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Dissecting the Shared Genetic Architecture of Suicide Attempt, Psychiatric Disorders, and Known Risk Factors

. 2022 Feb 01 ; 91 (3) : 313-327. [epub] 20210909

Language English Country United States Media print-electronic

Document type Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't

Grant support
R01 MH121455 NIMH NIH HHS - United States
R01 MH104964 NIMH NIH HHS - United States
R01 MH123489 NIMH NIH HHS - United States
R01 MH124873 NIMH NIH HHS - United States
T32 GM007347 NIGMS NIH HHS - United States
R01 MH123451 NIMH NIH HHS - United States
T32 GM152284 NIGMS NIH HHS - United States
MRF_C0396 MRF - United Kingdom CEP Register
R01 MH116269 NIMH NIH HHS - United States
UL1 TR002538 NCATS NIH HHS - United States
G0200243 Medical Research Council - United Kingdom
MR/L010305/1 Medical Research Council - United Kingdom
S10 OD018522 NIH HHS - United States
MR/J000914/1 Medical Research Council - United Kingdom
R01 AA027522 NIAAA NIH HHS - United States
S10 OD026880 NIH HHS - United States
R01 MH119243 NIMH NIH HHS - United States
R01 MH123619 NIMH NIH HHS - United States

Links

PubMed 34861974
PubMed Central PMC8851871
DOI 10.1016/j.biopsych.2021.05.029
PII: S0006-3223(21)01570-5
Knihovny.cz E-resources

BACKGROUND: Suicide is a leading cause of death worldwide, and nonfatal suicide attempts, which occur far more frequently, are a major source of disability and social and economic burden. Both have substantial genetic etiology, which is partially shared and partially distinct from that of related psychiatric disorders. METHODS: We conducted a genome-wide association study (GWAS) of 29,782 suicide attempt (SA) cases and 519,961 controls in the International Suicide Genetics Consortium (ISGC). The GWAS of SA was conditioned on psychiatric disorders using GWAS summary statistics via multitrait-based conditional and joint analysis, to remove genetic effects on SA mediated by psychiatric disorders. We investigated the shared and divergent genetic architectures of SA, psychiatric disorders, and other known risk factors. RESULTS: Two loci reached genome-wide significance for SA: the major histocompatibility complex and an intergenic locus on chromosome 7, the latter of which remained associated with SA after conditioning on psychiatric disorders and replicated in an independent cohort from the Million Veteran Program. This locus has been implicated in risk-taking behavior, smoking, and insomnia. SA showed strong genetic correlation with psychiatric disorders, particularly major depression, and also with smoking, pain, risk-taking behavior, sleep disturbances, lower educational attainment, reproductive traits, lower socioeconomic status, and poorer general health. After conditioning on psychiatric disorders, the genetic correlations between SA and psychiatric disorders decreased, whereas those with nonpsychiatric traits remained largely unchanged. CONCLUSIONS: Our results identify a risk locus that contributes more strongly to SA than other phenotypes and suggest a shared underlying biology between SA and known risk factors that is not mediated by psychiatric disorders.

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