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Archival Report| Volume 70, ISSUE 4, P320-326, August 15, 2011

Suicidal Behavior Is Associated with Reduced Corpus Callosum Area

  • Fabienne Cyprien
    Affiliations
    Institut National de la Sante et de la Recherche Medicale (INSERM), Unit 1061, Neuropsychiatry, Epidemiological and Clinical Research, La Colombière Hospital, Montpellier, France

    University of Montpellier I, Montpellier, France

    Centre Hospitalier Régional Universitaire de Montpellier, Montpellier, France
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  • Philippe Courtet
    Affiliations
    Institut National de la Sante et de la Recherche Medicale (INSERM), Unit 1061, Neuropsychiatry, Epidemiological and Clinical Research, La Colombière Hospital, Montpellier, France

    University of Montpellier I, Montpellier, France

    Centre Hospitalier Régional Universitaire de Montpellier, Montpellier, France
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  • Alain Malafosse
    Affiliations
    Institut National de la Sante et de la Recherche Medicale (INSERM), Unit 1061, Neuropsychiatry, Epidemiological and Clinical Research, La Colombière Hospital, Montpellier, France

    Department of Psychiatry, University of Geneva, Geneva, Switzerland
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  • Jerome Maller
    Affiliations
    Monash Alfred Psychiatry Research Centre, Alfred and Monash University School of Psychology and Psychiatry, Melbourne, Australia
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  • Chantal Meslin
    Affiliations
    Centre for Mental Health Research, Australian National University, Canberra, Australia
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  • Alain Bonafé
    Affiliations
    University of Montpellier I, Montpellier, France

    Centre Hospitalier Régional Universitaire de Montpellier, Montpellier, France
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  • Emmanuelle Le Bars
    Affiliations
    University of Montpellier I, Montpellier, France

    Centre Hospitalier Régional Universitaire de Montpellier, Montpellier, France
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  • Nicolas Menjot de Champfleur
    Affiliations
    University of Montpellier I, Montpellier, France

    Centre Hospitalier Régional Universitaire de Montpellier, Montpellier, France
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  • Karen Ritchie
    Affiliations
    Institut National de la Sante et de la Recherche Medicale (INSERM), Unit 1061, Neuropsychiatry, Epidemiological and Clinical Research, La Colombière Hospital, Montpellier, France

    University of Montpellier I, Montpellier, France

    Faculty of Medicine, Imperial College, St. Mary's Hospital, London, United Kingdom
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  • Sylvaine Artero
    Correspondence
    Address correspondence to Sylvaine Artero, Ph.D., Institut National de la Sante et de la Recherche Medicale, U888, La Colombière Hospital, 34093 Montpellier cedex 5, France
    Affiliations
    Institut National de la Sante et de la Recherche Medicale (INSERM), Unit 1061, Neuropsychiatry, Epidemiological and Clinical Research, La Colombière Hospital, Montpellier, France

    University of Montpellier I, Montpellier, France
    Search for articles by this author

      Background

      Corpus callosum (CC) size has been associated with cognitive and emotional deficits in a range of neuropsychiatric and mood disorders. As such deficits are also found in suicidal behavior, we investigated specifically the association between CC atrophy and suicidal behavior.

      Methods

      We studied 435 right-handed individuals without dementia from a cohort of community-dwelling persons aged 65 years and over (the ESPRIT study). They were divided in three groups: suicide attempters (n = 21), affective control subjects (AC) (n = 180) without history of suicide attempt but with a history of depression, and healthy control subjects (HC) (n = 234). T1-weighted magnetic resonance images were traced to measure the midsagittal areas of the anterior, mid, and posterior CC. Multivariate analysis of covariance was used to compare CC areas in the three groups.

      Results

      Multivariate analyses adjusted for age, gender, childhood trauma, head trauma, and total brain volume showed that the area of the posterior third of CC was significantly smaller in suicide attempters than in AC (p = .020) and HC (p = .010) individuals. No significant differences were found between AC and HC. No differences were found for the anterior and mid thirds of the CC.

      Conclusions

      Our findings emphasize a reduced size of the posterior third of the CC in subjects with a history of suicide, suggesting a diminished interhemispheric connectivity and a possible role of CC in the pathophysiology of suicidal behavior. Further studies are needed to strengthen these results and clarify the underlying cellular changes leading to these morphometric differences.

      Key Words

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      References

        • Witelson S.F.
        The brain connection: The corpus callosum is larger in left-handers.
        Science. 1985; 229: 665-668
        • Witelson S.F.
        Hand and sex differences in the isthmus and genu of the human corpus callosum.
        Brain. 1989; 112: 799-835
        • Steinmetz H.
        • Staiger J.F.
        • Schlaug G.
        • Huang Y.
        • Jäncke L.
        Corpus callosum and brain volume in women and men.
        Neuroreport. 1995; 6: 1002-1004
        • Ryberg C.
        • Rostrup E.
        • Stegmann M.B.
        • Barkhof F.
        • Scheltens P.
        • van Straaten E.C.
        • et al.
        Clinical significance of corpus callosum atrophy in a mixed elderly population.
        Neurobiol Aging. 2007; 28: 955-963
        • Teicher M.H.
        • Andersen S.L.
        • Polcari A.
        • Anderson C.M.
        • Navalta C.P.
        • Kim D.M.
        The neurobiological consequences of early stress and childhood maltreatment.
        Neurosci Biobehav Rev. 2003; 27: 33-44
        • Teicher M.H.
        • Dumont N.L.
        • Ito Y.
        • Vaituzis C.
        • Giedd J.N.
        • Andersen S.L.
        Childhood neglect is associated with reduced corpus callosum area.
        Biol Psychiatry. 2004; 56: 80-85
        • Hampel H.
        • Teipel S.J.
        • Alexander G.E.
        • Horwitz B.
        • Teichberg D.
        • Schapiro M.B.
        • Rapoport S.I.
        Corpus callosum atrophy is a possible indicator of region- and cell type-specific neuronal degeneration in Alzheimer disease: A magnetic resonance imaging analysis.
        Arch Neurol. 1998; 55: 193-198
        • Teipel S.J.
        • Hampel H.
        • Alexander G.E.
        • Schapiro M.B.
        • Horwitz B.
        • Teichberg D.
        • et al.
        Dissociation between corpus callosum atrophy and white matter pathology in Alzheimer's disease.
        Neurology. 1998; 51: 1381-1385
        • Di Paola M.
        • Di Iulio F.
        • Cherubini A.
        • Blundo C.
        • Casini A.R.
        • Sancesario G.
        • et al.
        When, where, and how the corpus callosum changes in MCI and AD: A multimodal MRI study.
        Neurology. 2010; 74: 1136-1142
        • Frazier T.W.
        • Hardan A.Y.
        A meta-analysis of the corpus callosum in autism.
        Biol Psychiatry. 2009; 66: 935-941
        • Egaas B.
        • Courchesne E.
        • Saitoh O.
        Reduced size of corpus callosum in autism.
        Arch Neurol. 1995; 52: 794-801
        • Hardan A.Y.
        • Pabalan M.
        • Gupta N.
        • Bansal R.
        • Melhem N.M.
        • Fedorov S.
        • et al.
        Corpus callosum volume in children with autism.
        Psychiatry Res. 2009; 174: 57-61
        • Sun J.
        • Maller J.J.
        • Daskalakis Z.J.
        • Furtado C.C.
        • Fitzgerald P.B.
        Morphology of the corpus callosum in treatment-resistant schizophrenia and major depression.
        Acta Psychiatr Scand. 2009; 120: 265-273
        • Whitford T.J.
        • Kubicki M.
        • Schneiderman J.S.
        • O'Donnell L.J.
        • King R.
        • Alvarado J.L.
        • et al.
        Corpus callosum abnormalities and their association with psychotic symptoms in patients with schizophrenia.
        Biol Psychiatry. 2010; 68: 70-77
        • Lacerda A.L.
        • Brambilla P.
        • Sassi R.B.
        • Nicoletti M.A.
        • Mallinger A.G.
        • Frank E.
        • et al.
        Anatomical MRI study of corpus callosum in unipolar depression.
        J Psychiatr Res. 2005; 39: 347-354
        • Yang Q.
        • Huang X.
        • Hong N.
        • Yu X.
        White matter microstructural abnormalities in late-life depression.
        Int Psychogeriatr. 2007; 19: 757-766
        • Arnone D.
        • McIntosh A.M.
        • Chandra P.
        • Ebmeier K.P.
        Meta-analysis of magnetic resonance imaging studies of the corpus callosum in bipolar disorder.
        Acta Psychiatr Scand. 2008; 118: 357-362
        • Caetano S.C.
        • Silveira C.M.
        • Kaur S.
        • Nicoletti M.
        • Hatch J.P.
        • Brambilla P.
        • et al.
        Abnormal corpus callosum myelination in pediatric bipolar patients.
        J Affect Disord. 2008; 108: 297-301
        • Lopez-Larson M.
        • Breeze J.L.
        • Kennedy D.N.
        • Hodge S.M.
        • Tang L.
        • Moore C.
        • et al.
        Age-related changes in the corpus callosum in early-onset bipolar disorder assessed using volumetric and cross-sectional measurements.
        Brain Imaging Behav. 2010; 4: 220-231
        • Soares J.C.
        • Mann J.J.
        The functional neuroanatomy of mood disorders.
        J Psychiatr Res. 1997; 31: 393-432
        • Soares J.C.
        • Mann J.J.
        The anatomy of mood disorders––review of structural neuroimaging studies.
        Biol Psychiatry. 1997; 41: 86-106
        • Bellani M.
        • Yeh P.H.
        • Tansella M.
        • Balestrieri M.
        • Soares J.C.
        • Brambilla P.
        DTI studies of corpus callosum in bipolar disorder.
        Biochem Soc Trans. 2009; 37: 1096-1098
        • Mann J.J.
        Neurobiology of suicidal behaviour.
        Nat Rev Neurosci. 2003; 4: 819-828
        • Jollant F.
        • Lawrence N.S.
        • Giampietro V.
        • Brammer M.J.
        • Fullana M.A.
        • Drapier D.
        • et al.
        Orbitofrontal cortex response to angry faces in men with histories of suicide attempts.
        Am J Psychiatry. 2008; 165: 740-748
        • Jollant F.
        • Guillaume S.
        • Jaussent I.
        • Castelnau D.
        • Malafosse A.
        • Courtet P.
        Impaired decision-making in suicide attempters may increase the risk of problems in affective relationships.
        J Affect Disord. 2007; 99: 59-62
        • Pollock L.R.
        • Williams J.M.
        Problem solving and suicidal behavior.
        Suicide Life Threat Behav. 1998; 28: 375-387
        • Matsuo K.
        • Nielsen N.
        • Nicoletti M.A.
        • Hatch J.P.
        • Monkul E.S.
        • Watanabe Y.
        • et al.
        Anterior genu corpus callosum and impulsivity in suicidal patients with bipolar disorder.
        Neurosci Lett. 2010; 469: 75-80
        • Oquendo M.A.
        • Baca-García E.
        • Mann J.J.
        • Giner J.
        Issues for DSM-V: Suicidal behavior as a separate diagnosis on a separate axis.
        Am J Psychiatry. 2008; 165: 1383-1384
        • Oldfield R.C.
        The assessment and analysis of handedness: The Edinburgh inventory.
        Neuropsychologia. 1971; 9: 97-113
        • Lecrubier Y.
        • Sheehnan D.
        • Weiller E.
        • Amorim P.
        • Bonora I.
        • Janavs J.
        • Dunbar G.
        The MINI International Neuropsychiatric Interview (MINI), a short diagnostic interview: Reliability and validity according to the CIDI.
        Eur Psychiatry. 1997; 12: 232-241
        • American Psychiatric Association
        Diagnostic and Statistical Manual of Mental Disorders (DSM-IV). American Psychiatric Association, Washington, DC1994
        • Radloff L.
        The CES-D Scale: A self report depression scale for research in the general population.
        Applied Psychological Measurement. 1977; 1: 385-401
        • Bernstein D.P.
        • Stein J.A.
        • Newcomb M.D.
        • Walker E.
        • Pogge D.
        • Ahluvalia T.
        • et al.
        Development and validation of a brief screening version of the Childhood Trauma Questionnaire.
        Child Abus Negl. 2003; 27: 169-190
        • Folstein M.F.
        • Folstein S.E.
        • McHugh P.R.
        ”Mini-mental state”.
        J Psychiatr Res. 1975; 12: 189-198
        • Mackinnon A.
        • Ritchie K.
        • Mulligan R.
        The measurement properties of a French language adaptation of the National Adult Reading Test.
        Int J Methods Psychiatr Res. 1999; 8: 27-38
        • Talairach J.
        • Tourneaux P.
        Referentially Oriented Cerebral MRI Anatomy: Atlas of Stereotaxic Anatomical Correlations for Gray and White Matter.
        Thieme Medical Publishers Inc., New-York1993
        • Anstey K.J.
        • Mack H.A.
        • Christensen H.
        • Li S.C.
        • Reglade-Meslin C.
        • Maller J.
        • et al.
        Corpus callosum size, reaction time speed and variability in mild cognitive disorders and in a normative sample.
        Neuropsychologia. 2007; 45: 1911-1920
        • Beauchamp M.H.
        • Anderson V.A.
        • Catroppa C.
        • Maller J.J.
        • Godfrey C.
        • Rosenfeld J.V.
        • Kean M.
        Implications of reduced callosal area for social skills after severe traumatic brain injury in children.
        J Neurotrauma. 2009; 26: 1645-1654
        • Panizzon M.S.
        • Hoff A.L.
        • Nordahl T.E.
        • Kremen W.S.
        • Reisman B.
        • Wieneke M.
        • et al.
        Sex differences in the corpus callosum of patients with schizophrenia.
        Schizophr Res. 2003; 62: 115-122
        • Shrout P.E.
        • Fleiss J.L.
        Intraclass correlations: Uses in assessing rater reliability.
        Psychol Bull. 1979; 86: 420-428
        • Zarei M.
        • Johansen-Berg H.
        • Smith S.
        • Ciccarelli O.
        • Thompson A.J.
        • Matthews P.M.
        Functional anatomy of interhemispheric cortical connections in the human brain.
        J Anat. 2006; 209: 311-320
        • Strauss E.
        • Wada J.
        • Hunter M.
        Callosal morphology and performance on intelligence tests.
        J Clin Exp Neuropsychol. 1994; 16: 79-83
        • Luders E.
        • Narr K.L.
        • Bilder R.M.
        • Thompson P.M.
        • Szeszko P.R.
        • Hamilton L.
        • Toga A.W.
        Positive correlations between corpus callosum thickness and intelligence.
        Neuroimage. 2007; 37: 1457-1464
        • Jung R.E.
        • Haier R.J.
        The Parieto-Frontal Integration Theory (P-FIT) of intelligence: Converging neuroimaging evidence.
        Behav Brain Sci. 2007; 30 (discussion 154–187): 135-154
        • Fitch R.H.
        • Berrebi A.S.
        • Cowell P.E.
        • Schrott L.M.
        • Denenberg V.H.
        Corpus callosum: Effects of neonatal hormones on sexual dimorphism in the rat.
        Brain Res. 1990; 515: 111-116
        • Witelson S.F.
        Neural sexual mosaicism: Sexual differentiation of the human temporo-parietal region for functional asymmetry.
        Psychoneuroendocrinology. 1991; 16: 131-153
        • Moffat S.D.
        • Hampson E.
        • Wickett J.C.
        • Vernon P.A.
        • Lee D.H.
        Testosterone is correlated with regional morphology of the human corpus callosum.
        Brain Res. 1997; 767: 297-304
        • Markianos M.
        • Tripodianakis J.
        • Istikoglou C.
        • Rouvali O.
        • Christopoulos M.
        • Papageorgopoulos P.
        • Seretis A.
        Suicide attempt by jumping: A study of gonadal axis hormones in male suicide attempters versus men who fell by accident.
        Psychiatry Res. 2009; 170: 82-85
        • Gustavsson G.
        • Träskman-Bendz L.
        • Higley J.D.
        • Westrin A.
        CSF testosterone in 43 male suicide attempters.
        Eur Neuropsychopharmacol. 2003; 13: 105-109
        • Perez-Rodriguez M.M.
        • Lopez-Castroman J.
        • Martinez-Vigo M.
        • Diaz-Sastre C.
        • Ceverino A.
        • Núñez-Beltrán A.
        • et al.
        Lack of Association between testosterone and suicide attempts.
        Neuropsychobiology. 2011; 63: 125-130
        • Baca-Garcia E.
        • Diaz-Sastre C.
        • Ceverino A.
        • Perez-Rodriguez M.M.
        • Navarro-Jimenez R.
        • Lopez-Castroman J.
        • et al.
        Suicide attempts among women during low estradiol/low progesterone states.
        J Psychiatr Res. 2010; 44: 209-214
        • Bimonte H.A.
        • Holly Fitch R.
        • Denenberg V.H.
        Adult ovary transfer counteracts the callosal enlargement resulting from prepubertal ovariectomy.
        Brain Res. 2000; 872: 254-257
        • Denenberg V.H.
        • Yutzey D.A.
        Hemispheric laterality, behavioral asymmetry, and the effect of early experience in rats.
        in: Glick S.D. Cerebral Lateralisation in Nonhuman Species. Academic Press, Orlando, FL1985: 109-133
        • Teicher M.H.
        • Samson J.A.
        • Sheu Y.S.
        • Polcari A.
        • McGreenery C.E.
        Hurtful words: Association of exposure to peer verbal abuse with elevated psychiatric symptom scores and corpus callosum abnormalities.
        Am J Psychiatry. 2010; 167: 1464-1471
        • Andersen S.L.
        • Tomada A.
        • Vincow E.S.
        • Valente E.
        • Polcari A.
        • Teicher M.H.
        Preliminary evidence for sensitive periods in the effect of childhood sexual abuse on regional brain development.
        J Neuropsychiatry Clin Neurosci. 2008; 20: 292-301

      Linked Article

      • Evidence for Neurodegeneration and Neuroplasticity as Part of the Neurobiology of Suicide
        Biological PsychiatryVol. 70Issue 4
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          Two manuscripts appear in this issue of Biological Psychiatry involving suicide. Ernst et al. (1) found reduced expression of connexin 30 and connexin 43, which regulate calcium transients in the lateral prefrontal cortex of suicide completers. It is thought that astrocytes express connexins and it is argued that altered connexins affect astrocyte function, which could contribute to suicide. Cyprien et al. (2) found that the size of the caudal third of the corpus callosum was reduced in a group of suicide attempters.
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