A tetranucleotide repeat polymorphism in the first intron of the tyros
ine hydroxylase (TH) locus was examined in a group of 118 adult suicid
e attempters and 78 control subjects. The suicide attempters were diag
nosed according to DSM-III-R criteria at the index attempt and represe
nted the following diagnoses: major depression (18), dysthymia (13), a
nxiety disorders (16), adjustment disorders (29), psychoactive substan
ce abuse disorders (27) and psychotic disorders (15). A significant va
riation in the prevalence of carriers of the TH-K3 allele (high for su
icide attempters with adjustment disorders, P = 0.0023) and a tendency
toward a variation of the TH-K1 allele (low among all suicide attempt
ers, P = 0.046) was observed. In light of other data the variation of
TH-KI and TH-K3 suggests that these alleles may reflect predisposition
for a common phenotype with altered vulnerability for psychiatric dis
orders. (C) 1997 Elsevier Science Ireland Ltd.