# Genetic influences on suicide attempt in adolescence: Evaluating mediation by impulsivity and painful and provocative events

## TL;DR

This study examines how impulsivity and painful events relate to suicide attempts in adolescents, finding little evidence that genetics influence this risk through these factors.

## Contribution

The study is the first to evaluate mediation of genetic influences on suicide attempts by impulsivity and painful events in early adolescence.

## Key findings

- Genetic liability for suicide attempts was largely unrelated to impulsivity and painful events.
- Impulsivity and non-suicidal self-injury were linked to increased suicide attempt risk.
- There was limited support for genetic mediation through impulsivity or painful events.

## Abstract

Genetic risk factors, impulsivity, and exposure to painful and provocative events (PPEs) have each been linked with risk for suicide attempt (SA). However, the degree to which genetic associations with SA are mediated by dimensions of impulsivity and PPEs remains unexplored, particularly in early adolescence.

Participants were 6402 individuals (52.0% male, 48.0% female, 72.3% European ancestry, 27.7% African ancestry, mean age at baseline = 9.47 years, SD = 0.51 years) from the Adolescent Brain Cognitive Development (ABCD) Study. Genetic liability for SA was measured using polygenic scores and family history density scores. Multiple dimensions of impulsivity were assessed using self‐report measures and laboratory tasks, and potential PPEs included injuries, traumatic events, non‐suicidal self‐injury, and operations. A series of mediation models was specified to evaluate whether genetic associations with SA risk were mediated by impulsivity and PPE exposure. Separate models were tested in adolescents of European and African ancestry. Sex, age, socioeconomic factors, and depressive symptoms were included as covariates.

Genetic liability for SA was largely unrelated to impulsivity, PPE exposure, and SA risk (|β| = 0.00–0.34). In addition, there was little support for the hypothesis that more impulsive individuals are more likely to experience PPEs, with the exception that urgency and low conscientiousness were significantly related to non‐suicidal self‐injury (|β| = 0.09–0.19). Several dimensions of impulsivity and two PPEs (non‐suicidal self‐injury and traumatic events) were related to increased risk for SA (|β| = 0.32–0.76).

Impulsivity and PPEs each contribute to risk for SA. However, there is little support for the hypothesis that genetic influences on SA are mediated by impulsivity and PPE exposure in early adolescence.

Impulsivity and exposure to painful and provocative events each contribute to risk for suicide attempt. However, there is little support for the hypothesis that genetic influences on suicide attempt are mediated by impulsivity and painful and provocative event exposure in early adolescence.