This study aimed to evaluate a peripheral serotonergic marker, H-3-imi
pramine (H-3-IMI) binding to platelet membranes, in a group of severel
y aggressive subjects (A), institutionalized since childhood for menta
l retardation, as compared with suicide attempters (S) and healthy con
trols (H). The maximum binding capacity of H-3-IMI to platelet membran
es was statistically lower in (A) and (S) than in (H). In addition, a
statistically significant difference was observed between the Bmax val
ues of aggressive subjects and those of suicide attempters. No changes
in the dissociation constant (Kd) of IMI binding were observed. These
data provide further supporting evidence for the hypothesis of an abn
ormality of the 5HT system in aggressive behaviour and suggest that su
ch an abnormality, as reflected by platelet markers, is more severe in
suicide attempters. (C) 1993 Wiley-Liss, Inc.