RT Journal Article T1 Structural brain alterations associated with suicidal thoughts and behaviors in young people: results from 21 international studies from the ENIGMA Suicidal Thoughts and Behaviours consortium. A1 van Velzen, Laura S A1 Dauvermann, Maria R A1 Colic, Lejla A1 Villa, Luca M A1 Savage, Hannah S A1 Toenders, Yara J A1 Zhu, Alyssa H A1 Bright, Joanna K A1 Campos, Adrián I A1 Salminen, Lauren E A1 Ambrogi, Sonia A1 Ayesa-Arriola, Rosa A1 Banaj, Nerisa A1 Başgöze, Zeynep A1 Bauer, Jochen A1 Blair, Karina A1 Blair, Robert James A1 Brosch, Katharina A1 Cheng, Yuqi A1 Colle, Romain A1 Connolly, Colm G A1 Corruble, Emmanuelle A1 Couvy-Duchesne, Baptiste A1 Crespo-Facorro, Benedicto A1 Cullen, Kathryn R A1 Dannlowski, Udo A1 Davey, Christopher G A1 Dohm, Katharina A1 Fullerton, Janice M A1 Gonul, Ali Saffet A1 Gotlib, Ian H A1 Grotegerd, Dominik A1 Hahn, Tim A1 Harrison, Ben J A1 He, Mengxin A1 Hickie, Ian B A1 Ho, Tiffany C A1 Iorfino, Frank A1 Jansen, Andreas A1 Jollant, Fabrice A1 Kircher, Tilo A1 Klimes-Dougan, Bonnie A1 Klug, Melissa A1 Leehr, Elisabeth J A1 Lippard, Elizabeth T C A1 McLaughlin, Katie A A1 Meinert, Susanne A1 Miller, Adam Bryant A1 Mitchell, Philip B A1 Mwangi, Benson A1 Nenadić, Igor A1 Ojha, Amar A1 Overs, Bronwyn J A1 Pfarr, Julia-Katharina A1 Piras, Fabrizio A1 Ringwald, Kai G A1 Roberts, Gloria A1 Romer, Georg A1 Sanches, Marsal A1 Sheridan, Margaret A A1 Soares, Jair C A1 Spalletta, Gianfranco A1 Stein, Frederike A1 Teresi, Giana I A1 Tordesillas-Gutiérrez, Diana A1 Uyar-Demir, Aslihan A1 van der Wee, Nic J A A1 van der Werff, Steven J A1 Vermeiren, Robert R J M A1 Winter, Alexandra A1 Wu, Mon-Ju A1 Yang, Tony T A1 Thompson, Paul M A1 Rentería, Miguel E A1 Jahanshad, Neda A1 Blumberg, Hilary P A1 van Harmelen, Anne-Laura A1 ENIGMA Suicidal Thoughts and Behaviours Consortium, A1 Schmaal, Lianne AB Identifying brain alterations associated with suicidal thoughts and behaviors (STBs) in young people is critical to understanding their development and improving early intervention and prevention. The ENIGMA Suicidal Thoughts and Behaviours (ENIGMA-STB) consortium analyzed neuroimaging data harmonized across sites to examine brain morphology associated with STBs in youth. We performed analyses in three separate stages, in samples ranging from most to least homogeneous in terms of suicide assessment instrument and mental disorder. First, in a sample of 577 young people with mood disorders, in which STBs were assessed with the Columbia Suicide Severity Rating Scale (C-SSRS). Second, in a sample of young people with mood disorders, in which STB were assessed using different instruments, MRI metrics were compared among healthy controls without STBs (HC; N = 519), clinical controls with a mood disorder but without STBs (CC; N = 246) and young people with current suicidal ideation (N = 223). In separate analyses, MRI metrics were compared among HCs (N = 253), CCs (N = 217), and suicide attempters (N = 64). Third, in a larger transdiagnostic sample with various assessment instruments (HC = 606; CC = 419; Ideation = 289; HC = 253; CC = 432; Attempt=91). In the homogeneous C-SSRS sample, surface area of the frontal pole was lower in young people with mood disorders and a history of actual suicide attempts (N = 163) than those without a lifetime suicide attempt (N = 323; FDR-p = 0.035, Cohen's d = 0.34). No associations with suicidal ideation were found. When examining more heterogeneous samples, we did not observe significant associations. Lower frontal pole surface area may represent a vulnerability for a (non-interrupted and non-aborted) suicide attempt; however, more research is needed to understand the nature of its relationship to suicide risk. YR 2022 FD 2022-09-07 LK http://hdl.handle.net/10668/22603 UL http://hdl.handle.net/10668/22603 LA en DS RISalud RD Apr 12, 2025