Evidence is mounting that genetic factors may be included in the many deter
minants of suicide. Clinical studies of psychiatric patients have suggested
that risk of suicidal behavior is increased by the presence of family hist
ory of suicidality, a claim that is also supported by findings of twin and
adoption studies. In addition, molecular genetic studies have reported poly
morphisms in the tryptophan hydroxylase gene that is involved in the synthe
sis of serotonin. The genetic susceptibility to suicide, however, tends to
affect individuals only in association with stress or psychiatric illness.