School performance and genetic propensities for educational attainment and depression in the etiology of self-harm: a Danish population-based study
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
School performance and genetic propensities for educational attainment and depression in the etiology of self-harm : a Danish population-based study. / Sørensen, Holger J; Antonsen, Sussie; Benros, Michael E; Erlangsen, Annette; Albiñana, Clara; Nordentoft, Merete; Børglum, Anders D; Mors, Ole; Werge, Thomas; Mortensen, Preben B; Hougaard, David; Webb, Roger T; Agerbo, Esben.
In: Nordic Journal of Psychiatry, Vol. 77, No. 2, 2023, p. 179-187.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - School performance and genetic propensities for educational attainment and depression in the etiology of self-harm
T2 - a Danish population-based study
AU - Sørensen, Holger J
AU - Antonsen, Sussie
AU - Benros, Michael E
AU - Erlangsen, Annette
AU - Albiñana, Clara
AU - Nordentoft, Merete
AU - Børglum, Anders D
AU - Mors, Ole
AU - Werge, Thomas
AU - Mortensen, Preben B
AU - Hougaard, David
AU - Webb, Roger T
AU - Agerbo, Esben
PY - 2023
Y1 - 2023
N2 - BACKGROUND: Poor school performance is linked to higher risks of self-harm. The association might be explained through genetic liabilities for depression or educational attainment. We investigated the association between school performance and self-harm in a population-based sample while assessing the potential influence of polygenic risk scores (PRSs) for depression (PRSMDD) and for educational attainment (PRSEDU).METHOD: We conducted a follow-up study of individuals born 1987-98 and followed from age 18 until 2016. The total sample consisted of a case group (23,779 diagnosed with mental disorders; schizophrenia, bipolar disorder, depression, autism, and attention deficit hyperactivity disorder (ADHD) and a randomly sampled comparison group (n = 10,925). Genome-wide data were obtained from the Neonatal Screening Biobank and information on school performance, family psychiatric history, and socioeconomic status from national administrative registers.RESULTS: Individuals in the top PRSMDD decile were at higher self-harm risk in the case group (IRR: 1.30; 95% CI 1.15-1.46), whereas individuals in the top PRSEDU decile were at lower self-harm risk (IRR: 0.63; 95% CI: 0.55-0.74). Poorer school performance was associated with higher self-harm risk in persons diagnosed with any mental disorder (IRR: 1.69; 95% CI: 1.44-1.99) and among the comparison group (IRR: 7.93; 95% CI: 4.47-15.18). Observed effects of PRSMDD and PRSEDU on self-harm risk were strongest for individuals with poor school performance.CONCLUSION: Associations between PRSMDD and self-harm risk and between PRSEDU and self-harm risk were found. Nevertheless, these polygenic scores seem currently of limited clinical utility for identifying individuals at high self-harm risk.
AB - BACKGROUND: Poor school performance is linked to higher risks of self-harm. The association might be explained through genetic liabilities for depression or educational attainment. We investigated the association between school performance and self-harm in a population-based sample while assessing the potential influence of polygenic risk scores (PRSs) for depression (PRSMDD) and for educational attainment (PRSEDU).METHOD: We conducted a follow-up study of individuals born 1987-98 and followed from age 18 until 2016. The total sample consisted of a case group (23,779 diagnosed with mental disorders; schizophrenia, bipolar disorder, depression, autism, and attention deficit hyperactivity disorder (ADHD) and a randomly sampled comparison group (n = 10,925). Genome-wide data were obtained from the Neonatal Screening Biobank and information on school performance, family psychiatric history, and socioeconomic status from national administrative registers.RESULTS: Individuals in the top PRSMDD decile were at higher self-harm risk in the case group (IRR: 1.30; 95% CI 1.15-1.46), whereas individuals in the top PRSEDU decile were at lower self-harm risk (IRR: 0.63; 95% CI: 0.55-0.74). Poorer school performance was associated with higher self-harm risk in persons diagnosed with any mental disorder (IRR: 1.69; 95% CI: 1.44-1.99) and among the comparison group (IRR: 7.93; 95% CI: 4.47-15.18). Observed effects of PRSMDD and PRSEDU on self-harm risk were strongest for individuals with poor school performance.CONCLUSION: Associations between PRSMDD and self-harm risk and between PRSEDU and self-harm risk were found. Nevertheless, these polygenic scores seem currently of limited clinical utility for identifying individuals at high self-harm risk.
U2 - 10.1080/08039488.2022.2078998
DO - 10.1080/08039488.2022.2078998
M3 - Journal article
C2 - 35635301
VL - 77
SP - 179
EP - 187
JO - Nordic Journal of Psychiatry, Supplement
JF - Nordic Journal of Psychiatry, Supplement
SN - 0803-9496
IS - 2
ER -
ID: 323628130