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Variations in seasonal solar insolation are associated with a history of suicide attempts in bipolar I disorder
BACKGROUND: Bipolar disorder is associated with circadian disruption and a high risk of suicidal behavior. In a previous exploratory study of patients with bipolar I disorder, we found that a history of suicide attempts was associated with differences between winter and summer levels of solar insola...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8408297/ https://www.ncbi.nlm.nih.gov/pubmed/34467430 http://dx.doi.org/10.1186/s40345-021-00231-7 |
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author | Bauer, Michael Glenn, Tasha Achtyes, Eric D. Alda, Martin Agaoglu, Esen Altınbaş, Kürşat Andreassen, Ole A. Angelopoulos, Elias Ardau, Raffaella Vares, Edgar Arrua Aydin, Memduha Ayhan, Yavuz Baethge, Christopher Bauer, Rita Baune, Bernhard T. Balaban, Ceylan Becerra-Palars, Claudia Behere, Aniruddh P. Behere, Prakash B. Belete, Habte Belete, Tilahun Belizario, Gabriel Okawa Bellivier, Frank Belmaker, Robert H. Benedetti, Francesco Berk, Michael Bersudsky, Yuly Bicakci, Şule Birabwa-Oketcho, Harriet Bjella, Thomas D. Brady, Conan Cabrera, Jorge Cappucciati, Marco Castro, Angela Marianne Paredes Chen, Wei-Ling Cheung, Eric Y. Wo Chiesa, Silvia Crowe, Marie Cuomo, Alessandro Dallaspezia, Sara Del Zompo, Maria Desai, Pratikkumar Dodd, Seetal Donix, Markus Etain, Bruno Fagiolini, Andrea Fellendorf, Frederike T. Ferensztajn-Rochowiak, Ewa Fiedorowicz, Jess G. Fountoulakis, Kostas N. Frye, Mark A. Geoffroy, Pierre A. Gonzalez-Pinto, Ana Gottlieb, John F. Grof, Paul Haarman, Bartholomeus C. M. Harima, Hirohiko Hasse-Sousa, Mathias Henry, Chantal Høffding, Lone Houenou, Josselin Imbesi, Massimiliano Isometsä, Erkki T. Ivkovic, Maja Janno, Sven Johnsen, Simon Kapczinski, Flávio Karakatsoulis, Gregory N. Kardell, Mathias Kessing, Lars Vedel Kim, Seong Jae König, Barbara Kot, Timur L. Koval, Michael Kunz, Mauricio Lafer, Beny Landén, Mikael Larsen, Erik R. Lenger, Melanie Lewitzka, Ute Licht, Rasmus W. Lopez-Jaramillo, Carlos MacKenzie, Alan Madsen, Helle Østergaard Madsen, Simone Alberte Kongstad A. Mahadevan, Jayant Mahardika, Agustine Manchia, Mirko Marsh, Wendy Martinez-Cengotitabengoa, Monica Martiny, Klaus Mashima, Yuki McLoughlin, Declan M. Meesters, Ybe Melle, Ingrid Meza-Urzúa, Fátima Ming, Mok Yee Monteith, Scott Moorthy, Muthukumaran Morken, Gunnar Mosca, Enrica Mozzhegorov, Anton A. Munoz, Rodrigo Mythri, Starlin V. Nacef, Fethi Nadella, Ravi K. Nakanotani, Takako Nielsen, René Ernst O‘Donovan, Claire Omrani, Adel Osher, Yamima Ouali, Uta Pantovic-Stefanovic, Maja Pariwatcharakul, Pornjira Petite, Joanne Pfennig, Andrea Ruiz, Yolanda Pica Pilhatsch, Maximilian Pinna, Marco Pompili, Maurizio Porter, Richard Quiroz, Danilo Rabelo-da-Ponte, Francisco Diego Ramesar, Raj Rasgon, Natalie Ratta-apha, Woraphat Ratzenhofer, Michaela Redahan, Maria Reddy, M. S. Reif, Andreas Reininghaus, Eva Z. Richards, Jenny Gringer Ritter, Philipp Rybakowski, Janusz K. Sathyaputri, Leela Scippa, Ângela M. Simhandl, Christian Severus, Emanuel Smith, Daniel Smith, José Stackhouse, Paul W. Stein, Dan J. Stilwell, Kellen Strejilevich, Sergio Su, Kuan-Pin Subramaniam, Mythily Sulaiman, Ahmad Hatim Suominen, Kirsi Tanra, Andi J. Tatebayashi, Yoshitaka Teh, Wen Lin Tondo, Leonardo Torrent, Carla Tuinstra, Daniel Uchida, Takahito Vaaler, Arne E. Veeh, Julia Vieta, Eduard Viswanath, Biju Yoldi-Negrete, Maria Yalcinkaya, Oguz Kaan Young, Allan H. Zgueb, Yosra Whybrow, Peter C. |
author_facet | Bauer, Michael Glenn, Tasha Achtyes, Eric D. Alda, Martin Agaoglu, Esen Altınbaş, Kürşat Andreassen, Ole A. Angelopoulos, Elias Ardau, Raffaella Vares, Edgar Arrua Aydin, Memduha Ayhan, Yavuz Baethge, Christopher Bauer, Rita Baune, Bernhard T. Balaban, Ceylan Becerra-Palars, Claudia Behere, Aniruddh P. Behere, Prakash B. Belete, Habte Belete, Tilahun Belizario, Gabriel Okawa Bellivier, Frank Belmaker, Robert H. Benedetti, Francesco Berk, Michael Bersudsky, Yuly Bicakci, Şule Birabwa-Oketcho, Harriet Bjella, Thomas D. Brady, Conan Cabrera, Jorge Cappucciati, Marco Castro, Angela Marianne Paredes Chen, Wei-Ling Cheung, Eric Y. Wo Chiesa, Silvia Crowe, Marie Cuomo, Alessandro Dallaspezia, Sara Del Zompo, Maria Desai, Pratikkumar Dodd, Seetal Donix, Markus Etain, Bruno Fagiolini, Andrea Fellendorf, Frederike T. Ferensztajn-Rochowiak, Ewa Fiedorowicz, Jess G. Fountoulakis, Kostas N. Frye, Mark A. Geoffroy, Pierre A. Gonzalez-Pinto, Ana Gottlieb, John F. Grof, Paul Haarman, Bartholomeus C. M. Harima, Hirohiko Hasse-Sousa, Mathias Henry, Chantal Høffding, Lone Houenou, Josselin Imbesi, Massimiliano Isometsä, Erkki T. Ivkovic, Maja Janno, Sven Johnsen, Simon Kapczinski, Flávio Karakatsoulis, Gregory N. Kardell, Mathias Kessing, Lars Vedel Kim, Seong Jae König, Barbara Kot, Timur L. Koval, Michael Kunz, Mauricio Lafer, Beny Landén, Mikael Larsen, Erik R. Lenger, Melanie Lewitzka, Ute Licht, Rasmus W. Lopez-Jaramillo, Carlos MacKenzie, Alan Madsen, Helle Østergaard Madsen, Simone Alberte Kongstad A. Mahadevan, Jayant Mahardika, Agustine Manchia, Mirko Marsh, Wendy Martinez-Cengotitabengoa, Monica Martiny, Klaus Mashima, Yuki McLoughlin, Declan M. Meesters, Ybe Melle, Ingrid Meza-Urzúa, Fátima Ming, Mok Yee Monteith, Scott Moorthy, Muthukumaran Morken, Gunnar Mosca, Enrica Mozzhegorov, Anton A. Munoz, Rodrigo Mythri, Starlin V. Nacef, Fethi Nadella, Ravi K. Nakanotani, Takako Nielsen, René Ernst O‘Donovan, Claire Omrani, Adel Osher, Yamima Ouali, Uta Pantovic-Stefanovic, Maja Pariwatcharakul, Pornjira Petite, Joanne Pfennig, Andrea Ruiz, Yolanda Pica Pilhatsch, Maximilian Pinna, Marco Pompili, Maurizio Porter, Richard Quiroz, Danilo Rabelo-da-Ponte, Francisco Diego Ramesar, Raj Rasgon, Natalie Ratta-apha, Woraphat Ratzenhofer, Michaela Redahan, Maria Reddy, M. S. Reif, Andreas Reininghaus, Eva Z. Richards, Jenny Gringer Ritter, Philipp Rybakowski, Janusz K. Sathyaputri, Leela Scippa, Ângela M. Simhandl, Christian Severus, Emanuel Smith, Daniel Smith, José Stackhouse, Paul W. Stein, Dan J. Stilwell, Kellen Strejilevich, Sergio Su, Kuan-Pin Subramaniam, Mythily Sulaiman, Ahmad Hatim Suominen, Kirsi Tanra, Andi J. Tatebayashi, Yoshitaka Teh, Wen Lin Tondo, Leonardo Torrent, Carla Tuinstra, Daniel Uchida, Takahito Vaaler, Arne E. Veeh, Julia Vieta, Eduard Viswanath, Biju Yoldi-Negrete, Maria Yalcinkaya, Oguz Kaan Young, Allan H. Zgueb, Yosra Whybrow, Peter C. |
author_sort | Bauer, Michael |
collection | PubMed |
description | BACKGROUND: Bipolar disorder is associated with circadian disruption and a high risk of suicidal behavior. In a previous exploratory study of patients with bipolar I disorder, we found that a history of suicide attempts was associated with differences between winter and summer levels of solar insolation. The purpose of this study was to confirm this finding using international data from 42% more collection sites and 25% more countries. METHODS: Data analyzed were from 71 prior and new collection sites in 40 countries at a wide range of latitudes. The analysis included 4876 patients with bipolar I disorder, 45% more data than previously analyzed. Of the patients, 1496 (30.7%) had a history of suicide attempt. Solar insolation data, the amount of the sun’s electromagnetic energy striking the surface of the earth, was obtained for each onset location (479 locations in 64 countries). RESULTS: This analysis confirmed the results of the exploratory study with the same best model and slightly better statistical significance. There was a significant inverse association between a history of suicide attempts and the ratio of mean winter insolation to mean summer insolation (mean winter insolation/mean summer insolation). This ratio is largest near the equator which has little change in solar insolation over the year, and smallest near the poles where the winter insolation is very small compared to the summer insolation. Other variables in the model associated with an increased risk of suicide attempts were a history of alcohol or substance abuse, female gender, and younger birth cohort. The winter/summer insolation ratio was also replaced with the ratio of minimum mean monthly insolation to the maximum mean monthly insolation to accommodate insolation patterns in the tropics, and nearly identical results were found. All estimated coefficients were significant at p < 0.01. CONCLUSION: A large change in solar insolation, both between winter and summer and between the minimum and maximum monthly values, may increase the risk of suicide attempts in bipolar I disorder. With frequent circadian rhythm dysfunction and suicidal behavior in bipolar disorder, greater understanding of the optimal roles of daylight and electric lighting in circadian entrainment is needed. |
format | Online Article Text |
id | pubmed-8408297 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-84082972021-09-16 Variations in seasonal solar insolation are associated with a history of suicide attempts in bipolar I disorder Bauer, Michael Glenn, Tasha Achtyes, Eric D. Alda, Martin Agaoglu, Esen Altınbaş, Kürşat Andreassen, Ole A. Angelopoulos, Elias Ardau, Raffaella Vares, Edgar Arrua Aydin, Memduha Ayhan, Yavuz Baethge, Christopher Bauer, Rita Baune, Bernhard T. Balaban, Ceylan Becerra-Palars, Claudia Behere, Aniruddh P. Behere, Prakash B. Belete, Habte Belete, Tilahun Belizario, Gabriel Okawa Bellivier, Frank Belmaker, Robert H. Benedetti, Francesco Berk, Michael Bersudsky, Yuly Bicakci, Şule Birabwa-Oketcho, Harriet Bjella, Thomas D. Brady, Conan Cabrera, Jorge Cappucciati, Marco Castro, Angela Marianne Paredes Chen, Wei-Ling Cheung, Eric Y. Wo Chiesa, Silvia Crowe, Marie Cuomo, Alessandro Dallaspezia, Sara Del Zompo, Maria Desai, Pratikkumar Dodd, Seetal Donix, Markus Etain, Bruno Fagiolini, Andrea Fellendorf, Frederike T. Ferensztajn-Rochowiak, Ewa Fiedorowicz, Jess G. Fountoulakis, Kostas N. Frye, Mark A. Geoffroy, Pierre A. Gonzalez-Pinto, Ana Gottlieb, John F. Grof, Paul Haarman, Bartholomeus C. M. Harima, Hirohiko Hasse-Sousa, Mathias Henry, Chantal Høffding, Lone Houenou, Josselin Imbesi, Massimiliano Isometsä, Erkki T. Ivkovic, Maja Janno, Sven Johnsen, Simon Kapczinski, Flávio Karakatsoulis, Gregory N. Kardell, Mathias Kessing, Lars Vedel Kim, Seong Jae König, Barbara Kot, Timur L. Koval, Michael Kunz, Mauricio Lafer, Beny Landén, Mikael Larsen, Erik R. Lenger, Melanie Lewitzka, Ute Licht, Rasmus W. Lopez-Jaramillo, Carlos MacKenzie, Alan Madsen, Helle Østergaard Madsen, Simone Alberte Kongstad A. Mahadevan, Jayant Mahardika, Agustine Manchia, Mirko Marsh, Wendy Martinez-Cengotitabengoa, Monica Martiny, Klaus Mashima, Yuki McLoughlin, Declan M. Meesters, Ybe Melle, Ingrid Meza-Urzúa, Fátima Ming, Mok Yee Monteith, Scott Moorthy, Muthukumaran Morken, Gunnar Mosca, Enrica Mozzhegorov, Anton A. Munoz, Rodrigo Mythri, Starlin V. Nacef, Fethi Nadella, Ravi K. Nakanotani, Takako Nielsen, René Ernst O‘Donovan, Claire Omrani, Adel Osher, Yamima Ouali, Uta Pantovic-Stefanovic, Maja Pariwatcharakul, Pornjira Petite, Joanne Pfennig, Andrea Ruiz, Yolanda Pica Pilhatsch, Maximilian Pinna, Marco Pompili, Maurizio Porter, Richard Quiroz, Danilo Rabelo-da-Ponte, Francisco Diego Ramesar, Raj Rasgon, Natalie Ratta-apha, Woraphat Ratzenhofer, Michaela Redahan, Maria Reddy, M. S. Reif, Andreas Reininghaus, Eva Z. Richards, Jenny Gringer Ritter, Philipp Rybakowski, Janusz K. Sathyaputri, Leela Scippa, Ângela M. Simhandl, Christian Severus, Emanuel Smith, Daniel Smith, José Stackhouse, Paul W. Stein, Dan J. Stilwell, Kellen Strejilevich, Sergio Su, Kuan-Pin Subramaniam, Mythily Sulaiman, Ahmad Hatim Suominen, Kirsi Tanra, Andi J. Tatebayashi, Yoshitaka Teh, Wen Lin Tondo, Leonardo Torrent, Carla Tuinstra, Daniel Uchida, Takahito Vaaler, Arne E. Veeh, Julia Vieta, Eduard Viswanath, Biju Yoldi-Negrete, Maria Yalcinkaya, Oguz Kaan Young, Allan H. Zgueb, Yosra Whybrow, Peter C. Int J Bipolar Disord Research BACKGROUND: Bipolar disorder is associated with circadian disruption and a high risk of suicidal behavior. In a previous exploratory study of patients with bipolar I disorder, we found that a history of suicide attempts was associated with differences between winter and summer levels of solar insolation. The purpose of this study was to confirm this finding using international data from 42% more collection sites and 25% more countries. METHODS: Data analyzed were from 71 prior and new collection sites in 40 countries at a wide range of latitudes. The analysis included 4876 patients with bipolar I disorder, 45% more data than previously analyzed. Of the patients, 1496 (30.7%) had a history of suicide attempt. Solar insolation data, the amount of the sun’s electromagnetic energy striking the surface of the earth, was obtained for each onset location (479 locations in 64 countries). RESULTS: This analysis confirmed the results of the exploratory study with the same best model and slightly better statistical significance. There was a significant inverse association between a history of suicide attempts and the ratio of mean winter insolation to mean summer insolation (mean winter insolation/mean summer insolation). This ratio is largest near the equator which has little change in solar insolation over the year, and smallest near the poles where the winter insolation is very small compared to the summer insolation. Other variables in the model associated with an increased risk of suicide attempts were a history of alcohol or substance abuse, female gender, and younger birth cohort. The winter/summer insolation ratio was also replaced with the ratio of minimum mean monthly insolation to the maximum mean monthly insolation to accommodate insolation patterns in the tropics, and nearly identical results were found. All estimated coefficients were significant at p < 0.01. CONCLUSION: A large change in solar insolation, both between winter and summer and between the minimum and maximum monthly values, may increase the risk of suicide attempts in bipolar I disorder. With frequent circadian rhythm dysfunction and suicidal behavior in bipolar disorder, greater understanding of the optimal roles of daylight and electric lighting in circadian entrainment is needed. Springer Berlin Heidelberg 2021-09-01 /pmc/articles/PMC8408297/ /pubmed/34467430 http://dx.doi.org/10.1186/s40345-021-00231-7 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Research Bauer, Michael Glenn, Tasha Achtyes, Eric D. Alda, Martin Agaoglu, Esen Altınbaş, Kürşat Andreassen, Ole A. Angelopoulos, Elias Ardau, Raffaella Vares, Edgar Arrua Aydin, Memduha Ayhan, Yavuz Baethge, Christopher Bauer, Rita Baune, Bernhard T. Balaban, Ceylan Becerra-Palars, Claudia Behere, Aniruddh P. Behere, Prakash B. Belete, Habte Belete, Tilahun Belizario, Gabriel Okawa Bellivier, Frank Belmaker, Robert H. Benedetti, Francesco Berk, Michael Bersudsky, Yuly Bicakci, Şule Birabwa-Oketcho, Harriet Bjella, Thomas D. Brady, Conan Cabrera, Jorge Cappucciati, Marco Castro, Angela Marianne Paredes Chen, Wei-Ling Cheung, Eric Y. Wo Chiesa, Silvia Crowe, Marie Cuomo, Alessandro Dallaspezia, Sara Del Zompo, Maria Desai, Pratikkumar Dodd, Seetal Donix, Markus Etain, Bruno Fagiolini, Andrea Fellendorf, Frederike T. Ferensztajn-Rochowiak, Ewa Fiedorowicz, Jess G. Fountoulakis, Kostas N. Frye, Mark A. Geoffroy, Pierre A. Gonzalez-Pinto, Ana Gottlieb, John F. Grof, Paul Haarman, Bartholomeus C. M. Harima, Hirohiko Hasse-Sousa, Mathias Henry, Chantal Høffding, Lone Houenou, Josselin Imbesi, Massimiliano Isometsä, Erkki T. Ivkovic, Maja Janno, Sven Johnsen, Simon Kapczinski, Flávio Karakatsoulis, Gregory N. Kardell, Mathias Kessing, Lars Vedel Kim, Seong Jae König, Barbara Kot, Timur L. Koval, Michael Kunz, Mauricio Lafer, Beny Landén, Mikael Larsen, Erik R. Lenger, Melanie Lewitzka, Ute Licht, Rasmus W. Lopez-Jaramillo, Carlos MacKenzie, Alan Madsen, Helle Østergaard Madsen, Simone Alberte Kongstad A. Mahadevan, Jayant Mahardika, Agustine Manchia, Mirko Marsh, Wendy Martinez-Cengotitabengoa, Monica Martiny, Klaus Mashima, Yuki McLoughlin, Declan M. Meesters, Ybe Melle, Ingrid Meza-Urzúa, Fátima Ming, Mok Yee Monteith, Scott Moorthy, Muthukumaran Morken, Gunnar Mosca, Enrica Mozzhegorov, Anton A. Munoz, Rodrigo Mythri, Starlin V. Nacef, Fethi Nadella, Ravi K. Nakanotani, Takako Nielsen, René Ernst O‘Donovan, Claire Omrani, Adel Osher, Yamima Ouali, Uta Pantovic-Stefanovic, Maja Pariwatcharakul, Pornjira Petite, Joanne Pfennig, Andrea Ruiz, Yolanda Pica Pilhatsch, Maximilian Pinna, Marco Pompili, Maurizio Porter, Richard Quiroz, Danilo Rabelo-da-Ponte, Francisco Diego Ramesar, Raj Rasgon, Natalie Ratta-apha, Woraphat Ratzenhofer, Michaela Redahan, Maria Reddy, M. S. Reif, Andreas Reininghaus, Eva Z. Richards, Jenny Gringer Ritter, Philipp Rybakowski, Janusz K. Sathyaputri, Leela Scippa, Ângela M. Simhandl, Christian Severus, Emanuel Smith, Daniel Smith, José Stackhouse, Paul W. Stein, Dan J. Stilwell, Kellen Strejilevich, Sergio Su, Kuan-Pin Subramaniam, Mythily Sulaiman, Ahmad Hatim Suominen, Kirsi Tanra, Andi J. Tatebayashi, Yoshitaka Teh, Wen Lin Tondo, Leonardo Torrent, Carla Tuinstra, Daniel Uchida, Takahito Vaaler, Arne E. Veeh, Julia Vieta, Eduard Viswanath, Biju Yoldi-Negrete, Maria Yalcinkaya, Oguz Kaan Young, Allan H. Zgueb, Yosra Whybrow, Peter C. Variations in seasonal solar insolation are associated with a history of suicide attempts in bipolar I disorder |
title | Variations in seasonal solar insolation are associated with a history of suicide attempts in bipolar I disorder |
title_full | Variations in seasonal solar insolation are associated with a history of suicide attempts in bipolar I disorder |
title_fullStr | Variations in seasonal solar insolation are associated with a history of suicide attempts in bipolar I disorder |
title_full_unstemmed | Variations in seasonal solar insolation are associated with a history of suicide attempts in bipolar I disorder |
title_short | Variations in seasonal solar insolation are associated with a history of suicide attempts in bipolar I disorder |
title_sort | variations in seasonal solar insolation are associated with a history of suicide attempts in bipolar i disorder |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8408297/ https://www.ncbi.nlm.nih.gov/pubmed/34467430 http://dx.doi.org/10.1186/s40345-021-00231-7 |
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variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT kovalmichael variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT kunzmauricio variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT laferbeny variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT landenmikael variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT larsenerikr variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT lengermelanie variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT lewitzkaute variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT lichtrasmusw variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT lopezjaramillocarlos variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT mackenziealan variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT madsenhelleøstergaard variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT madsensimonealbertekongstada variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT mahadevanjayant variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT mahardikaagustine variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT manchiamirko variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT marshwendy variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT martinezcengotitabengoamonica variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT martinyklaus variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT mashimayuki variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT mcloughlindeclanm variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT meestersybe variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT melleingrid variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT mezaurzuafatima variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT mingmokyee variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT monteithscott variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT moorthymuthukumaran variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT morkengunnar variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT moscaenrica variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT mozzhegorovantona variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT munozrodrigo variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT mythristarlinv variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT naceffethi variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT nadellaravik variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT nakanotanitakako variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT nielsenreneernst variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT odonovanclaire variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT omraniadel variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT osheryamima variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT oualiuta variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT pantovicstefanovicmaja variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT pariwatcharakulpornjira variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT petitejoanne variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT pfennigandrea variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT ruizyolandapica variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT pilhatschmaximilian variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT pinnamarco variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT pompilimaurizio variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT porterrichard variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT quirozdanilo variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT rabelodapontefranciscodiego variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT ramesarraj variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT rasgonnatalie variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT rattaaphaworaphat variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT ratzenhofermichaela variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT redahanmaria variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT reddyms variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT reifandreas variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT reininghausevaz variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT richardsjennygringer variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT ritterphilipp variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT rybakowskijanuszk variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT sathyaputrileela variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT scippaangelam variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT simhandlchristian variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT severusemanuel variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT smithdaniel variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT smithjose variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT stackhousepaulw variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT steindanj variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT stilwellkellen variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT strejilevichsergio variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT sukuanpin variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT subramaniammythily variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT sulaimanahmadhatim variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT suominenkirsi variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT tanraandij variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT tatebayashiyoshitaka variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT tehwenlin variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT tondoleonardo variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT torrentcarla variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT tuinstradaniel variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT uchidatakahito variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT vaalerarnee variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT veehjulia variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT vietaeduard variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT viswanathbiju variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT yoldinegretemaria variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT yalcinkayaoguzkaan variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT youngallanh variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT zguebyosra variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder AT whybrowpeterc variationsinseasonalsolarinsolationareassociatedwithahistoryofsuicideattemptsinbipolaridisorder |