EEG Correlates of Suicide Ideation and Suicide Attempt: History
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Previous research suggests that electroencephalography (EEG) can play a key role in the evaluation of suicide risk. We systematically reviewed EEG resting state studies of adults with suicide ideation (SI) or with a history of suicide attempts (SAs). After searching for relevant studies using the PubMed and Web of Science databases, we applied the PRISMA method to exclude duplicates and studies that did not match our inclusion criteria. The selection process yielded seven studies, which suggest that imbalances in frontal and left temporal brain regions might reflect abnormal activation and correlate with psychological distress. Furthermore, asymmetrical activation in frontal and posterior cortical regions was detected in high-risk depressed persons, although the pattern in the frontal region was inverted in non-depressed persons. The literature reviewed suggests that SI and SA may be driven by separate neural circuits and that high-risk persons can be found within non-depressed populations. More research is needed to develop intelligent algorithms for the automated detection of high-risk EEG anomalies in the general population.

  • suicide risk assessment
  • resting state
  • electroencephalogram
  • EEG

1. Introduction

Suicide is a global phenomenon that involves individuals from all income groups worldwide and can be prevented if personalized interventions are timely implemented [1,2,3,4].Unfortunately, assessments based on interviews and questionnaires most often fail to reliably identify high-risk profiles [2,3]. In this context, hundreds of studies support the use of quantitative EEG (qEEG) to detect functional imbalances in the brain of suicidal persons. High risk EEG imbalances have been found to reflect poor ability to manage psychological suffering [22] in suicidal persons and independently play a role in the general population [26,27]. Moreover, it is known that antidepressant treatment may induce suicidal thoughts [34] and that these are associated with specific EEG changes [36,37,38]. Our results support the hypothesis proposing that SI and SA may be driven by separate neural circuits and that qEEG may contribute to reveal suicide risk in non-depressed populations.

This entry is adapted from the peer-reviewed paper 10.3390/jpm13060884

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