Pain, Reward, Attention and Neurocircuitry: Biomarkers of Suicidality
Study Details
Study Description
Brief Summary
The ultimate aim of this study is to identify a biomarker of suicide risk in MDD by measuring the "hedonic spectrum" (pain and reward responsivity), attention and its associated brain structures using brain scans (fMRI and DTI), as well as the stability of markers over time.
Condition or Disease | Intervention/Treatment | Phase |
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Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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MDD with SI and No Attempt Subjects will have MDD with current MDE, current suicidal ideation and no lifetime suicide attempts |
Other: No intervention
|
MDD with SI and Recent Attempt Subjects with have MDD with current MDE, current suicidal ideation and a suicide attempt within the past 6 months |
Other: No intervention
|
MDD with no SI and Lifetime Attempt Subjects with MDD and current MDE but no current suicidal ideation and a lifetime suicide attempt. |
Other: No intervention
|
Healthy Controls Subjects will have no personal or family psychiatric history and no suicide attempts. |
Other: No intervention
|
Outcome Measures
Primary Outcome Measures
- Potential biomarkers for suicide risk including brain scans, genomic or proteomic makers, task performance [12 months]
Eligibility Criteria
Criteria
Inclusion Criteria:
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DSM-5 criteria for Major Depressive Episode within a MDD, confirmed through MINI diagnosis104
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Ages between 18 and 70 years
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Hamilton Depression Rating Scale - 17 item (HAMD-17) > 14
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Capable of giving informed consent
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Groups 1 and 2 participants only: HAMD-17 item 3 (suicide) > 2
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Group 2 participants only: positive history of a suicide attempt within the last six months
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Group 3 participants only: positive history of a lifetime suicide attempt
Exclusion Criteria:
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Pregnancy/lactation
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Medical condition requiring immediate investigation or treatment
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Recent (< 6 months)/current history of drug abuse/dependence (other than caffeine, or nicotine)
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Lifetime history of psychosis, Bipolar I or Bipolar II; other Axis I comorbidities are allowable
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No current Axis II diagnosis, confirmed by International Personality Disorder Examination (IPDE)
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Participation in experimental treatment trials for the study duration.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Sakina Rizvi | Toronto | Ontario | Canada | M5B1M8 |
Sponsors and Collaborators
- Unity Health Toronto
Investigators
- Principal Investigator: Sakina Rizvi, PhD, Unity Health Toronto
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- SBIO-01