title: Low plasma BDNF is associated with suicidal behavior in major depression.
abstract: Brain-derived neurotrophic factor (BDNF), the most abundant neurotrophin in the brain, has a known association with the pathophysiology of anxiety and depression. However, the role of BDNF in suicide has not been well investigated to date. This study examined plasma BDNF levels in 32 major depressive disorder (MDD) patients who had recently attempted suicide, 32 non-suicidal MDD patients, and 30 normal controls. The lethality of the suicide attempt was measured using the Risk-Rescue Rating (RRR) and Lethality Suicide Attempt Rating Scale (LSARS). The severity of depression was measured with the Hamilton Depression Rating Scale (HDRS). Plasma BDNF levels were measured by enzyme linked immunosorbent assay. BDNF levels were significantly lower in suicidal MDD patients (430.5+/-397.0 pg/ml) than non-suicidal MDD patients (875.80+/-663.02 pg/ml) or normal controls (889.4+/-611.3 pg/ml) (F=6.682, p=0.002). The most suitable cut-off point of BDNF level between suicidal depression and non-suicidal depression groups was 444.58 pg/ml. At this cut-off point, the sensitivity=68.7%, specificity=78.1%, positive predictive value=75.9%, and negative predictive value=71.4%. However, there was no significant difference in BDNF levels between the depressive control and normal control groups (p=0.996). LSARS and RRR did not reveal any significant correlations with BDNF levels in suicidal patients. In addition, BDNF levels were not different between fatal and non-fatal suicide attempts. These results suggest that reduction of plasma BDNF level is related to suicidal behavior in major depression and that BDNF level may be a biological marker of suicidal depression.
authors.affiliation: Department of Psychiatry, College of Medicine, Korea University, Korea. yongku@korea.ac.kr
authors.forename: Yong-Ku
authors.initials: YK
authors.lastname: Kim
authors.forename: Heung-Pyo
authors.initials: HP
authors.lastname: Lee
authors.forename: Sung-Doo
authors.initials: SD
authors.lastname: Won
authors.forename: Eun-Young
authors.initials: EY
authors.lastname: Park
authors.forename: Hwa-Young
authors.initials: HY
authors.lastname: Lee
authors.forename: Bun-Hee
authors.initials: BH
authors.lastname: Lee
authors.forename: Sung-Woo
authors.initials: SW
authors.lastname: Lee
authors.forename: Dokyung
authors.initials: D
authors.lastname: Yoon
authors.forename: Changsu
authors.initials: C
authors.lastname: Han
authors.forename: Dai-Jin
authors.initials: DJ
authors.lastname: Kim
authors.forename: So-Hyun
authors.initials: SH
authors.lastname: Choi
mesh_terms: D000328:Adult; D000339:Affect; D019208:Brain-Derived Neurotrophic Factor / Q000097:blood*; D003865:Major Depressive Disorder / Q000097:blood* / Q000523:psychology*; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012372:ROC Curve; D012306:Risk; D013406:Suicide, Attempted / Q000523:psychology*
chemical_list: D019208:Brain-Derived Neurotrophic Factor