alexa Suicidality and epilepsy: a neuropsychobiological perspective.
Psychiatry

Psychiatry

Journal of Depression and Anxiety

Author(s): Hecimovic H, Salpekar J, Kanner AM, Barry JJ

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Abstract People with epilepsy (PWE) are at increased risk of experiencing suicidal ideation, displaying suicidal behavior, and committing suicide than the general population. The relationship between suicidality and epilepsy is complex and multifactorial in which operant pathogenic mechanisms include epilepsy-related variables, personal and familial psychiatric history, and iatrogenic effects. Furthermore, a bidirectional relationship between suicidality and epilepsy has suggested the existence of common neurobiological pathogenic mechanisms operant in both conditions and including disturbances of several neurotransmitters, in particular, serotonin (5HT), norepinephrine (NE), glutamate (GTE), and γ-aminobutyric acid (GABA), and disturbances of the hypothalamic-pituitary-adrenal axis (HPAA), which, in turn, can result in abnormal secretion of some of these neurotransmitters. The purpose of this article is to review these common neurobiological pathogenic mechanisms. Copyright © 2011. Published by Elsevier Inc. This article was published in Epilepsy Behav and referenced in Journal of Depression and Anxiety

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