression.
J Affect Disord. 2004 Aug; 81(2):161-6.JA

Abstract

BACKGROUND

Serum total cholesterol is reported to be associated with suicidality and violence. We explored the clinical applicability of low serum total cholesterol as an indicator for suicide risk in major depression.

METHOD

We measured the serum cholesterol levels in 149 major depressive disorder patients admitted to an emergency room following a suicide attempt, in 149 non-suicidal depressive controls, and in 251 normal controls.

RESULTS

Significant differences in total serum cholesterol levels were observed between the suicide patients and non-suicide depression patients and between violent suicide patients and non-violent suicide patients when age, sex, BMI and total serum protein levels were controlled. The cutoff point of 180 mg/dl gave a high sensitivity (82%), and the cutoff point 150 mg/dl gave a high specificity (72%). These points can be used as discriminative cutoffs between suicidal and non-suicidal depressive patients.

LIMITATIONS

A longitudinal study is necessary to confirm the clinical applicability of serum cholesterol as a predictive indicator of suicide risk in depression.

CONCLUSION

The results suggest that total cholesterol level may be a useful biological marker for the risk of suicide in depression patients.

Authors+Show Affiliations

Department of Psychiatry, Korea University College of Medicine, Seoul, South Korea. yongku@korea.ac.krNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15306143

Citation

Kim, Yong-Ku, and Aye-Mu Myint. "Clinical Application of Low Serum Cholesterol as an Indicator for Suicide Risk in Major Depression." Journal of Affective Disorders, vol. 81, no. 2, 2004, pp. 161-6.
Kim YK, Myint AM. Clinical application of low serum cholesterol as an indicator for suicide risk in major depression. J Affect Disord. 2004;81(2):161-6.
Kim, Y. K., & Myint, A. M. (2004). Clinical application of low serum cholesterol as an indicator for suicide risk in major depression. Journal of Affective Disorders, 81(2), 161-6.
Kim YK, Myint AM. Clinical Application of Low Serum Cholesterol as an Indicator for Suicide Risk in Major Depression. J Affect Disord. 2004;81(2):161-6. PubMed PMID: 15306143.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical application of low serum cholesterol as an indicator for suicide risk in major depression. AU - Kim,Yong-Ku, AU - Myint,Aye-Mu, PY - 2003/02/25/received PY - 2003/06/24/revised PY - 2003/06/26/accepted PY - 2004/8/13/pubmed PY - 2004/12/16/medline PY - 2004/8/13/entrez SP - 161 EP - 6 JF - Journal of affective disorders JO - J Affect Disord VL - 81 IS - 2 N2 - BACKGROUND: Serum total cholesterol is reported to be associated with suicidality and violence. We explored the clinical applicability of low serum total cholesterol as an indicator for suicide risk in major depression. METHOD: We measured the serum cholesterol levels in 149 major depressive disorder patients admitted to an emergency room following a suicide attempt, in 149 non-suicidal depressive controls, and in 251 normal controls. RESULTS: Significant differences in total serum cholesterol levels were observed between the suicide patients and non-suicide depression patients and between violent suicide patients and non-violent suicide patients when age, sex, BMI and total serum protein levels were controlled. The cutoff point of 180 mg/dl gave a high sensitivity (82%), and the cutoff point 150 mg/dl gave a high specificity (72%). These points can be used as discriminative cutoffs between suicidal and non-suicidal depressive patients. LIMITATIONS: A longitudinal study is necessary to confirm the clinical applicability of serum cholesterol as a predictive indicator of suicide risk in depression. CONCLUSION: The results suggest that total cholesterol level may be a useful biological marker for the risk of suicide in depression patients. SN - 0165-0327 UR - https://www.unboundmedicine.com/medline/citation/15306143/Clinical_application_of_low_serum_cholesterol_as_an_indicator_for_suicide_risk_in_major_depression_ DB - PRIME DP - Unbound Medicine ER -