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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Psychiatry. Jun 19, 2026; 16(6): 116395
Published online Jun 19, 2026. doi: 10.5498/wjp.v16.i6.116395
Letter to the Editor: New neural perspective on suicidal behavior in adolescent depression: Specific amygdala subregional dysconnectivity with visual and socio-cognitive networks
Xiao-Yue Zhou, Xiao-Qi Gong, Quan-Feng Zhu
Xiao-Yue Zhou, Xiao-Qi Gong, Quan-Feng Zhu, Department of Psychiatry, Affiliated Xiaoshan Hospital, Hangzhou Normal University, Hangzhou 311200, Zhejiang Province, China
Co-first authors: Xiao-Yue Zhou and Xiao-Qi Gong.
Author contributions: Zhu QF designed the study and revised the manuscript; Zhou XY and Gong XQ wrote the first draft of the manuscript, and they contributed equally to this manuscript and are co-first authors. All the authors have read and approved the final version to be published.
AI contribution statement: This research utilized artificial intelligence tools for assistance. Before seeking professional language editing services for language polishing, this study utilized AI tools for language translation.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Quan-Feng Zhu, Associate Chief Pharmacist, Director, Department of Psychiatry, Affiliated Xiaoshan Hospital, Hangzhou Normal University, No. 728 Yuercai North Road, Hangzhou 311200, Zhejiang Province, China. quanfengzhu@126.com
Received: November 17, 2025
Revised: January 8, 2026
Accepted: February 10, 2026
Published online: June 19, 2026
Processing time: 195 Days and 3.3 Hours
Core Tip

Core Tip: Adolescents with major depressive disorder and a history of suicide attempts exhibit reduced resting-state functional connectivity between the right lateral amygdala and visual association areas (bilateral occipital lobes), along with abnormal connections involving the parahippocampal gyrus and superior temporal gyrus. These neural patterns are further correlated with lower self-esteem and higher interpersonal stress, offering an integrated neurobiological model linking emotional regulation, self-evaluation, and environmental stress in adolescent suicidality. The findings highlight the potential of amygdala subregion-based analysis in identifying specific neural circuits associated with suicide risk, paving the way for future biomarker development and targeted interventions.

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