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January 1, 2022Bratislavské lekárske listy/Bratislava medical journalOpen Access

Drug overdose suicide attempts are associated with ~21% higher NLR at admission versus discharge.

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Why the study?

The study aimed to investigate changes in the inflammatory markers NLR, PLR, and MPV in patients who attempted suicide by taking drugs.

Population

124 patients admitted to the emergency department after attempting suicide by taking drugs

Comparison

Values at emergency department admission vs at discharge

Design

Retrospective study

Follow-up

24-72 hours

Key result

In patients who attempted suicide by taking drugs, the neutrophil/lymphocyte ratio was significantly higher at the time of admission compared to discharge (median 2.23 vs 1.84, p<0.001).

Authors

MAMustafa AkkuşPDPınar Zehra DavarcıSBSüleyman Baş

Discussion

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Overview

May flag acute stress in recent drug-overdose attempts; hypothesis-generating for prospective suicide-risk stratification.

Study Design

Type

Cross-Sectional (n=124)

Multicenter

No

Structured PICO

P
Population
124 patients aged 18 to 65 years who attempted suicide by taking drugs, evaluated at emergency admission and after 24-72 hours of observation.
O
Outcome
Changes in neutrophil/lymphocyte ratio (NLR), platelet/lymphocyte ratio (PLR) and mean platelet volume (MPV) between admission and dischargesurrogate

Main Result

Absolute Event Rate: 2.23% vs 1.84%

p-value: p=<0.001

Inflammatory markers such as NLR and PLR are elevated at the time of drug-induced suicide attempts compared to discharge.

Limitations

  • Potential effect of taken drugs on hemogram parameters has not been fully isolated
  • Possible effect of previous psychiatric illness on inflammation
  • Absence of a healthy control group

Cite This Study

Akkuş et al. (2022) conducted a cross-sectional in Suicide attempt by taking drugs (n=124). Suicide attempt by taking drugs (admission) vs. Discharge (24-72 hours post-admission) was evaluated on Neutrophil/lymphocyte ratio (NLR) (p=<0.001). In patients who attempted suicide by taking drugs, the neutrophil/lymphocyte ratio was significantly higher at the time of admission compared to discharge (median 2.23 vs 1.84, p<0.001).

synapsesocial.com/papers/6aa81ec53da0e7dbac7137dahttps://doi.org/10.4149/bll_2022_067
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Neutrophil-to-lymphocyte ratio: A potential new peripheral biomarker of suicidal behavior2020 · 105 citations
  2. 2Platelet and Inflammatory Hematological Markers in Persons Who Attempt Suicide: A Hospital-based Case–Control Study2026
  3. 3The relationship between suicidal behavior and hematological inflammatory parameters: a retrospective cohort study2026
  4. 4Mean platelet volume and neutrophil to lymphocyte ratio as parameters to indicate the severity of suicide attempt2018 · 47 citations
  5. 5Inflammatory Parameters in Patients with Suicide Attempts by Drug Overdose: A Comparative Study with a Comparison Group2026