Similar occurrence of schizophrenia was observed in men and women independe
nt of their season of birth. Platelet 5-HT concentration was determined in
116 healthy control subjects (61 male and 55 female) and 152 patients with
schizophrenia (96 male and 56 female). Platelet 5-HT concentration was sign
ificantly higher in male than in female healthy persons and schizophrenic p
atients. Male and female healthy subjects born in different seasons had sim
ilar platelet 5-HT concentrations, whereas schizophrenic patients with diff
erent birth-seasons had significantly different platelet 5-HT concentration
s. The highest platelet 5-HT levels were observed in both male and female s
chizophrenic patients born in winter when compared to matched healthy contr
ols. Male schizophrenic patients born in winter had higher platelet 5-HT le
vels than schizophrenic men born in spring and summer. Female schizophrenic
patients born in winter had higher platelet 5-HT than schizophrenic women
born in all other seasons. These results indicated sex differences in plate
let 5-HT levels in healthy persons and schizophrenic patients. The relation
ship between season of the birth and platelet 5-HT concentration observed o
nly in schizophrenic patients added further support to the presumption that
schizophrenia is connected with a disturbance in the central serotoninergi
c system.