학술논문

More folate intake, less suicide attempts: is there a link?
Document Type
article
Source
European Psychiatry, Vol 66, Pp S1114-S1114 (2023)
Subject
Psychiatry
RC435-571
Language
English
ISSN
0924-9338
1778-3585
Abstract
Introduction Suicide is a major health problem, mostly related to mental health disorders. However psychological autopsies have revealed the presence of unexpected suicide factors such as dietary patterns particularly folate intake. Which is a naturally occurring form of B9 essential for neurogenesis, nucleotide synthesis and methylation of homocysteine. Objectives The aim of our study is to identify the link between folate intake and suicidality. Methods Our literature review was based on the PubMed interface and adapted for 2 databases: Science Direct and Google Scholar using the following combination ( suicide [MeSH terms]) AND (folate [MeSH terms]) AND (prevention [MeSH terms]). Results Stress-induced neuronal dysfunctions interact with genetic and environmental factors, including diet, to precipitate mental health disorders in vulnerable or predisposed individuals especially mood disorders. In one hand, studies showed delayed onset of clinical improvement even treatment resistance in depressive patients treated with fluoxetine associated with low folate levels. In the other hand Folate depletion has been linked to serotoninergic metabolism disturb. Moreover, co-administration of methylfolate, a highly absorbable form of folic acid, has been found to augment the effects of SSRIs .A duration-response analysis (1-mg dosage) revealed a 5% decrease in suicidal events per month of additional treatment. Conclusions Accumulating data have shown that these nutrients can enhance neurocognitive function, and may have therapeutic benefits for depression and suicidal behaviors . But the pathological mechanism remains unclear that’s why further studies are needed for a better comprehension and efficiency. Disclosure of Interest None Declared