An efficient method was developed for the determination of nanogram levels
of lithium in biological samples. Serum samples from human subjects from so
utheastern Spain, treated or not treated with lithium carbonate, were analy
zed by electrothermal atomic absorption spectrometry. The samples were prev
iously treated with a matrix modifier consisting of 0.1% Triton X-100 and i
njected through a graphite tube with L'vov platform. The Li concentrations
measured by the procedure described for the 3 certified reference samples u
sed were not significantly different (p > 0.05) than certified levels. Samp
le recoveries and variability during several days, with coefficients of var
iation from 4.00 to 14.8%, demonstrated the reliability and accuracy of thi
s technique. Mean Li concentration determined in the serum of individuals w
ith psychiatric disorders treated with Li (n = 117, 5.077 +/- 1.795 mu g Li
/mL) was significantly higher (p < 0.001) than that in individuals not trea
ted with Li (n = 24, 1.902 +/- 2.054 ng Li/mL),