학술논문

Default mode and salience network alterations in suicidal and non-suicidal self-injurious thoughts and behaviors in adolescents with depression
Document Type
article
Source
Translational Psychiatry. 11(1)
Subject
Depression
Brain Disorders
Serious Mental Illness
Mental Health
Clinical Research
Neurosciences
Suicide
Pediatric
Behavioral and Social Science
2.3 Psychological
social and economic factors
Aetiology
Mental health
Adolescent
Humans
Magnetic Resonance Imaging
Self-Injurious Behavior
Suicidal Ideation
Clinical Sciences
Public Health and Health Services
Psychology
Language
Abstract
Suicidal ideation (SI) and non-suicidal self-injury (NSSI) are two distinct yet often co-occurring risk factors for suicide deaths in adolescents. Elucidating the neurobiological patterns that specifically characterize SI and NSSI in adolescents is needed to inform the use of these markers in intervention studies and to develop brain-based treatment targets. Here, we clinically assessed 70 adolescents-49 adolescents with depression and 21 healthy controls-to determine SI and NSSI history. Twenty-eight of the depressed adolescents had a history of SI and 29 had a history of NSSI (20 overlapping). All participants underwent a resting-state fMRI scan. We compared groups in network coherence of subdivisions of the central executive network (CEN), default mode network (DMN), and salience network (SN). We also examined group differences in between-network connectivity and explored brain-behavior correlations. Depressed adolescents with SI and with NSSI had lower coherence in the ventral DMN compared to those without SI or NSSI, respectively, and healthy controls (all ps