Journal of Shandong University (Health Sciences) ›› 2021, Vol. 59 ›› Issue (11): 84-92.doi: 10.6040/j.issn.1671-7554.0.2021.0470

Previous Articles     Next Articles

Associations between self-harm behavior and psychosocial-polymorphism in female freshmen

XU Xiaoming1, ZENG Qi2, CAO Jun1, CHEN Xiaorong2, LYU Zhen2, WANG Wo2, AI Ming1, KONG Yiting1, KUANG Li1   

  1. 1.Department of Psychiatry, The First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China;
    2. Mental Health Center, University-Town Hospital of Chongqing Medical University, Chongqing 401331, China
  • Published:2021-11-11

Abstract: Objective To explore the factors associated with self-harm behavior in female freshmen by using multi-modal data such as single nucleotide polymorphisms(SNPs)of serotonin receptor gene, social demographic characteristics, and psychological characteristics. Methods iMLDRTM multiplex SNP typing was used to detect 4 SNPs, i. e., rs878567, rs10042486, rs1364043, and rs1423691, in HTR1A gene and 9 SNPs, i. e., rs3125, rs1745837, rs1928042, rs2770296, rs731779, rs6313, rs2070037, rs6311, and rs2070040, in HTR2A gene from 68 female freshmen with self-harm behavior(self-harm group)and 46 healthy controls(control group). The genotypes, alleles, and haplotype frequencies were compared. Additionally, the gene-psychosocial-self-harm interaction was analyzed. Results There were significant differences in the family history of mental illness, structured clinical interview for SCID diagnosis, impulsive personality, aggressive personality, and internet addiction behavior between the self-harm and control group(P<0.05). There was no significant difference in the frequencies of genotypes and alleles of the 13 candidate SNPs between the self-harm and control groups. In the dominant model, the G/T-T/T genotype in rs1364043 locus in self-harm group was 2.19(95%CI=1.01-4.74)times of that in the control group. rs10042486-rs1364043-rs1423691-rs878567 in HTR1A gene and rs2770296-rs731779-rs2070037-rs2070040-rs6313-rs6311 in HTR2A gene showed strong linkage disequilibrium, respectively. There was no significant difference in haplotypes between the self-harm and control groups(P>0.05, adjusted for age, economic level, BMI, chronic somatic disease, family history of mental illness, SCID diagnosis, aggressive personality, impulsive personality, and internet addiction). The interaction between rs6313 and rs6311 loci and impulsive personality showed a significant difference between the control and self-harm groups. Similarly, after the interaction of rs10042486, rs1423691, and rs878567 loci with internet addiction behavior and SCID diagnosis, respectively, significant differences have been shown between the self-harm and control groups(P<0.05). Conclusion The SNPs of the HTR1A and HTR2A gene are related to the self-harm behavior in the female freshmen or play an indirect role through interaction with impulsive personality, internet addiction, or diagnosis of mental disorders.

Key words: Female, University students, Self-harm, Psychosocial factors, Single nucleotide polymorphisms, HTR1A, HTR2A

CLC Number: 

  • C320.57
[1] 操军, 艾明, 况利, 等.重庆市大学生自杀未遂及其影响因素的调查分析[J].第三军医大学学报, 2013, 35(24): 2692-2696. CAO Jun, AI Ming, KUANG Li, et al. Survey on suicide attempts and influencing factors of college students in Chongqing[J]. Acta Academiae Medicinae Militaris Tertiae, 2013, 35(24): 2692-2696.
[2] 沈岩, 况利. 重庆地区女性大学生自杀未遂的特征分析[J].现代医学, 2014, 42(3): 237-240. SHEN Yan, KUANG Li. Characteristics of suicide attempters in female college student in Chongqing[J]. Modern Medical Journal, 2014, 42(3): 237-240.
[3] Liu ZZ, Chen H, Bo QG, et al. Psychological and behavioral characteristics of suicide attempts and non-suicidal self-injury in Chinese adolescents[J]. J Affect Disord, 2018, 226: 287-293. doi: 10.1016/j.jad.2017.10.010.
[4] Rodway C, Tham SG, Ibrahim S, et al. Suicide in children and young people in England: a consecutive case series[J]. Lancet Psychiatry, 2016, 3(8): 751-759.
[5] Turecki G, Brent DA. Suicide and suicidal behaviour[J]. Lancet, 2016, 387(10024): 1227-1239.
[6] Beckman K, Lysell H, Haglund A, et al. Prognoses after self-harm in youth: exploring the gender factor[J]. Soc Psychiatry Psychiatr Epidemiol, 2019, 54(4): 437-444.
[7] OConnor RC, Wetherall K, Cleare S, et al. Suicide attempts and non-suicidal self-harm: national prevalence study of young adults[J]. BJPsych Open, 2018, 4(3): 142-148.
[8] Wilkinson PO, Qiu T, Neufeld S, et al. Sporadic and recurrent non-suicidal self-injury before age 14 and incident onset of psychiatric disorders by 17 years: prospective cohort study[J]. Br J Psychiatry, 2018, 212(4): 222-226.
[9] Groschwitz RC, Kaess M, Fischer G, et al. The association of non-suicidal self-injury and suicidal behavior according to DSM-5 in adolescent psychiatric inpatients[J]. Psychiatry Res, 2015, 228(3): 454-461.
[10] 刘耀, 况利, 艾明, 等. 重庆市大学生自杀冲动及攻击行为的性别差异分析[J].中国学校卫生, 2015, 36(3): 333-336. LIU Yao, KUANG Li, AI Ming, et al. Investigation of gender differences of suicidal, impulsive and aggressive behavior among Chongqing students[J]. Chinese Journal of School Health, 2015, 36(3): 333-336.
[11] 周东东,况利,艾明,等.重庆市大学生非自杀性自伤及其影响因素分析[J].重庆医科大学学报, 2016, 41(1): 94-97. ZHOU Dongdong, KUANG Li, AI Ming, et al. Non-suicidal self-injury and its related factor among college students in Chongqing[J]. Journal of Chongqing Medical University, 2016, 41(1): 94-97.
[12] 梁素改,闫敬,朱翠珍,等.中学生非自杀性自伤的危险因素研究[J].中华行为医学与脑科学杂志, 2014, 23(11): 1013-1016. LIANG Sugai, YAN Jing, ZHU Cuizhen, et al. The prevalence and risk factors for non-suicidal self injury among middle school students[J]. Chinese Journal of Behavioral Medicine and Brain Science, 2014, 23(11): 1013-1016.
[13] Pan PY, Yeh CB. Internet addiction among adolescents may predict self-harm/suicidal behavior: a prospective study[J]. J Pediatr, 2018, 197: 262-267. doi: 10.1016/j.jpeds.2018. 01.046.
[14] Franklin JC, Ribeiro JD, Fox KR, et al. Risk factors for suicidal thoughts and behaviors: a meta-analysis of 50 years of research[J]. Psychol Bull, 2017, 143(2): 187-232. doi:10.1037/ bul0000084.
[15] Celada P, Bortolozzi A, Artigas F. Serotonin 5-HT1A receptors as targets for agents to treat psychiatric disorders: rationale and current status of research[J]. CNS Drugs, 2013, 27(9): 703-716. doi:10.1007/s40263-013-0071-0.
[16] Ghasemi A, Seifi M, Baybordi F, et al. Association between serotonin 2A receptor genetic variations, stressful life events and suicide[J]. Gene, 2018, 658(5): 191-197. doi:10.1016/j. gene. 2018.03.023.
[17] 王永柏,王嘉凯,刚清伟,等.5-羟色胺1A受体基因-1019C/G多态性与自杀行为关联的meta分析[J].中国心理卫生杂志, 2015, 29(2): 98-104. WANG Yongbai, WANG Jiakai, GANG Qingwei, et al. Association of serotonin 1A receptor gene variants with suicidal behavior: a meta-analysis[J]. Chinese Mental Health Journal, 2015, 29(2): 98-104.
[18] 邱晓惠,马靖松,宋珺瑶,等.5-羟色胺受体相关基因与自杀行为相关性[J].中国公共卫生, 2015, 31(9): 1147-1150. QIU Xiaohui, MA Jingsong, SONG Junyao, et al. Association between serotonin receptor genes and suicide behavior[J]. Chinese Journal of Public Health, 2015, 31(9): 1147-1150.
[19] Cabrera-Mendoza B, Fresno C, Monroy-Jaramillo N, et al. Sex differences in brain gene expression among suicide completers[J]. J Affect Disord, 2020, 267: 67-77. doi:10.1016/j.jad.2020.01.167.
[20] Hou Y, Gao Y, Zhang Y, et al. Interaction between ELMO1 gene polymorphisms and environment factors on susceptibility to diabetic nephropathy in Chinese Han population[J]. Diabetol Metab Syndr, 2019, 11: 97. doi: 10.1186/s13098-019-0492-0.
[21] Zhou F, Wang N, Zhou L, et al. Methylenetetrahydrofolate reductase gene A1298C polymorphism and gene-environment interactions are associated with carotid plaque in a south Chinese population[J]. Int J Clin Exp Pathol, 2017, 10(9): 9744-9752.
[22] Ben-Efraim YJ, Wasserman D, Wasserman J, et al. Family-based study of HTR2A in suicide attempts: observed gene, gene × environment and parent-of-origin associations[J]. Mol Psychiatry, 2013, 18(7): 758-766. doi:10.1038/mp.2012.86.
[23] Hong S, Liu YS, Cao B, et al. Identification of suicidality in adolescent major depressive disorder patients using sMRI: a machine learning approach[J]. J Affect Disord, 2021, 280(1): 72-76.
[24] Barak-Corren Y, Castro VM, Nock MK, et al. Validation of an electronic health record-based suicide risk prediction modeling approach across multiple health care systems[J]. JAMA Network Open, 2020, 3(3): e201262. doi: 10.1001/jamanetworkopen.2020.1262.
[25] 李献云,费立鹏,徐东,等. Barratt冲动性量表中文修订版在社区和大学人群中应用的信效度[J].中国心理卫生杂志, 2011, 25(8): 610-615. LI Xianyun, PHILLIPS Michael R, XU Dong, et al. Reliability and validity of an adapted Chines version of Barratt Impulsiveness Scale[J]. Chinese Mental Health Journal, 2011, 25(8): 610-615.
[26] 李献云,费立鹏,张亚利,等. Buss和Perry攻击问卷中文版的修订和信效度[J].中国神经精神疾病杂志, 2011, 37(10): 607-613. LI Xianyun, PHILLIPS Michael R, ZHANG Yali, et al. Development, reliability and validity of the Chinese of Buss & Perry Aggression Questionnaire[J]. Chinese Journal of Nervous and Mental Diseases, 2011, 37(10): 607-613.
[27] 邵袁菁,陈雪,齐宜维,等.芜湖市医学生网络成瘾现状及影响因素[J].锦州医科大学学报, 2017, 38(5): 84-87. SHAO Yuanjing, CHEN Xue, QI Yiwei, et al. Present situation and influencing factors of internet addiction among medical students in Wuhu City[J]. Journal of Jinzhou Medical University, 2017, 38(5): 84-87.
[28] 曹建琴,杨金伟,杨军,等.网络成瘾损害量表的信度和效度研究[J]. 中国全科医学, 2010, 13(34): 3903-3905. CAO Jianqin, YANG Jinwei, YANG Jun, et al. Reliability an validity on internet addiction impairment indexes[J]. Chinese General Practice, 2010, 13(34): 3903-3905.
[29] 徐小明. 青年人自伤行为的遗传多态性研究[D].重庆:重庆医科大学, 2013.
[30] Solé X, Guinó E, Valls J, et al. SNPStats: a web tool for the analysis of association studies[J]. Bioinformatics, 2006, 22(15): 1928-1929.
[31] Van HC, Audenaert K, Van L, et al. Prefrontal 5-HT2a receptor binding index, hopelessness and personality characteristics in attempted suicide[J]. J Affect Disord, 2003, 74(2): 149-158.
[32] Serretti A, Calati R, Giegling I, et al. Serotonin receptor HTR1A and HTR2C variants and personality traits in suicide attempters and controls[J]. J Psychiatr Res, 2009, 43(5): 519-525.
[33] Mirkovic B, Laurent C, Podlipski MA, et al. Genetic association studies of suicidal behavior: a review of the past 10 years, progress, limitations, and future directions[J]. Front Psychiatry, 2016, 7: 158. doi: 10.3389/fpsyt.2016.00158.
[34] Han D, Qiao Z, Qi D, et al. Epistatic interaction between 5-HT1A and vascular endothelial growth factor gene polymorphisms in the northern Chinese Han population with major depressive disorder[J]. Front Psychiatry, 2019, 10: 218. doi: 10.3389/fpsyt.2019.00218.
[35] Kato M, Fukuda T, Wakeno M, et al. Effect of 5-HT1A gene polymorphisms on antidepressant response in major depressive disorder[J]. Am J Med Genet B Neuropsychiatr Genet, 2009, 150(1): 115-123.
[36] Takekita Y, Fabbri C, Kato M, et al. HTR1A polymorphisms and clinical efficacy of antipsychotic drug treatment in schizophrenia: a Meta-analysis[J]. Int J Neuropsychopharmacol, 2016, 19(5): pyv125. doi: 10.1093/ijnp/pyv125.
[37] Dong ZQ, Li XR, He L, et al. 5-HTR1A and 5-HTR2A genetic polymorphisms and SSRI antidepressant response in depressive Chinese patients[J]. Neuropsychiatr Dis Treat, 2016, 12: 1623-1629. doi: 10.2147/NDT.S93562.
[38] Zhang R, Bi Y, Niu W, et al. Association study of 5-HT1A, 5-HT2A polymorphisms with schizophrenia and major depressive disorder in the Han Chinese population[J]. Neurosci Lett, 2016, 635: 39-43. doi: 10.1016/j.neulet.2016.10.018.
[39] Schosser A, Butler AW, Ising M, et al. Genomewide association scan of suicidal thoughts and behaviour in major depression[J]. PLoS One, 2011, 6(7): e20690. doi:10.1371/journal.pone. 0020690.
[40] Brezo J, Bureau A, Mérette C, et al. Differences and similarities in the serotonergic diathesis for suicide attempts and mood disorders: a 22-year longitudinal gene-environment study[J]. Mol Psychiatry, 2010, 15(8): 831-843.
[41] Serretti A, Mandelli L, Giegling I, et al. HTR2C and HTR1A gene variants in German and Italian suicide attempters and completers[J]. Am J of Med Genet B Neuropsychiatr Genet, 2007, 144B(3): 291-299.
[42] Giegling I, Hartmann AM, Möller HJ, et al. Anger- and aggression-related traits are associated with polymorphisms in the 5-HT-2A gene[J]. J Affect Disord, 2006, 96(1-2): 75-81.
[43] Höfer P, Schosser A, Calati R, et al. The impact of serotonin receptor 1A and 2A gene polymorphisms and interactions on suicide attempt and suicide risk in depressed patients with insufficient response to treatment-a European multicentre study[J]. Int Clin Psychopharmacol, 2016, 31(1): 1-7.
[44] Pan YF, Zhang JY, Qiu HM, et al. Association of polymorphisms in HTR2A, TPH1, and TPH2 genes with attempted suicide in rural China[J]. Psychiatr Genet, 2019, 29(3): 79-85.
[45] Wang JY, Jia CX, Lian Y, et al. Association of the HTR2A 102T/C polymorphism with attempted suicide: a meta-analysis[J]. Psychiatr Genet, 2015, 25(4): 168-177.
[46] Saiz PA, García-Portilla MP, Paredes B, et al. Association between the A-1438G polymorphism of the serotonin 2A receptor gene and nonimpulsive suicide attempts[J]. Psychiatr Genet, 2008, 18(5): 213-218.
[47] Alizadeh N, Nosrat N, Jahani Z, et al. Association of HTR1A gene polymorphisms with obsessive-compulsive disorder and its treatment response: the influence of sex and clinical characteristics[J]. Int J Neurosci, 2019, 129(3): 264-272.
[48] Menke A, Domschke K, Czamara D, et al. Genome-wide association study of antidepressant treatment-emergent suicidal ideation[J]. Neuropsychopharmacology, 2012, 37(3): 797-807.
[1] Cunxian JIA,Zhenzhen LIU. Pay attention to sleep problems and prevent self-harm among adolescents [J]. Journal of Shandong University (Health Sciences), 2022, 60(2): 1-7.
[2] WANG Wei, YANG Yongqin, MI Guolin. Comparison of the efficacy of escitalopram alone and with Qi Yang Yu Xin Dan Fang in the treatment of female depression with sexual dysfunction [J]. Journal of Shandong University (Health Sciences), 2020, 58(12): 97-101.
[3] HUANG Wei, LIU Dong. Fertility improvement strategies for endometriosis associated infertility [J]. Journal of Shandong University (Health Sciences), 2019, 57(6): 23-26.
[4] ZHU Xiaoming, XU Junbi, HE Renke, ZHU Shulan, JIN Lixue. Endocrine changes in perimenopausal women and the related diseases [J]. Journal of Shandong University (Health Sciences), 2019, 57(2): 6-10.
[5] YU Pengpeng, YUAN Lu, WANG Dongfang, Bob Lew, PING Fan, JIA Cunxian. Reliability and validity of Brief COPE Scale in medical college students [J]. Journal of Shandong University (Health Sciences), 2019, 57(1): 101-106.
[6] CAO Mingkun, XU Yiqing, LI Yifei, JIANG Zhenxia, ZHANG Xijiang, LI Xiufang, JIANG Baofa. An investigation on the psychosocial factors affecting condom use among older sex workers in Qingdao City [J]. Journal of Shandong University (Health Sciences), 2018, 56(6): 58-62.
[7] LI Yun, ZHONG Wanxia, YAO Ning, HU Shuanggang, LIU Hongmao. Effects of female age on the outcome of preimplantation genetic diagnosis and screening [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2017, 55(1): 60-62.
[8] CHEN Wukang, LÜ Cuixia, ZHANG Xiaofei, DONG Lei, DU Yihui, FU Jihua. Prevalence and influencing factors of methamphetamine use among female sex workers [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2016, 54(9): 73-76.
[9] ZHANG Bo-hua, HU Shuang, SHENG Jie. Relationship between TCM college students’ IAD cases and the five-state personality theory [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(9): 105-108.
[10] ZHANG Hua1, ZHUANG Xia2, DIAO Yu-tao1, LIU Zhen-dong1, ZHAO Ying-xin1, JIANG Bao-fa3. A study on AIDS risk behavior based on the information-motivation-behavioral skills model among female sex workers [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(5): 108-112.
[11] SHI Liang1, TANG Mao-qin2, HU Lei2, HE Xu3, ZHAO Hong-yan4. Correlation between the psychological health status and the coping style in the female prisoners [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(2): 108-112.
[12] ZHOU Zhong-wei1, YANG Xiong1, WAN Ying-biao2, XIN Yan-hua1, ZHAI Kun1, MA Jian2, HUANG Yong-qing2, JIANG Min3, WANG Yi-rui4. Associations of chromosomes 17q22, 10q25.3 and ABCA4 gene polymorphisms with nonsyndromic cleft lip/palate in Ningxia Hui and Han population [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2013, 51(1): 103-108.
[13] ZHANG Yuke1, MA Dedong1, XIAO Wei1, WANG Chuan2, JIANG Yuanyuan1, HE Baolong1, ZHANG Yi1, WANG Hongchao1, XU Xia1, JI Xiuli1, WANG Qin. Effects of body composition on pulmonary ventilatory function in  female adults in Jinan area [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(8): 113-117.
[14] YUAN Guang-zong, TANG Liu, FU Wen-qing, KONG Ming, GUO Ling-ling, XU Li-hua. Relationship between personality traits and parenting  styles among university students [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(7): 151-.
[15] XIN Qing1,2, LIU Dong-mei1, SUN Guo-fen2, WANG Li2, ZHANG Cheng-qiu2, ZHAO Rui-min3, HOU Lei3. Awareness and attitude towards AIDS among students in  a university of Shandong Province [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2011, 49(5): 143-146.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] ZHENG Min,HAO Yue-wei,LIU Xue-ping,ZHAO Ting-ting. Relationship between the HPA-2 and Kozak sequence polymorphism of platelet membrane glycoprotein and cerebral infarction[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(3): 292 -295 .
[2] ZHANG Jie,LI Zhen-hua,SUN Jin-hao,BAO Li-hua,LIU Yue-peng. Protective effects of the invariable magnetic field on oxidative injured Schwann cells[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(3): 229 -232 .
[3] WANG Shu-qin,QI Feng,WU Jian-bo,SUN Bao-zhu. Effect of calcium in ropivacaine-induced smooth muscle contraction of the aorta in rats in vitro[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(8): 773 -776 .
[4] TENG Xue-ren,ZHAO Yong-sheng,HU Guang-liang,ZHOU Lun,LI Jian-min. Characteristics of microcosmic changes following tendon allograft transplantation preserved by two methods under light microscopy and transmission electron microscopy[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(10): 945 -950 .
[5] WU Min,ZHAO Zhi-lun,WANG Jie-zhen. [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2006, 44(11): 1146 -1149 .
[6] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(10): 995 .
[7] JIANG Hong-ju,LI Run-zhi, WANG Ying,XU Dong-mei,ZHANG Mei,ZHANG Yun,LI Ji-fu. Relationship between the plasma level of matrix metalloproteinase-9 and structural characteristics of plaques and percutaneous coronary intervention [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(10): 966 -970 .
[8] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2008, 46(8): 828 -830 .
[9] . [J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2009, 47(9): 5 -6 .
[10] NIU Rui,LIU Bo,SHAO Ming-ju,WANG Wei. mRNA expression of lunx in regional lymph nodes of non-small cell lung cancer and its correlation with prognosis[J]. JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES), 2007, 45(9): 884 -885 .