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Cholesterol and suicide attempts: A prospective study of depressed inpatients
Journal article   Peer reviewed

Cholesterol and suicide attempts: A prospective study of depressed inpatients

Jess G Fiedorowicz and William H Coryell
Psychiatry research, Vol.152(1), pp.11-20
07/30/2007
DOI: 10.1016/j.psychres.2006.09.003
PMCID: PMC1965495
PMID: 17360043

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Abstract

Low cholesterol levels have commonly been associated with various suicide measures. We sought to examine suicide attempts in a prospective sample of depressed patients that on prior analysis demonstrated an association between low cholesterol and subsequent suicide completions. Seventy-four inpatients with Research Diagnostic Criteria unipolar major depression, bipolar depression or schizoaffective depression entered a prospective follow-up study from 1978 - 1981. Kaplan-Meier survival analysis and Cox regression were utilized to elucidate the relationship between cholesterol levels and subsequent severe suicide attempts as well as all suicide attempts regardless of severity. Attempts preceding index hospitalization and other lifetime attempts were evaluated cross-sectionally. Low serum cholesterol levels did not predict subsequent suicide attempts. Contrary to our hypothesis, the high cholesterol group was associated with increased risk of suicide attempts on survival analysis in those less than median age. Nonetheless, in cross-sectional analysis, the low cholesterol group had more suicide attempts preceding index hospitalization and more remote lifetime attempts. The results from this prospective dataset do not support an association between low cholesterol and subsequent suicide attempts despite replicating the retrospective findings of previous case-control and cross-sectional studies.
bipolar depression risk factors prospective cohort study adult major depression suicide

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