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[Suicidal ideation and behaviors: a transdiagnostic dimension for precision psychiatry].

Aiste Lengvenyte, Emilie Olié, Marion Leboyer, Philippe Courtet

Medecine sciences : M/S May 1, 2025 DOI: 10.1051/medsci/2025066 (opens in new tab)

Study at a glance

AI-extracted from the abstract
Characteristics Review Peer reviewed
Interventions Lithium Ketamine
Keywords Suicide-research Neurobiology-mental-health Biomarkers-medicine Personalized-psychiatry Suicide-prevention
Key findings Suicidal thoughts and behaviors represent a transdiagnostic dimension with specific biological mechanisms and treatments.

Abstract

Suicidal thoughts and behaviors represent a transdiagnostic dimension independent of traditional psychiatric diagnoses. This specificity is supported by genetic studies, biomarkers, and preclinical research on endophenotypes associated with suicidal behaviors, such as impulsivity, anhedonia, and hopelessness. Clear mechanisms involving inflammation, the stress response, the serotonergic system, and neuroplasticity are emerging. Specific treatments, such as lithium and ketamine, target these mechanisms. The French Minds cohort of the PEPR PROPSY will identify the biological signatures and trajectories of this dimension using comprehensive multimodal approaches.