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Association between natural exposure to lithium and suicide rate: an ecological and human biomonitoring study in northern Portugal

dc.contributor.authorCainé, Laura
dc.contributor.authorSantos, Agostinho
dc.contributor.authorAlmeida, Agostinho
dc.contributor.authorGonçalves, Carolina
dc.contributor.authorAzevedo, Rui
dc.contributor.authorCosta, Félix
dc.contributor.authorCouto, Cristina
dc.contributor.authorDuro, Mary
dc.date.accessioned2023-02-13T12:55:55Z
dc.date.available2023-02-13T12:55:55Z
dc.date.issued2022
dc.descriptionPóster apresentado no XXVI Encontro Galego-Portugués de Química, 16 - 18 de novembro de 2022, Santiago de Compostela, Espanha.pt_PT
dc.description.abstractSeveral studies have found an inverse relationship between lithium levels in drinking water and the suicide rate in the general population [1,2]. However, this observation has failed in other studies [3], including in Portugal [4], and there seems to be a threshold concentration (30 μg/L) above which this “protective” effect of lithium becomes noticeable [3]. The main limitation of these “ecological” studies is that they assume a direct association between lithium concentration in drinking water and population lithium intake. However, other sources can significantly contribute to the total daily intake of lithium, namely various dietary sources. Determination of urinary lithium levels may be a better approach in the study of this issue (the possible association between natural lithium exposure and suicide rates), by allowing a more accurate assessment of actual lithium intake by the general population. In this context, we conducted a comparative study between two regions of northern Portugal with very different relative risk (RR) for suicide, according to a study by Loureiro et al. [5], roughly corresponding to the metropolitan area of Porto (“AMP”; west/coast, with the lowest RR nationally: 0.28) and the region of Trás-os-Montes (“TM”; northeast, with the third highest RR: 1.67). The study included both the determination of lithium concentration in water samples (from domestic public supply and other sources, including surface water) and in urine samples from individuals residing in the two regions. There was no clear inverse association between lithium levels and the RR of suicide. The median concentration in water was slightly higher in the region with the lowest RR (AMP) [3.4 μg/L (n=59) vs. 2.5 μg/L (n=72)], but the median concentration in urine was lower [22.6 μg/L (n=131) vs. 27.5 μg/L (n=51)]. However, in this region (AMP) a significantly higher percentage of individuals with high lithium urinary levels (> 80 μg/L) was found: 15% (20/131) vs. only 6% (3/51). The reasons for this large inter- individual variability in urinary lithium levels should be investigated.pt_PT
dc.description.versionN/Apt_PT
dc.identifier.urihttp://hdl.handle.net/10400.26/43794
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relationAssociated Laboratory for Green Chemistry - Clean Technologies and Processes
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectLithiumpt_PT
dc.subjectSuicidept_PT
dc.subjectDrinking Waterpt_PT
dc.subjectUrinept_PT
dc.titleAssociation between natural exposure to lithium and suicide rate: an ecological and human biomonitoring study in northern Portugalpt_PT
dc.typeconference object
dspace.entity.typePublication
oaire.awardTitleAssociated Laboratory for Green Chemistry - Clean Technologies and Processes
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F50006%2F2020/PT
oaire.citation.conferencePlaceSantiago de Compostela. Espanhapt_PT
oaire.citation.titleXXVI Encontro Galego-Portugués de Químicapt_PT
oaire.fundingStream6817 - DCRRNI ID
person.familyNameCainé
person.familyNameSantos
person.givenNameLaura
person.givenNameAgostinho
person.identifierAAR-9087-2020
person.identifier.ciencia-id021A-33DD-869D
person.identifier.ciencia-id5311-A774-AC55
person.identifier.orcid0000-0002-6542-4256
person.identifier.orcid0000-0002-1396-4234
person.identifier.scopus-author-id2311978
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typeconferenceObjectpt_PT
relation.isAuthorOfPublication1a1e1ffc-1439-48f2-a4c3-359c66db3ad1
relation.isAuthorOfPublication61299072-a091-458c-bb8f-8bbc062ed145
relation.isAuthorOfPublication.latestForDiscovery1a1e1ffc-1439-48f2-a4c3-359c66db3ad1
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