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Inflammatory Parameters in Patients with Suicide Attempts by Drug Overdose: A Comparative Study with a Comparison
Süleyman Baş1, Betül Danapınar2, Büşra Çetintulum Aydın3
1Department of Internal Medicine, University of Health Sciences, Sancaktepe Sehit Prof. Dr. Ilhan Varank Training and Research Hospital, 34785 Istanbul, Turkey.
Inflammatory markers, especially the CRP-to-albumin ratio (CAR), are linked to suicide attempts. These simple blood tests may help assess suicide risk.
Area of Science:
- Psychiatry
- Immunology
- Biochemistry
Background:
- The link between psychiatric conditions and systemic inflammation is not fully understood.
- Inflammation may contribute to the biological basis of suicidal behavior.
Purpose of the Study:
- To examine the association between inflammatory markers and hemogram-derived indices in suicide attempt survivors.
- Focus on patients who attempted suicide via oral drug overdose.
Main Methods:
- Retrospective comparative study of 343 suicide attempters and 421 healthy controls.
- Analyzed C-reactive protein (CRP), albumin, complete blood count, and derived indices like CAR, NLR, SIII, PLR, and MLR.
Main Results:
- Suicide attempters showed higher CRP, leukocyte, neutrophil, and monocyte levels.
- Elevated CAR, NLR, SIII, and MLR were observed in attempters; PLR did not differ.
- CAR demonstrated the highest discriminative ability for suicide attempts via ROC analysis.
Conclusions:
- Hemogram-derived inflammatory indices, particularly CAR, are significantly associated with suicide attempts.
- These accessible biomarkers may offer insights into suicide risk assessment.
- Further prospective research is required to validate these findings.
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