Neurobiology of Suicide Looks like a Stress
Response
• Stress hormones cortisol and CRF are elevated in blood
or CSF of suicide attempters of future suicides.
• Fewer prefrontal CRF receptors in suicide victims suggest
excess CRF release.
• Evidence in brain of suicides of more NE release (more
tyrosine hydroxylase and beta-adrenergic desentization ).
• Abuse history in childhood associated with excessive adult
stress responses in terms of both cortisol and NE.
• Fewer noradrenergic neurons in depressed suicides means
lower functional capacity and prone to NE depletion.
• Low norepinephrine may favor more pessimism.