A

Transdiagnostic alterations in white matter microstructure associated with suicidal thoughts and behaviours in the ENIGMA Suicidal Thoughts and Behaviours consortium

Translational Psychiatry, vol. 15, pp. 429

Abstract

Previous studies have suggested that alterations in white matter (WM) microstructure are implicated in suicidal thoughts and behaviours (STBs). However, findings of diffusion tensor imaging (DTI) studies have been inconsistent. In this large-scale mega-analysis conducted by the ENIGMA Suicidal Thoughts and Behaviours (ENIGMA-STB) consortium, we examined WM alterations associated with STBs. Data processing was standardised across sites, and resulting WM microstructure measures (fractional anisotropy (FA), axial diffusivity (AD), mean diffusivity and radial diffusivity) for 24 WM tracts and one global measure were pooled across 40 cohorts. We compared these measures among individuals with a psychiatric diagnosis and lifetime history of suicide attempt (n = 652; mean age = 35.4 ± 14.7; female = 71.8%), individuals with a psychiatric diagnosis but no STB (i.e., clinical controls; n = 1871; mean age = 34 ± 14.8; female = 59.8%), and individuals with no psychiatric diagnosis and no STB (i.e., healthy controls; n = 642; mean age = 29.6 ± 13.1; female = 62.9%). We also compared these measures among individuals with recent suicidal ideation (n = 714; mean age = 36.3 ± 15.3; female = 66.1%), clinical controls (n = 1184; mean age = 36.8 ± 15.6; female = 63.1%), and healthy controls (n = 1240; mean age = 31.6 ± 15.5; female = 61.0%). We found subtle but statistically significant effects, such as lower FA associated with a history of suicide attempt, over and above the effect of psychiatric diagnoses. These effects were strongest in the corona radiata, thalamic radiation, fornix/stria terminalis, corpus callosum and superior longitudinal fasciculus. Recent suicidal ideation was associated with higher AD in the cingulum. Effect sizes were small (partial eta-squared < 0.015). This large-scale coordinated mega-analysis revealed subtle regional and global alterations in WM microstructure in individuals with a history of suicide attempt and recent suicidal ideation. Longitudinal studies are needed to confirm whether these alterations are a risk factor for suicidal behaviour or ideation.

Authors 99

  1. Laura S. van Velzen corresponding

    The University of Melbourne · Yale University · Orygen · Jena University Hospital · Deutsches Zentrum für Psychische Gesundheit

    Affiliation as printed

    Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC, Australia. laurasvanvelzen@gmail.com

    Orygen, Parkville, VIC, Australia. laurasvanvelzen@gmail.com

    DZPG (German Center for Mental Health), partner site Halle/Jena/Magdeburg, Halle/Jena/Magdeburg, Germany

    Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany

    Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA

  2. The University of Queensland · QIMR Berghofer Medical Research Institute · Yale University · Jena University Hospital · Deutsches Zentrum für Psychische Gesundheit

    Affiliation as printed

    DZPG (German Center for Mental Health), partner site Halle/Jena/Magdeburg, Halle/Jena/Magdeburg, Germany

    Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany

    Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA

    QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia

    School of Biomedical Sciences, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia

  3. The University of Queensland · QIMR Berghofer Medical Research Institute · University of Cambridge · University of Birmingham

    Affiliation as printed

    QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia

    School of Biomedical Sciences, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia

    Department of Psychiatry, University of Cambridge, Cambridge, UK

    Institute for Mental Health, School of Psychology, University of Birmingham, Birmingham, UK

  4. University of Cambridge · Yale University · University of Birmingham

    Affiliation as printed

    Department of Psychiatry, University of Cambridge, Cambridge, UK

    Institute for Mental Health, School of Psychology, University of Birmingham, Birmingham, UK

    Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA

  5. The University of Melbourne · Yale University

    Affiliation as printed

    Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA

    Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC, Australia

  6. The University of Melbourne · Orygen

    Affiliation as printed

    Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC, Australia

    Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne, Victoria, Australia

    Orygen, Parkville, VIC, Australia

  7. The University of Melbourne · Orygen · Erasmus University Rotterdam

    Affiliation as printed

    Centre for Youth Mental Health, University of Melbourne, Melbourne, VIC, Australia

    Department of Psychology, Education and Child Studies, Erasmus University Rotterdam, Rotterdam, the Netherlands

    Orygen, Parkville, VIC, Australia

    Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne, Victoria, Australia

  8. University of Southern California · Deakin University · The University of Melbourne

    Affiliation as printed

    Melbourne Neuropsychiatry Centre, Department of Psychiatry, The University of Melbourne, Victoria, Australia

    School of Psychology, Deakin University, Melbourne, VIC, Australia

    Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA

  9. University of Southern California · The University of Queensland · QIMR Berghofer Medical Research Institute

    Affiliation as printed

    Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA

    QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia

    School of Biomedical Sciences, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia

  10. University of Southern California · The University of Queensland · Regeneron (United States) · QIMR Berghofer Medical Research Institute

    Affiliation as printed

    QIMR Berghofer Medical Research Institute, Brisbane, QLD, Australia

    Regeneron Genetics Center, Tarrytown, NY, USA

    School of Biomedical Sciences, Faculty of Medicine, The University of Queensland, Brisbane, QLD, Australia

    Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA

  11. University of Southern California · Dalhousie University

    Affiliation as printed

    Imaging Genetics Center, Mark and Mary Stevens Neuroimaging and Informatics Institute, Keck School of Medicine, University of Southern California, Marina del Rey, CA, USA

    Department of Psychiatry, Dalhousie University, Halifax, NS, Canada

  12. Dalhousie University · University of Oslo · Region Stockholm · Karolinska Institutet · Stockholm Health Care Services

    Affiliation as printed

    Department of Psychiatry, Dalhousie University, Halifax, NS, Canada

    Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden

    Norwegian Centre for Mental Disorders Research (NORMENT), Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  13. Philipps University of Marburg · University of Oslo · Region Stockholm · Karolinska Institutet · Diakonhjemmet Hospital · Stockholm Health Care Services

    Affiliation as printed

    Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden

    Department of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway

    Norwegian Centre for Mental Disorders Research (NORMENT), Institute of Clinical Medicine, University of Oslo, Oslo, Norway

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  14. Universidad de Cantabria · Philipps University of Marburg · Marqués de Valdecilla University Hospital · Instituto de Investigación Marqués de Valdecilla

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

    Department of Psychiatry. Marqués de Valdecilla University Hospital, IDIVAL, School of Medicine, University of Cantabria, Santander, Spain

  15. National Institutes of Health · Universidad de Cantabria · Marqués de Valdecilla University Hospital · Instituto de Investigación Marqués de Valdecilla · National Institute of Mental Health

    Affiliation as printed

    Department of Psychiatry. Marqués de Valdecilla University Hospital, IDIVAL, School of Medicine, University of Cantabria, Santander, Spain

    Experimental Therapeutics and Pathophysiology Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA

  16. National Institutes of Health · Fondazione Santa Lucia · National Institute of Mental Health

    Affiliation as printed

    Experimental Therapeutics and Pathophysiology Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA

    Laboratory of Neuropsychiatry, Clinical Neuroscience and Neurorehabilitation Department, Santa Lucia Foundation IRCCS, Rome, Italy

  17. University of Münster · Fondazione Santa Lucia

    Affiliation as printed

    Laboratory of Neuropsychiatry, Clinical Neuroscience and Neurorehabilitation Department, Santa Lucia Foundation IRCCS, Rome, Italy

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

  18. University of Minnesota · University of Münster

    Affiliation as printed

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA

  19. University of Minnesota · University Hospital Münster

    Affiliation as printed

    Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA

    Clinic for Radiology, University Hospital Münster, Münster, Germany

  20. University Hospital Münster · IRCCS Ospedale San Raffaele · Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele

    Affiliation as printed

    Clinic for Radiology, University Hospital Münster, Münster, Germany

    Division of Neuroscience, Psychiatry and Psychobiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy

  21. University of Münster · IRCCS Ospedale San Raffaele · Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele

    Affiliation as printed

    Division of Neuroscience, Psychiatry and Psychobiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy

    Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany

  22. University of Münster · Jena University Hospital · Deutsches Zentrum für Psychische Gesundheit

    Affiliation as printed

    Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany

    DZPG (German Center for Mental Health), partner site Halle/Jena/Magdeburg, Halle/Jena/Magdeburg, Germany

    Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany

  23. Philipps University of Marburg · Jena University Hospital · Deutsches Zentrum für Psychische Gesundheit

    Affiliation as printed

    DZPG (German Center for Mental Health), partner site Halle/Jena/Magdeburg, Halle/Jena/Magdeburg, Germany

    Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  24. Feinstein Institute for Medical Research · Philipps University of Marburg · Instituto de Biomedicina de Sevilla · Universidad de Sevilla

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

    Institute of Behavioral Sciences, Feinstein Institutes for Medical Research, Manhasset, NY, USA

    Instituto de Biomedicina de Sevilla (IBiS)/HUVR/CSIC/Universidad de Sevilla. CIBERSAM (ISCIII), Seville, Spain

  25. Region Stockholm · Karolinska Institutet · Instituto de Biomedicina de Sevilla · Stockholm Health Care Services · Hospital Universitario Virgen del Rocío · Universidad de Sevilla

    Affiliation as printed

    Instituto de Biomedicina de Sevilla (IBiS)/HUVR/CSIC/Universidad de Sevilla. CIBERSAM (ISCIII), Seville, Spain

    Mental Health Service, Hospital Universitario Virgen del Rocío, Sevilla, Spain

    Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden

  26. Uppsala University · Inserm · Université Paris-Saclay · Region Stockholm · Karolinska Institutet · Assistance Publique – Hôpitaux de Paris · Centre de recherche en Epidémiologie et Santé des Populations · Stockholm Health Care Services · Bicêtre Hospital

    Affiliation as printed

    Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden

    Department of Medical Sciences, Psychiatry, Uppsala University, Uppsala, Sweden

    MOODS Team, INSERM 1018, CESP, Université Paris-Saclay, Faculté de Médecine Paris-Saclay, Service Hospitalo-Universitaire de Psychiatrie de Bicêtre, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris-Saclay, Hôpital de Bicêtre, Le Kremlin Bicêtre, F-94275, France

  27. Florida State University · Inserm · Université Paris-Saclay · Assistance Publique – Hôpitaux de Paris · Centre de recherche en Epidémiologie et Santé des Populations · Bicêtre Hospital

    Affiliation as printed

    MOODS Team, INSERM 1018, CESP, Université Paris-Saclay, Faculté de Médecine Paris-Saclay, Service Hospitalo-Universitaire de Psychiatrie de Bicêtre, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris-Saclay, Hôpital de Bicêtre, Le Kremlin Bicêtre, F-94275, France

    Department of Biomedical Sciences, Florida State University, Tallahassee, FL, USA

  28. Florida State University · Inserm · Université Paris-Saclay · Assistance Publique – Hôpitaux de Paris · Centre de recherche en Epidémiologie et Santé des Populations · Bicêtre Hospital

    Affiliation as printed

    Department of Biomedical Sciences, Florida State University, Tallahassee, FL, USA

    MOODS Team, INSERM 1018, CESP, Université Paris-Saclay, Faculté de Médecine Paris-Saclay, Service Hospitalo-Universitaire de Psychiatrie de Bicêtre, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris-Saclay, Hôpital de Bicêtre, Le Kremlin Bicêtre, F-94275, France

  29. Centre National de la Recherche Scientifique · Inserm · Université Paris-Saclay · Assistance Publique – Hôpitaux de Paris · Centre de recherche en Epidémiologie et Santé des Populations · Hôpital Lapeyronie · Institut de Génomique Fonctionnelle · Bicêtre Hospital

    Affiliation as printed

    MOODS Team, INSERM 1018, CESP, Université Paris-Saclay, Faculté de Médecine Paris-Saclay, Service Hospitalo-Universitaire de Psychiatrie de Bicêtre, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Paris-Saclay, Hôpital de Bicêtre, Le Kremlin Bicêtre, F-94275, France

    Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France

    IGF, Univ. Montpellier, CNRS, INSERM, Montpellier, France

  30. Centre National de la Recherche Scientifique · Institut national de recherche en sciences et technologies du numérique · Inserm · The University of Queensland · Sorbonne Université · Institut des Sciences Moléculaires · Assistance Publique – Hôpitaux de Paris · Pitié-Salpêtrière Hospital · Hôpital Lapeyronie · Institut du Cerveau · Institut de Génomique Fonctionnelle · Institute for Molecular Bioscience

    Affiliation as printed

    Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France

    IGF, Univ. Montpellier, CNRS, INSERM, Montpellier, France

    Institute for Molecular Bioscience, the University of Queensland, St Lucia, QLD, Australia

    Sorbonne University, Paris Brain Institute - ICM, CNRS, Inria, Inserm, AP-HP, Hôpital de la Pitié Salpêtrière, F-75013, Paris, France

  31. Centre National de la Recherche Scientifique · Institut national de recherche en sciences et technologies du numérique · Inserm · The University of Queensland · Sorbonne Université · Institut des Sciences Moléculaires · Assistance Publique – Hôpitaux de Paris · Pitié-Salpêtrière Hospital · Instituto de Biomedicina de Sevilla · Institut du Cerveau · Institute for Molecular Bioscience · Universidad de Sevilla

    Affiliation as printed

    Institute for Molecular Bioscience, the University of Queensland, St Lucia, QLD, Australia

    Sorbonne University, Paris Brain Institute - ICM, CNRS, Inria, Inserm, AP-HP, Hôpital de la Pitié Salpêtrière, F-75013, Paris, France

    Instituto de Biomedicina de Sevilla (IBiS)/HUVR/CSIC/Universidad de Sevilla. CIBERSAM (ISCIII), Seville, Spain

  32. University of Minnesota · Instituto de Salud Carlos III · Centro de Investigación Biomédica en Red de Salud Mental · Instituto de Biomedicina de Sevilla · Hospital Universitario Virgen del Rocío · Universidad de Sevilla

    Affiliation as printed

    Centro de Investigación Biomédica en Red de Salud Mental, Instituto de Salud Carlos III (CIBERSAM), Madrid, Spain

    Instituto de Biomedicina de Sevilla (IBiS)/HUVR/CSIC/Universidad de Sevilla. CIBERSAM (ISCIII), Seville, Spain

    Mental Health Service, Hospital Universitario Virgen del Rocío, Sevilla, Spain

    Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA

  33. University of Minnesota · University of Münster

    Affiliation as printed

    Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

  34. Université de Montpellier · University of Münster · Hôpital Gui de Chauliac

    Affiliation as printed

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    Department of Neuroradiology, Gui de Chauliac Hospital and University of Montpellier, Montpellier, France

  35. University of California, Los Angeles · Université de Montpellier · Universidad de Antioquia · Hôpital Gui de Chauliac

    Affiliation as printed

    Department of Neuroradiology, Gui de Chauliac Hospital and University of Montpellier, Montpellier, France

    Institut d'Imagerie Fonctionnelle Humaine, I2FH, Department of Neuroradiology, Gui de Chauliac Hospital and University of Montpellier, Montpellier, France

    Center for Neurobehavioral Genetics,Semel Institute for Neuroscience and Behavior David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA

    Research Group in Psychiatry GIPSI, Department of Psychiatry, Faculty of Medicine, Universidad de Antioquia, Medellin, Colombia

  36. Dalhousie University · University of California, Los Angeles · Universidad de Antioquia

    Affiliation as printed

    Center for Neurobehavioral Genetics,Semel Institute for Neuroscience and Behavior David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA

    Research Group in Psychiatry GIPSI, Department of Psychiatry, Faculty of Medicine, Universidad de Antioquia, Medellin, Colombia

    Department of Psychiatry, Dalhousie University, Halifax, NS, Canada

  37. Dalhousie University · National Institutes of Health · National Institute of Mental Health

    Affiliation as printed

    Department of Psychiatry, Dalhousie University, Halifax, NS, Canada

    Experimental Therapeutics and Pathophysiology Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA

  38. National Institutes of Health · Emory University · National Institute of Mental Health

    Affiliation as printed

    Experimental Therapeutics and Pathophysiology Branch, National Institute of Mental Health, National Institutes of Health, Bethesda, MD, USA

    Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, USA

  39. Emory University · University of Münster

    Affiliation as printed

    Department of Psychiatry and Behavioral Sciences, Emory University, Atlanta, GA, USA

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

  40. University of Colorado Boulder · University of Münster

    Affiliation as printed

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    Institute for Behavioral Genetics and Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO, USA

  41. University of Colorado Boulder · Stanford University

    Affiliation as printed

    Institute for Behavioral Genetics and Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO, USA

    Department of Psychology, Stanford University, Stanford, CA, 94305, USA

  42. University of Cape Town · Stanford University

    Affiliation as printed

    Department of Psychology, Stanford University, Stanford, CA, 94305, USA

    Department of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa

  43. University of Cape Town · University of Münster

    Affiliation as printed

    Department of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

  44. Dalhousie University · University of Münster

    Affiliation as printed

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    Department of Psychiatry, Dalhousie University, Halifax, NS, Canada

  45. Dalhousie University · Washington University in St. Louis

    Affiliation as printed

    Department of Psychiatry, Dalhousie University, Halifax, NS, Canada

    Department of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA

  46. Washington University in St. Louis · University of Münster

    Affiliation as printed

    Department of Psychological & Brain Sciences, Washington University in St. Louis, St. Louis, MO, USA

    Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany

  47. The University of Sydney · University of Münster

    Affiliation as printed

    Institute of Epidemiology and Social Medicine, University of Münster, Münster, Germany

    The University of Sydney, Sydney, Australia

  48. Kanazawa University · University of Fukui · The University of Sydney · Hamamatsu University · Chiba University · The University of Osaka

    Affiliation as printed

    The University of Sydney, Sydney, Australia

    Research Center for Child Mental Development, Chiba University, Chiba, Japan

    United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University, Chiba University and University of Fukui, Fukui, Japan

  49. Kanazawa University · University of Fukui · Hamamatsu University · Chiba University · University of California, Los Angeles · The University of Osaka

    Affiliation as printed

    Research Center for Child Mental Development, Chiba University, Chiba, Japan

    United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University, Chiba University and University of Fukui, Fukui, Japan

    Brain Research Institute, University of California, Los Angeles, Los Angeles, CA, USA

  50. Chiba University · University of California, Los Angeles

    Affiliation as printed

    Brain Research Institute, University of California, Los Angeles, Los Angeles, CA, USA

    Department of Psychology, University of California, Los Angeles, Los Angeles, CA, USA

    Research Center for Child Mental Development, Chiba University, Chiba, Japan

  51. The University of Sydney · Chiba University

    Affiliation as printed

    Department of Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University, Chiba, Japan

    Research Center for Child Mental Development, Chiba University, Chiba, Japan

    The University of Sydney, Sydney, Australia

  52. The University of Sydney · University of Cape Town

    Affiliation as printed

    The University of Sydney, Sydney, Australia

    Department of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa

  53. Kanazawa University · University of Fukui · Hamamatsu University · University of Cape Town · Chiba University · The University of Osaka

    Affiliation as printed

    Department of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa

    Research Center for Child Mental Development, Chiba University, Chiba, Japan

    United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University, Chiba University and University of Fukui, Fukui, Japan

  54. Kanazawa University · University of Fukui · Hamamatsu University · Chiba University · Østfold University of Applied Sciences · The University of Osaka

    Affiliation as printed

    Research Center for Child Mental Development, Chiba University, Chiba, Japan

    United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University, Chiba University and University of Fukui, Fukui, Japan

    Østfold University College Department of Education, ICT and Learning, Halden, Norway

  55. Østfold University of Applied Sciences · Université Paris-Saclay · Hôpital Paul-Brousse · McGill University · Universidade Federal de São Paulo

    Affiliation as printed

    Universidade Federal de São Paulo, São Paulo, Brazil

    Østfold University College Department of Education, ICT and Learning, Halden, Norway

    Clinical Department of Psychiatry and Addictology, Paul Brousse Hospital, APHP, Villejuif, France

    Department of psychiatry, McGill University, Montreal, Canada

    Faculty of Medicine, University Paris-Saclay, Le Kremlin-Bicetre, France

  56. Philipps University of Marburg · Université Paris-Saclay · Hôpital Paul-Brousse · McGill University

    Affiliation as printed

    Clinical Department of Psychiatry and Addictology, Paul Brousse Hospital, APHP, Villejuif, France

    Department of psychiatry, McGill University, Montreal, Canada

    Faculty of Medicine, University Paris-Saclay, Le Kremlin-Bicetre, France

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  57. Philipps University of Marburg · University of Münster

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

  58. University of Cape Town · University of Münster

    Affiliation as printed

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    Department of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa

  59. University of Cape Town · University of Münster

    Affiliation as printed

    Department of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

  60. Philipps University of Marburg · University of Münster

    Affiliation as printed

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  61. Philipps University of Marburg · University of Münster · University Hospital Bonn

    Affiliation as printed

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

    Department of Psychiatry, University Hospital Bonn, Bonn, Germany

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

  62. University of Münster · The University of Texas at Austin

    Affiliation as printed

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    University of Texas at Austin, Austin, TX, USA

  63. Universidad de Antioquia · Jena University Hospital · Deutsches Zentrum für Psychische Gesundheit

    Affiliation as printed

    DZPG (German Center for Mental Health), partner site Halle/Jena/Magdeburg, Halle/Jena/Magdeburg, Germany

    Department of Psychiatry and Psychotherapy, Jena University Hospital, Jena, Germany

    Research Group in Psychiatry GIPSI, Department of Psychiatry, Faculty of Medicine, Universidad de Antioquia, Medellin, Colombia

  64. University of Oslo · The University of Texas at Austin

    Affiliation as printed

    Department of Psychiatry and Behavioral Sciences, Dell Medical School, University of Texas at Austin, Austin, TX, USA

    University of Texas at Austin, Austin, TX, USA

    Norwegian Centre for Mental Disorders Research (NORMENT), Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  65. Universidad de Antioquia · University of Edinburgh

    Affiliation as printed

    Research Group in Psychiatry GIPSI, Department of Psychiatry, Faculty of Medicine, Universidad de Antioquia, Medellin, Colombia

    Division of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK

  66. Harvard University · Western Norway University of Applied Sciences · University of Oregon · University of Oslo

    Affiliation as printed

    Department of Health and Functioning, Western Norway University of Applied Sciences, Bergen, Norway

    Norwegian Centre for Mental Disorders Research (NORMENT), Institute of Clinical Medicine, University of Oslo, Oslo, Norway

    Ballmer Institute for Children's Behavioral Health, University of Oregon, Eugene, OR, USA

    Department of Psychology, Harvard University, Cambridge, MA, USA

  67. Dalhousie University · University of Edinburgh

    Affiliation as printed

    Division of Psychiatry, Centre for Clinical Brain Sciences, University of Edinburgh, Edinburgh, UK

    Department of Psychiatry, Dalhousie University, Halifax, NS, Canada

  68. Harvard University · University of Oregon · University of Münster

    Affiliation as printed

    Ballmer Institute for Children's Behavioral Health, University of Oregon, Eugene, OR, USA

    Department of Psychology, Harvard University, Cambridge, MA, USA

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

  69. Dalhousie University · IRCCS Ospedale San Raffaele · Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele

    Affiliation as printed

    Department of Psychiatry, Dalhousie University, Halifax, NS, Canada

    Division of Neuroscience, Psychiatry and Psychobiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy

  70. University of Münster · UNSW Sydney

    Affiliation as printed

    Institute for Translational Neuroscience, University of Münster, Münster, Germany

    Institute for Translational Psychiatry, University of Münster, Münster, Germany

    Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia

  71. IRCCS Ospedale San Raffaele · Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele · The University of Texas Health Science Center at Houston

    Affiliation as printed

    Division of Neuroscience, Psychiatry and Psychobiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy

    UTHealth Houston School of Behavioral Health Sciences, Houston, TX, USA

  72. Philipps University of Marburg · UNSW Sydney

    Affiliation as printed

    Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  73. University of Oslo · Diakonhjemmet Hospital · The University of Texas Health Science Center at Houston

    Affiliation as printed

    Louis A. Faillace, MD, Department of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA

    UTHealth Houston School of Behavioral Health Sciences, Houston, TX, USA

    Department of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway

    Norwegian Centre for Mental Disorders Research (NORMENT), Institute of Clinical Medicine, University of Oslo, Oslo, Norway

  74. Centre National de la Recherche Scientifique · Inserm · Philipps University of Marburg · Hôpital Lapeyronie · Institut de Génomique Fonctionnelle

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

    Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France

    IGF, Univ. Montpellier, CNRS, INSERM, Montpellier, France

  75. University of Oslo · Diakonhjemmet Hospital · Universidade Federal de São Paulo

    Affiliation as printed

    Department of Psychiatric Research, Diakonhjemmet Hospital, Oslo, Norway

    Norwegian Centre for Mental Disorders Research (NORMENT), Institute of Clinical Medicine, University of Oslo, Oslo, Norway

    Universidade Federal de São Paulo, São Paulo, Brazil

  76. Centre National de la Recherche Scientifique · Inserm · Hôpital Lapeyronie · Institut de Génomique Fonctionnelle · Université de Nîmes

    Affiliation as printed

    Department of Emergency Psychiatry and Acute Care, Lapeyronie Hospital, CHU Montpellier, Montpellier, France

    IGF, Univ. Montpellier, CNRS, INSERM, Montpellier, France

    MIPA, Université de Nîmes, Nimes, France

  77. Universidad de Cantabria · Marqués de Valdecilla University Hospital · Instituto de Investigación Marqués de Valdecilla · Fondazione Santa Lucia

    Affiliation as printed

    Department of Psychiatry. Marqués de Valdecilla University Hospital, IDIVAL, School of Medicine, University of Cantabria, Santander, Spain

    Laboratory of Neuropsychiatry, Clinical Neuroscience and Neurorehabilitation Department, Santa Lucia Foundation IRCCS, Rome, Italy

  78. Fondazione Santa Lucia · Universidade Federal de São Paulo

    Affiliation as printed

    Universidade Federal de São Paulo, São Paulo, Brazil

    Laboratory of Neuropsychiatry, Clinical Neuroscience and Neurorehabilitation Department, Santa Lucia Foundation IRCCS, Rome, Italy

  79. Centre Hospitalier Universitaire de Nîmes · IRCCS Ospedale San Raffaele · Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele · Université de Nîmes

    Affiliation as printed

    Division for clinical research and innovation, University Hospital Center of Nimes, Nimes, France

    MIPA, Université de Nîmes, Nimes, France

    Division of Neuroscience, Psychiatry and Psychobiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy

  80. University of Colorado Boulder · Fondazione Santa Lucia

    Affiliation as printed

    Laboratory of Neuropsychiatry, Clinical Neuroscience and Neurorehabilitation Department, Santa Lucia Foundation IRCCS, Rome, Italy

    Institute for Behavioral Genetics, University of Colorado Boulder, Boulder, CO, USA

  81. UNSW Sydney · Fondazione Santa Lucia

    Affiliation as printed

    Laboratory of Neuropsychiatry, Clinical Neuroscience and Neurorehabilitation Department, Santa Lucia Foundation IRCCS, Rome, Italy

    Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia

  82. University of Cambridge · IRCCS Ospedale San Raffaele · Instituto de Biomedicina de Sevilla · Istituto di Ricovero e Cura a Carattere Scientifico San Raffaele · Universidad de Sevilla

    Affiliation as printed

    Division of Neuroscience, Psychiatry and Psychobiology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy

    Department of Psychiatry, University of Cambridge, Cambridge, UK

    Instituto de Biomedicina de Sevilla (IBiS)/HUVR/CSIC/Universidad de Sevilla. CIBERSAM (ISCIII), Seville, Spain

  83. Harvard University · University of Colorado Boulder · Massachusetts General Hospital

    Affiliation as printed

    Institute for Behavioral Genetics, University of Colorado Boulder, Boulder, CO, USA

    Meditation Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

  84. Universidade Federal do Rio Grande do Sul · UNSW Sydney · Hospital de Clínicas de Porto Alegre · Child Mind Institute

    Affiliation as printed

    Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Sydney, Australia

    Child Mind Institute, New York, NY, USA

    Universidade Federal do Rio Grande do Sul, Hospital de Clinicas de Porto Alegre - Porto Alegre, Porto Alegre, Brazil

  85. University of Aberdeen · University of Cambridge · Instituto de Biomedicina de Sevilla · Universidad de Sevilla

    Affiliation as printed

    Department of Psychiatry, University of Cambridge, Cambridge, UK

    Instituto de Biomedicina de Sevilla (IBiS)/HUVR/CSIC/Universidad de Sevilla. CIBERSAM (ISCIII), Seville, Spain

    Aberdeen Biomedical Imaging Centre, University of Aberdeen, Aberdeen, UK

  86. Harvard University · Karolinska Institutet · Massachusetts General Hospital

    Affiliation as printed

    Meditation Research Program, Department of Psychiatry, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA

    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden

  87. Kanazawa University · University of Fukui · Universidade Federal do Rio Grande do Sul · Hamamatsu University · Chiba University · Hospital de Clínicas de Porto Alegre · Child Mind Institute · The University of Osaka

    Affiliation as printed

    Child Mind Institute, New York, NY, USA

    Universidade Federal do Rio Grande do Sul, Hospital de Clinicas de Porto Alegre - Porto Alegre, Porto Alegre, Brazil

    Research Center for Child Mental Development, Chiba University, Chiba, Japan

    United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University, Chiba University and University of Fukui, Fukui, Japan

  88. University of Colorado Boulder · University of Aberdeen

    Affiliation as printed

    Aberdeen Biomedical Imaging Centre, University of Aberdeen, Aberdeen, UK

    Institute for Cognitive Science, University of Colorado Boulder, Boulder, CO, USA

  89. Region Stockholm · Karolinska Institutet · Stockholm Health Care Services · The University of Texas Health Science Center at Houston

    Affiliation as printed

    Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Region Stockholm, Stockholm, Sweden

    Department of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden

    UTHealth Houston School of Behavioral Health Sciences, Houston, TX, USA

  90. Kanazawa University · University of Fukui · Hamamatsu University · Chiba University · University of Dundee · The University of Osaka

    Affiliation as printed

    Department of Cognitive Behavioral Physiology, Graduate School of Medicine, Chiba University, Chiba, Japan

    Research Center for Child Mental Development, Chiba University, Chiba, Japan

    United Graduate School of Child Development, Osaka University, Kanazawa University, Hamamatsu University, Chiba University and University of Fukui, Fukui, Japan

    Division of Imaging Science and Technology, Medical School, University of Dundee, Dundee, UK

  91. Philipps University of Marburg · University of Colorado Boulder

    Affiliation as printed

    Institute for Cognitive Science, University of Colorado Boulder, Boulder, CO, USA

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  92. South African Medical Research Council · University of Cape Town · The University of Texas Health Science Center at Houston

    Affiliation as printed

    Louis A. Faillace, MD, Department of Psychiatry and Behavioral Sciences, McGovern Medical School, The University of Texas Health Science Center at Houston, Houston, TX, USA

    UTHealth Houston School of Behavioral Health Sciences, Houston, TX, USA

    SAMRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa

  93. Philipps University of Marburg · University of Dundee

    Affiliation as printed

    Division of Imaging Science and Technology, Medical School, University of Dundee, Dundee, UK

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  94. Philipps University of Marburg

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  95. South African Medical Research Council · University of Cape Town · Philipps University of Marburg

    Affiliation as printed

    SAMRC Unit on Risk & Resilience in Mental Disorders, Department of Psychiatry & Neuroscience Institute, University of Cape Town, Cape Town, South Africa

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  96. Philipps University of Marburg

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

  97. Centre National de la Recherche Scientifique · Inserm · Philipps University of Marburg · Sorbonne Université · Institut du Cerveau

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

    Centre de Neuro-Imagerie de Recherche, CENIR, ICM, Paris, France

    Institut du Cerveau et de la Moelle épinière, ICM, Inserm U 1127, CNRS UMR 7225, Sorbonne Université, Paris, France

  98. Philipps University of Marburg · Universidad de Antioquia

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

    Research Group in Psychiatry GIPSI, Department of Psychiatry, Faculty of Medicine, Universidad de Antioquia, Medellin, Colombia

  99. Philipps University of Marburg

    Affiliation as printed

    Center for Mind, Brain, and Behavior (CMBB), University of Marburg, Marburg, Germany

    Department of Psychiatry and Psychotherapy, University of Marburg, Marburg, Germany

    Center for Intervention and Research on adaptive and maladaptive brain Circuits underlying mental health (C-I-R-C), Jena-Magdeburg-Halle, Jena, Germany

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References 56