RT Journal Article T1 Serum endocannabinoid levels in suicide attempters: a pilot study A1 Herranz-Herrer, Javier A1 Gil-Benito, Elena A1 Ponte-López, Teresa A1 Ortega Gutiérrez, Silvia A1 Macicior Michelena, Jon A1 Rosado-Garcia, Silvia A1 Sánchez-López, Antonio J. A1 Blasco-Fontecilla, Hilario AB The search for a biomarker for suicide risk is a longstanding pursuit in clinical psychiatry. Literature addressing the role of endocannabinoids in suicide attempters (SA) is sparse. This cross-sectional study is aimed at comparing 8 AM serum concentrations of 4 endogenous cannabinoids (anandamide, AEA; 2-arachidonoylglycerol, 2-AG; N-palmitoiletanolamida, PEA; and oleoylethanolamide, OEA) in 30 suicide attempters (SA) and 12 psychiatric controls (PC). 8 AM AEA and PEA serum levels were higher in SA compared to PC without controlling for cannabis use (n = 42) (3.58 ± 5.77 vs. 1.62 ± 2.49, F = 3.04, P = 0.089; and 3.31 ± 4.82 vs. 1.21 ± 1.20, F = 6.22, p = 0.017, respectively). Serum ACTH was higher in PC compared to SA (32.11 ± 21.60 vs. 20.05 ± 9.96, F = 9.031, p = 0.0.005). After controlling for cannabis use in the urine test (n = 28), 8 AM AEA and PEA serum levels remained higher in SA compared to PC (4.57 ± 6.38 vs. 0.64 ± 1.11, F = 4.852, P = 0.037; and 4.35 ± 5.46 vs. 1.21 ± 1.25, F = 4.125, p = 0.053, respectively). The present study offers preliminary evidence about the role of AEA and PEA in suicidal behavior (SB). Furthermore, in the context of the mental pain model of SB, our findings suggest that some endocannabinoids may play a role in the pathophysiology of SB. Our pilot study deserves replication by other studies with bigger sample sizes. PB Elsevier YR 2020 FD 2020 LK https://hdl.handle.net/20.500.14352/109100 UL https://hdl.handle.net/20.500.14352/109100 LA eng NO Ministerio de Ciencia, Innovacion y Universidades DS Docta Complutense RD 7 abr 2025