The link between endocrine parameters, serum lithium concentrations, and cognitive functions among individuals with affective disorders at risk of suicidal behavior. A study protocol

Suicidal behavior is prevalent among individuals with mental disorders and constitutes a major global, clinical, and public health concern. It is generally accepted that the majority of persons who die by suicide are suffering from psychiatric disorders in most cases and that affective disorders mak...

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Veröffentlicht in:PloS one 2024-12, Vol.19 (12), p.e0311347
Hauptverfasser: Jakiene, Vilma, Zalsman, Gil, Burkauskas, Julius, Adomaitiene, Virginija, Zauka, Eimantas, Naginiene, Rima, Mickuviene, Narseta, Steibliene, Vesta
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creator Jakiene, Vilma
Zalsman, Gil
Burkauskas, Julius
Adomaitiene, Virginija
Zauka, Eimantas
Naginiene, Rima
Mickuviene, Narseta
Steibliene, Vesta
description Suicidal behavior is prevalent among individuals with mental disorders and constitutes a major global, clinical, and public health concern. It is generally accepted that the majority of persons who die by suicide are suffering from psychiatric disorders in most cases and that affective disorders make up the single commonest group. Suicide risk is highest during the years immediately following the onset of affective disorders; therefore, identifying risk factors and successful treatment of initially non-suicidal individuals with affective disorders can prevent developing suicidal behavior, help detecting, and predict it. Clarifying risk factors for individual types of major affective disorders could enhance earlier identification of suicidal risk, support preventive interventions and improve the treatment and prognosis of individuals at risk. We have developed a study protocol with the aim to address the complex interaction of endocrine parameters, lithium trace concentrations and cognitive functions with affective disorders and risk of suicidal behavior. A cross-sectional study will be done among individuals hospitalized after a suicidal attempt for treatment of affective disorders (group 1), hospitalized for the treatment of affective disorders without life time history of suicidal behavior (group 2), and control group individuals without life time history of mental disorders or suicidal behavior (group 3). Based on this study design we calculated the appropriate study sample size (N = 210). Venous blood samples of study participants will be collected for the evaluation of endocrine parameters, serum lithium concentrations, liver and kidney function. Data on sociodemographic factors, cognitive functions, history of mental disorders, and suicidality risk will be evaluated using validated questionnaires and instruments. Associations of endocrine parameters, serum lithium concentrations, cognitive functions, and suicidality risk will be analyzed using descriptive and inferential statistics, including linear and logistic regression. Based on this study design we calculated the appropriate study sample size (N = 210). Power analysis has shown that this sample size is appropriate for detection of significant differences between the groups. The findings of the potential influence of the associations between serum lithium trace concentrations, endocrine parameters, and cognitive functions on suicidality risk in individuals with affective disorders may help clinic
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A study protocol</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2024-12-16</date><risdate>2024</risdate><volume>19</volume><issue>12</issue><spage>e0311347</spage><pages>e0311347-</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>Suicidal behavior is prevalent among individuals with mental disorders and constitutes a major global, clinical, and public health concern. It is generally accepted that the majority of persons who die by suicide are suffering from psychiatric disorders in most cases and that affective disorders make up the single commonest group. Suicide risk is highest during the years immediately following the onset of affective disorders; therefore, identifying risk factors and successful treatment of initially non-suicidal individuals with affective disorders can prevent developing suicidal behavior, help detecting, and predict it. Clarifying risk factors for individual types of major affective disorders could enhance earlier identification of suicidal risk, support preventive interventions and improve the treatment and prognosis of individuals at risk. We have developed a study protocol with the aim to address the complex interaction of endocrine parameters, lithium trace concentrations and cognitive functions with affective disorders and risk of suicidal behavior. A cross-sectional study will be done among individuals hospitalized after a suicidal attempt for treatment of affective disorders (group 1), hospitalized for the treatment of affective disorders without life time history of suicidal behavior (group 2), and control group individuals without life time history of mental disorders or suicidal behavior (group 3). Based on this study design we calculated the appropriate study sample size (N = 210). Venous blood samples of study participants will be collected for the evaluation of endocrine parameters, serum lithium concentrations, liver and kidney function. Data on sociodemographic factors, cognitive functions, history of mental disorders, and suicidality risk will be evaluated using validated questionnaires and instruments. Associations of endocrine parameters, serum lithium concentrations, cognitive functions, and suicidality risk will be analyzed using descriptive and inferential statistics, including linear and logistic regression. Based on this study design we calculated the appropriate study sample size (N = 210). Power analysis has shown that this sample size is appropriate for detection of significant differences between the groups. The findings of the potential influence of the associations between serum lithium trace concentrations, endocrine parameters, and cognitive functions on suicidality risk in individuals with affective disorders may help clinicians effectively plan suicide prevention and timely implement actions for treatment.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>39680516</pmid><doi>10.1371/journal.pone.0311347</doi><tpages>e0311347</tpages><orcidid>https://orcid.org/0000-0002-3361-5074</orcidid><orcidid>https://orcid.org/0000-0002-3928-2151</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; DOAJ Directory of Open Access Journals; Public Library of Science (PLoS) Journals Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry
subjects Adult
Affective disorders
Analysis
Behavior
Biological markers
Biology and Life Sciences
Care and treatment
Causes of
Cognition - physiology
Cognition disorders
Cognitive ability
Control equipment
Cross-Sectional Studies
Development and progression
Diagnosis
Emotional behavior
Female
Forecasts and trends
Group dynamics
Hormones
Humans
Lithium
Lithium - blood
Lithium - therapeutic use
Liver diseases
Male
Medical research
Medicine and Health Sciences
Medicine, Experimental
Mental disorders
Mentally ill
Middle Aged
Mood Disorders - blood
Parameter identification
Physical Sciences
Properties
Public health
Risk Factors
Risk taking
Social Sciences
Statistical analysis
Study Protocol
Suicidal behavior
Suicidal Ideation
Suicide
Suicide - psychology
Suicide, Attempted
Suicides & suicide attempts
title The link between endocrine parameters, serum lithium concentrations, and cognitive functions among individuals with affective disorders at risk of suicidal behavior. A study protocol
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