Forty schizophrenic patients were included in a study of the relations
hip between serotonin function as measured by H-3-paroxetine binding t
o platelet membranes and aggressive behaviour. Patients classified as
either aggressive or non-aggressive were paired by age, sex and durati
on of illness. H-3-Paroxetine binding variations were avoided by takin
g samples for each pair between 09:00 and 11:00 h, within 4 days of ea
ch other, and by assaying pairs of samples together. The mean K-d for
the aggressive group was 0.193 +/- 0.126 nM and the mean K-d for the n
on-aggressive group was 0.176 +/- 0.164 nM. The mean B-max for the agg
ressive group was 1451 +/- 386 fmol/mg protein while the mean for the
non-aggressive group was 1549 +/- 375 fmol/mg protein. There was no si
gnificant difference between the groups for either parameter, K-d or B
-max. There were ho significant correlations between psychopathology r
atings including positive and negative symptoms, depression, suicidal
thoughts, impulse control, as well as both past and present history of
aggression, hostility and irritability traits, psychopathic deviance
and either B-max and K-d. This study finds no relationship between agg
ressive behaviour and peripheral serotonin function as measured by H-3
-paroxetine binding to platelet membranes.