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Serna-Rodríguez MF, Cienfuegos-Jiménez O, Cerda-Flores RM, Marino-Martínez IA, Hernández-Ordoñez MA, Ontiveros-Sánchez de la Barquera JA, Pérez-Maya AA. The Relationship Between CYP46A1 Polymorphism and Suicide Risk: A Preliminary Investigation. Neuromolecular Med 2024; 26:11. [PMID: 38592597 DOI: 10.1007/s12017-024-08779-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2024] [Accepted: 03/01/2024] [Indexed: 04/10/2024]
Abstract
Suicide is a global public health issue, with a particularly high incidence in individuals suffering from Major Depressive Disorder (MDD). The role of cholesterol in suicide risk remains controversial, prompting investigations into genetic markers that may be implicated. This study examines the association between CYP46A1 polymorphisms, specifically SNPs rs754203 and rs4900442, and suicide risk in a Mexican MDD patient cohort. Our study involved 188 unrelated suicide death victims, 126 MDD patients, and 144 non-suicidal controls. Genotypic and allelic frequencies were assessed using the Real Time-polymerase chain reaction method, and associations with suicide risk were evaluated using chi-square tests. The study revealed significant differences in allelic and genotypic frequencies in rs754203 SNP between suicide death and controls. The CYP46A1 rs754203 genotype G/G was significantly linked with suicide, and the G allele was associated with a higher risk of suicide (OR = 1.370, 95% CI = 1.002-1.873). However, we did not observe any significant differences in genotype distribution or allele frequencies of CYP46A1 rs4900442. Our study suggests that carriers of the CYP46A1 rs754203 G allele (A/G + G/G) may play a role in suicidal behavior, especially in males. Our findings support that the CYP46A1 gene may be involved in susceptibility to suicide, which has not been investigated previously. These results underscore the importance of further research in different populations to elucidate the genetic underpinnings of the role of CYP46A1 in suicide risk and to develop targeted interventions for at-risk populations.
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Affiliation(s)
- María Fernanda Serna-Rodríguez
- Departamento de Bioquímica y Medicina Molecular, Facultad de Medicina, Universidad Autónoma de Nuevo León, CP 64460, Monterrey, N.L., México
| | - Oscar Cienfuegos-Jiménez
- Centro de Investigación y Desarrollo, en Ciencias de la Salud de la Universidad Autónoma de Nuevo León, CP 64460, Monterrey, N.L., México
| | - Ricardo Martín Cerda-Flores
- Facultad de Enfermería, Universidad Autónoma de Nuevo León, Av. Dr. José Eleuterio González 1500, Mitras Centro, CP 64460, Monterrey, N.L., Mexico
| | - Iván Alberto Marino-Martínez
- Centro de Investigación y Desarrollo, en Ciencias de la Salud de la Universidad Autónoma de Nuevo León, CP 64460, Monterrey, N.L., México
| | - Mario Alberto Hernández-Ordoñez
- Departamento de Medicina Forense, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Francisco I. Madero y Av. Gonzalitos s/n, Mitras Centro, CP 64460, Monterrey, N.L., Mexico
| | - José Alfonso Ontiveros-Sánchez de la Barquera
- Departamento de Psiquiatría, Hospital Universitario "Dr. José Eleuterio González", Universidad Autónoma de Nuevo León, Av. Francisco I. Madero y Av. Gonzalitos s/n, Mitras Centro, CP 64460, Monterrey, N.L., Mexico
| | - Antonio Alí Pérez-Maya
- Departamento de Bioquímica y Medicina Molecular, Facultad de Medicina, Universidad Autónoma de Nuevo León, CP 64460, Monterrey, N.L., México.
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Garcia-Quiñones JA, Sánchez-Domínguez CN, Serna-Rodríguez MF, Marino-Martínez IA, Rivas-Estilla AM, Pérez-Maya AA. Genetic Variants Associated with Suicide Risk in the Mexican Population: A Systematic Literature Review. Arch Suicide Res 2024; 28:71-89. [PMID: 36772904 DOI: 10.1080/13811118.2023.2176269] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
Suicide is defined as the action of harming oneself with the intention of dying. It is estimated that worldwide, one person dies by suicide every 40 s, making it a major health problem. Studies in families have suggested that suicide has a genetic component, so the search for genetic variants associated with suicidal behavior could be useful as potential biomarkers to identify people at risk of suicide. In Mexico, some studies of gene variants related to neurotransmission and other important pathways have been carried out and potential association of variants located in the following genes has been suggested: SLC6A4, SAT-1, TPH-2, ANKK1, GSHR, SCARA50, RGS10, STK33, COMT, and FKBP5. This systematic review shows the genetic studies conducted on the Mexican population. This article contributes by compiling the existing information on genetic variants and genes associated with suicidal behavior, in the future could be used as potential biomarkers to identify people at risk of suicide.
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Hou H, Ding G, Zhao X, Meng Z, Xu J, Guo Z, Zheng Y, Li D, Wang W. Comparisons between protocols and publications of case-control studies: analysis of potential causes of non-reproducibility and recommendations for enhancing the quality of personalization in healthcare. EPMA J 2019; 10:101-108. [PMID: 31258815 DOI: 10.1007/s13167-019-00165-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2018] [Accepted: 03/08/2019] [Indexed: 01/16/2023]
Abstract
Background Selective reporting of results in published case-control studies has been widely suspected, but little comprehensive information on selective reporting is available with regard to case-control studies. We aimed to evaluate the concordance of findings between publications and the protocols of case-control studies and to assess the level of selective reporting of results in case-control studies. Methods The databases of Embase, Medline, Scopus, and Web of Science were searched to identify case-control study protocols published between January 1, 1990 and December 31, 2017. The numbers and characteristics of predefined exposures (or factors) were extracted from the protocols. The reported and unreported factors were both collected from the published studies and protocols. The frequency of selective reporting of results were estimated by identifying the discrepancies of factors between the protocols and the published studies. Study sample size and the extent of selective reporting of factors were measured by a Spearman correlation analysis. Results Fourteen protocols with 24 published studies and 159 factors were identified, of which eight protocols (57.1%) had discrepancies between the publications and protocols. The prevalence of incomplete reporting in published case-control studies was 42.9% (6/14), with participant characteristics, anthropometric and laboratory measurement variables more likely to be unreported. A total of 16,835 cases and 56,049 controls were recruited in the 14 protocols of case-control studies (sample size ranges from 428 to 52,596 per study). Sample size had no statistical significance with selective reporting of results (P > 0.05). Conclusion The study protocols should be publicly available prior to the completion of case-control studies so that the potential bias can be assessed by the readers. Our findings highlight the need for investigators, peer reviewers, and readers to exercise increased awareness and scrutiny due to the undesirable practice of selective reporting of results in medical sciences causing the loss of potentially important information, thus impacting quality of personalized attitude in healthcare in the context of the predictive, preventive, and personalized medicine.
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Affiliation(s)
- Haifeng Hou
- 1School of Public Health, Taishan Medical University, Taian, China.,2School of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027 Australia
| | - Guoyong Ding
- 1School of Public Health, Taishan Medical University, Taian, China
| | - Xuan Zhao
- 1School of Public Health, Taishan Medical University, Taian, China
| | - Zixiu Meng
- 1School of Public Health, Taishan Medical University, Taian, China
| | - Jiangmin Xu
- 3School of Health Sciences, Winston-Salem State University, Winston-Salem, USA
| | - Zheng Guo
- 2School of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027 Australia
| | - Yulu Zheng
- 2School of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027 Australia
| | - Dong Li
- 1School of Public Health, Taishan Medical University, Taian, China
| | - Wei Wang
- 1School of Public Health, Taishan Medical University, Taian, China.,2School of Medical and Health Sciences, Edith Cowan University, Perth, WA 6027 Australia
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Liu Y, Fan P, Zhang S, Wang Y, Liu D. Prioritization and comprehensive analysis of genes related to major depressive disorder. Mol Genet Genomic Med 2019; 7:e659. [PMID: 30968596 PMCID: PMC6565567 DOI: 10.1002/mgg3.659] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/23/2018] [Revised: 01/30/2019] [Accepted: 03/04/2019] [Indexed: 12/28/2022] Open
Abstract
Background Major depressive disorder (MDD) is a serious mental health problem in modern society, which is difficult to identify and diagnose in the early stages. Despite strong evidence supporting the heritability of MDD, progresses in large‐scale and individual genetic studies remain preliminary. Methods In this study, a multi‐data source‐based prioritization (MDSP) method was proposed, and an appropriate threshold was determined for the optimization of depression‐related genes (DEPgenes). Analyses on Gene Ontology biological processes, KEGG pathway and the specific pathway crosstalk network were further proposed. Results A total of 143 DEPgenes were identified and the MDD‐specific network was constructed for the pathogenesis investigation and therapeutic methods development of MDD. Comparing with existing research strategies, the genetic optimization and analysis results were confirmed to be reliable. Finally, the pathway enrichment and crosstalk analyses revealed two unique pathway interaction modules that were significantly enriched with MDD genes. The related core pathways of neuroactive ligand‐receptor interaction and dopaminergic synapse supported the neuropathology hypothesis of MDD. And the pathways of serotonergic synapse and morphine addiction indicated the mechanism of drug addiction caused by serotonin used in the treatment. Conclusions This work provided a reference for the study of MDD, although future validation by extensive experimentation is still required.
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Affiliation(s)
- Yi Liu
- ICUFirst Teaching Hospital of Tianjin University of Traditional Chinese MedicineTianjinP.R. China
| | - Pengfei Fan
- Organ Transplant CenterTianjin First Central HospitalTianjinP.R. China
| | - Shiyuan Zhang
- ICUFirst Teaching Hospital of Tianjin University of Traditional Chinese MedicineTianjinP.R. China
| | - Yidan Wang
- Clinical Practice Teaching CenterTianjin University of Traditional Chinese MedicineTianjinP.R. China
| | - Dan Liu
- Acupuncture DepartmentFirst Teaching Hospital of Tianjin University of Traditional Chinese MedicineTianjinP.R. China
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Abstract
Suicide is a serious public health problem in many countries and has always been a source of apprehension and quest to human mankind, which can be resolved with due diligence. Suicide is a hidden and silent epidemic, with many causative factors. Studying and researching on various causative factors have always been the subject of significance for the researchers. Psychiatric illnesses happen to be the primary reasons for the majority of suicide mortality cases. Not only this, there has been a consistent increase in the no. of cases of mental disorders as well as attempted and completed suicide cases. If one looks at global scenario, an approximate 70,000 people commit suicide, and further alarming is the fact that the rate of suicide attempt cases has gone up to 250% during last 18 years in conflict zones. Poisoning, hanging and self-immolation are some of the common methods to commit suicide. Physical and mental illness, disturbed emotional relationships and economic difficulties were the major reasons for suicide with the predisposed population being women, student and farmers. As per WHO's approximation, there is one suicide every minute and an attempted suicide every third second. It implies that the number of killed due to suicide is greater than that of the ones killed due to the armed conflict.
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Paes LA, Torre OHD, Henriques TB, de Mello MP, Celeri EHRV, Dalgalarrondo P, Guerra Júnior G, Dos Santos Júnior A. Association between serotonin 2C receptor gene (HTR2C) polymorphisms and psychopathological symptoms in children and adolescents. ACTA ACUST UNITED AC 2018; 51:e7252. [PMID: 29924134 PMCID: PMC6010321 DOI: 10.1590/1414-431x20187252] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2017] [Accepted: 04/20/2018] [Indexed: 01/01/2023]
Abstract
Serotonin 2C receptors (5HT2C) are involved in serotonin-driven dynamic
equilibrium adjustments responsible for homeostatic stability in brain
structures that modulate behavior and emotions. Single nucleotide polymorphisms
(SNPs) from the serotonin 2C receptor gene (HTR2C) have been
associated with several neurological and mental disorders, including
abnormalities in cognitive and emotional processes. The aim of this study was to
evaluate the association between the rs6318 SNP of the HTR2C
gene and behavioral characteristics exhibited by children and adolescents based
on the Child Behavior Checklist (CBCL/6-18) inventory. Eighty-five psychiatric
outpatients between 8 and 18 years of age underwent genotyping of the rs6318
SNP. The CBCL/6-18 scale was administered to their caregivers. The chi-squared
test was used to assess differences in the frequency of C and G alleles of the
rs6318 SNP relative to the grouped CBCL/6-18 scores; significance level was 5%.
The presence of the G allele of rs6318 was found to be associated with
characteristics of aggressive behavior and social problems, and aggressive
behavior was found to be associated with heterozygosis in females. These
findings contribute to the identification of mental and behavioral phenotypes
associated with gene expression.
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Affiliation(s)
- L A Paes
- Departamento de Psicologia Médica e Psiquiatria, Universidade Estadual de Campinas, Campinas, SP, Brasil
| | - O H Della Torre
- Departamento de Psicologia Médica e Psiquiatria, Universidade Estadual de Campinas, Campinas, SP, Brasil
| | - T B Henriques
- Centro de Biologia Molecular e Engenharia Genética, Universidade Estadual de Campinas, Campinas, SP, Brasil
| | - M P de Mello
- Centro de Biologia Molecular e Engenharia Genética, Universidade Estadual de Campinas, Campinas, SP, Brasil
| | - E H R V Celeri
- Departamento de Psicologia Médica e Psiquiatria, Universidade Estadual de Campinas, Campinas, SP, Brasil
| | - P Dalgalarrondo
- Departamento de Psicologia Médica e Psiquiatria, Universidade Estadual de Campinas, Campinas, SP, Brasil
| | - G Guerra Júnior
- Departamento de Pediatria, Universidade Estadual de Campinas, Campinas, SP, Brasil
| | - A Dos Santos Júnior
- Departamento de Psicologia Médica e Psiquiatria, Universidade Estadual de Campinas, Campinas, SP, Brasil
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The role of the Cys23Ser (rs6318) polymorphism of the HTR2C gene in suicidal behavior. Psychiatr Genet 2017; 27:199-209. [DOI: 10.1097/ypg.0000000000000184] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
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Bazrafshan MR, Sharif F, Molazem Z, Mani A. Exploring the risk factors contributing to suicide attempt among adolescents: A qualitative study. IRANIAN JOURNAL OF NURSING AND MIDWIFERY RESEARCH 2016; 21:93-9. [PMID: 26985229 PMCID: PMC4776568 DOI: 10.4103/1735-9066.174747] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Abstract
BACKGROUND Since suicide attempt among adolescents is a major challenge and the reasons why this age group attempt suicide are complex, the aim of this study was to investigate the risk factors that contribute to suicide attempt among adolescents. MATERIALS AND METHODS In this qualitative content analysis, 14 adolescents (12-19 years old) who were admitted in two hospitals in Shiraz, Iran, were interviewed. Participants who tried attempt suicide with medication were selected by purposive sampling and the data were gathered by semi-structured interviews. Data analysis was guided by the conventional approach of qualitative content analysis. RESULTS Three major themes and 13 subthemes emerged from data analysis. The main themes were: (a) Individual factors and experiences (psycho-emotional problems, puberty, religious beliefs, stress management strategies, marriage and love, field and level of education); (b) family factors (family structure, family relationship, family economic features, family health conditions); and (c) social factors (suicidal behavior in others, media influence, professional support). CONCLUSIONS This study identified three major themes related to suicide attempt among adolescents in the context. As a result, suicide prevention and care provision should formulate a comprehensive method, considering the interaction of medical besides individual, familiar, and social factors in their assessment and care provision.
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Affiliation(s)
- Mohammad-Rafi Bazrafshan
- Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Farkhondeh Sharif
- Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Molazem
- Department of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Arash Mani
- Research Centre for Psychiatry and Behavioral Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
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Reyes-Tovilla JE, Hernández Yánez HD, Peralta-Jiménez Y, Ramón-Frías T, Juárez-Rojop I, Pool-García S, Velázquez-Sánchez MP, López-Narvóez L, Fresán A, Tovilla-Zárate CA. Differences Between Patients that Made an Impulsive or Premeditated Suicide Attempt in a Mexican Population. Int J Psychiatry Med 2015; 49:63-74. [PMID: 25838321 DOI: 10.2190/pm.49.1.e] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
OBJECTIVE We performed a study to identify differences between patients with impulsive suicide attempt and those with premeditated suicide attempt in a Mexican population. METHOD We studied 144 patients who recently attempted suicide. Impulsive and premeditated suicide attempts were evaluated with the Suicide Intent Scale. These data were divided according to the type of attempt. Subsequently, the characteristics between the two groups were compared. RESULTS The rate of patients that made an impulsive attempt was 61.8% and only 9.7% of the patients carried out a premeditated suicide attempt. More years of schooling/education and less severity of the attempt were observed in patients that carried out an impulsive suicide attempt (p < 0.001). Alcohol consumption (0.003) and use of cannabis (0.002) were present in patients who premeditated a suicide attempt. CONCLUSIONS Our findings demonstrate that there are clinical differences among the individuals who carried out an impulsive suicide attempt from those who premeditated an attempt in a Mexican population. As a result, when planning interventions and prevention efforts it may be helpful to consider these clinical differences and demographic characteristics.
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Affiliation(s)
| | | | | | | | | | | | | | - Lilia López-Narvóez
- Centro de Investigación Genómica, Mexico and Hospital General de Yajalón. Mexico
| | - Ana Fresán
- Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Mexico
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Gender differences in socio-demographic, clinical characteristics and psychiatric diagnosis in/of suicide attempters in a Mexican population. Acta Neuropsychiatr 2015; 27:182-8. [PMID: 25686910 DOI: 10.1017/neu.2015.6] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
OBJECTIVE The aim of the present study was to analyse demographic and clinical characteristics, as well as psychiatric diagnoses to identify gender differences in patients with attempted suicide in a Mexican population. METHODS Between September 2010 and September 2012, 140 suicide attempts were documented in the Department of Psychiatry at the General Hospital of Comalcalco (Hospital General de Comalcalco in Spanish) in Tabasco, Mexico. Diagnoses were established using the DSM-IV questionnaire in which Axis I and II were considered. The Suicide Intent Scale was also applied. RESULTS In our sample, 63.6% were females and 36.4% males. With regard to socio-demographic characteristics, the predominant marital status in males was single, and in females married (χ2=5.93, df=2, p=0.05). In occupation the male group was mainly unemployed and housewife in females (χ2=55.51, df=4, p<0.001). Male subjects were more likely to consume alcohol (χ2=20.40, df=1, p≤0.001), cannabis (χ2=16.62, df=1, p≤0.001) or tobacco. The prevalence of psychiatric diagnosis was significantly different because, the male group was mainly diagnosed with substance-related disorders, whereas female participants showed a prevalence of stress-related disorders (χ2=34.17, gl=4, p=0.0001). CONCLUSION Our results provide evidence that the characteristics of suicide attempt are different by gender in the Mexican population. Interventions are necessary for the development of prevention strategies that may lead to a reduction in suicidal behaviour. These preventive activities should consider the occupation for the female group and consumption of alcohol, cannabis or tobacco in the male group.
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Thelma Beatriz GC, Isela JR, Alma G, María Lilia LN, Carlos Alfonso TZ. Association between HTR2C gene variants and suicidal behaviour: a protocol for the systematic review and meta-analysis of genetic studies. BMJ Open 2014; 4:e005423. [PMID: 25190618 PMCID: PMC4158196 DOI: 10.1136/bmjopen-2014-005423] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2014] [Revised: 08/19/2014] [Accepted: 08/20/2014] [Indexed: 01/11/2023] Open
Abstract
INTRODUCTION Suicide is an important public health problem and one of the most common causes of death throughout the world. Suicidal behaviour is complex, and its causes are multifactorial. Case-control studies have reported an association between an alteration of the serotonin system and suicidal behaviour. Recently, it has been suggested that the 5-HTRC2 serotonin receptor gene is involved in the pathogenesis of suicidal behaviour. METHODS AND ANALYSIS To evaluate the role of the 5-HTR2C gene in suicidal behaviour, we will perform a systematic review and a meta-analysis of worldwide reports that have investigated the association between the serotonin system and suicidal behaviour. This analysis will be reported following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) criteria. Studies deemed fit for inclusion in the systematic review will be scored for methodological quality using the Newcastle-Ottawa Assessment Scale (NOS). The inclusion criteria will be to present independent data, to be case-control studies and to be published in journal peer reviews. To generate more accurate analyses, we will grade the reports using the GRADES scale procedures. ETHICS AND DISSEMINATION This study will describe the association between the HTR2C gene and suicidal behaviour. The results will be reported in a peer-reviewed publication and in scientific presentations in Mexico and throughout the world. TRIAL REGISTRATION NUMBER PROSPERO CRD42014009213.
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Affiliation(s)
| | - Juárez-Rojop Isela
- División Académica de Ciencias de la Salud, Universidad Juárez Autónoma de Tabasco, Villahermosa, Tabasco, México
| | - Genis Alma
- Servicios de Atención Psiquiátrica (SAP), Secretaría de Salud, Instituto Nacional de Medicina Genómica (INMEGEN), México, Distrito Federal, México
| | | | - Tovilla-Zárate Carlos Alfonso
- División Académica Multidisciplinaria de Comalcalco, Universidad Juárez Autónoma de Tabasco, Comalcalco, Tabasco, México
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