An excess mortality for violence (suicides and injuries) has been obse
rved following the use of cholesterol lowering drugs. It has been sugg
ested that low cholesterol is associated with depression by modifying
the serotonin metabolism. In this paper, a new hypothesis concerning t
he association among serum lipids, depression, and atherosclerosis is
proposed. The hypothesis is based on epidemiologic evidence concerning
serum lipids, depression, violent deaths, and atherosclerosis. It is
also based on previous results concerning a cytokine, interleukin-2. R
ecent observations indicate that interleukin-2 has an important role i
n lipid metabolism, depression, and atherosclerosis.