Predicting suicidal ideation using multiple serum biomarkers in patients with acute coronary syndrome

Copyright © 2024 Elsevier B.V. All rights reserved..

BACKGROUND: Biomarkers for suicidal behavior in patients with acute coronary syndrome (ACS) have yet to be elucidated. This study aimed to identify a panel of serum biomarkers associated with suicidal ideation (SI) in patients with ACS.

METHODS: The study evaluated 969 patients within 2 weeks of ACS (acute phase) and 711 patients 12 months later (chronic phase). The evaluation included 14 serum biomarkers covering 7 functional systems, socio-demographic/clinical characteristics, and SI assessed by the "suicidal thoughts" item of the Montgomery-Åsberg Depression Rating Scale. Logistic regression models were used to analyze the data. The results showed that 195 patients (20.1 %) had SI in the acute phase, and 87 patients (12.2 %) had SI in the chronic phase.

RESULTS: A combination of five serum biomarkers (tumor necrosis factor-α, interleukin-1β, folate, troponin I, and creatine kinase-MB) was significantly associated with SI in the acute phase, and a combination of three serum biomarkers (tumor necrosis factor-α, interleukin-1β, and folate) was significantly associated with SI in the chronic phase in a clear dose-dependent manner (all P-values < 0.001) after adjustment for relevant covariates.

DISCUSSION: These findings suggest that the application of a combination of multiple serum biomarkers could improve the predictability of SI in patients with ACS at both acute and chronic phases.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:351

Enthalten in:

Journal of affective disorders - 351(2024) vom: 15. Feb., Seite 915-919

Sprache:

Englisch

Beteiligte Personen:

Kim, Jae-Min [VerfasserIn]
Kim, Ju-Wan [VerfasserIn]
Kang, Hee-Ju [VerfasserIn]
Choi, Wonsuk [VerfasserIn]
Lee, Ju-Yeon [VerfasserIn]
Kim, Sung-Wan [VerfasserIn]
Shin, Il-Seon [VerfasserIn]
Ahn, Youngkeun [VerfasserIn]
Jeong, Myung Ho [VerfasserIn]

Links:

Volltext

Themen:

935E97BOY8
Acute coronary syndrome
Biomarkers
Folic Acid
Interleukin-1beta
Journal Article
Multimodal biomarker
Prediction
Suicidal ideation
Tumor Necrosis Factor-alpha

Anmerkungen:

Date Completed 28.02.2024

Date Revised 28.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.jad.2024.02.008

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM368318877