ClinicalTrials.gg
SuspendedNCT03327129Updated Feb 27, 2026

Identifying the Neural Basis of Capability for Suicide

An observational study in Major Depressive Disorder, Suicide and Suicidal Ideation, sponsored by Unity Health Toronto. Suspended at 1 site in Canada. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2026-02-27.

Sponsored by Unity Health Toronto · Observational

Why this study was suspended
Study is currently on pause until further funding is received to continue the project.
Study type
Observational
Model
Case-control
Time perspective
Cross-sectional
Enrollment
90
Ages
18 Years to 70 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 17 studies in Depressive Disorder, Major by Unity Health Toronto — 8 open to participants now, 9 under way, none of them phase 3. Depressive Disorder, Major · Unity Health Toronto.

Started
2023
with 3 others
Observational
6 of 17
3 open now
Registered
2nd of 17
by date

Among the 17 studies in Depressive Disorder, Major by Unity Health Toronto, this one is one of 4 that started in 2023, is one of 6 observational ones, and was the 2nd registered.

By phase

17 studies; the count open now beside each. This study's row is marked.

No phase7 · 5 open
Observationalthis study6 · 3 open
Phase 42 · 0 open
Phase 21 · 0 open
Phase 31 · 0 open

By the year they started

First in 2017; this study’s year is marked. 4 started in 2023.

Size and results

Median enrollment 30 across the 11 interventional studies, 94 across the 6 observational. Of the 7 that completed or were terminated, 0 (0%) have results posted.

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02

Study summary

Since capability for suicide involves overriding potential pain, and the opioid system plays a strong role in controlling pain perception, it follows that capability for suicide may be impacted by the opioid system. The goal of the proposed research is to identify the neural network underlying capability for suicide in order to determine if it can be a target for identifying high-risk individuals and for intervention.

Read the detailed description

Little evidence exists distinguishing individuals with suicidal ideation (SI) from those at risk for suicidal behaviour, illustrating the need for more comprehensive biomarkers for clinicians to guide their treatment approach and for new treatment avenues. Current theories of suicide have suggested the importance of an individual's capability for suicide in predicting suicide attempt or death. Building on this, Yovell and colleagues (2016) provided important preliminary data that the opioid system affects suicide risk, but the neural mechanisms and their relationship to capability for suicide are unclear. The goal of the proposed research is to identify the neural network underlying capability for suicide using functional magnetic resonance imaging (fMRI) in order to determine if it can be a target for identifying high-risk individuals and for intervention.

03

Conditions studied

  • Major Depressive Disorder
  • Suicide
  • Suicidal Ideation
  • Psychiatric Illness
04

Who can participate

Ages eligible
18 Years to 70 Years
Sexes eligible
All
Accepts healthy volunteers
Yes
Sampling method
Probability sample

Study population

Subjects will recruited from Mental Health Clinics at St. Michael's Hospital from Mood Disorders Clinics and self-referrals from advertisements in Mental Health Department.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age between 18-70
  • Capability of giving
  • Not currently pregnant or lactating (due to potential confounding of brain activity as a result of differing hormone levels)

Exclusion criteria

Exclusion criteria for patients:

  • Lifetime history of any substance abuse, psychosis
  • Current use of any opioid acting drugs
  • Current use of any prescription pain medication
  • Use of over the counter pain medications within 15 hours of brain scan
  • For daily users of a benzodiazepine, stimulant or atypical antipsychotic, dose within 12 hours of brain scan
  • For as needed users of a benzodiazepine, stimulant or atypical antipsychotic, dose within 2 weeks of brain scan. This is because non-daily use will have more unpredictable effects on brain imaging results than those who are using these medications on a regular basis. The 2 weeks will ensure the drug is not in the system.
  • Medical condition requiring immediate investigation or treatment
  • Participation in experimental treatment trials for the study duration.

Healthy control inclusion criteria: Ages between 18 and 70 years, capable of giving , not pregnant or lactating, no lifetime history of Axis I/II disorders, no history of antidepressant or mood stabilizer use, no treatment for acute or ongoing medical condition, no use of any over the counter pain medication for at least 15 hours prior to the brain scan.

Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Case-control
Time perspective
Cross-sectional
Enrollment
90 participants (estimated)
Patient registry
No
Biospecimen retention
None retained

Groups and cohorts

  • Healthy Controls

    Subjects will have no personal or family psychiatric history and no suicide attempts.

    Procedure: fMRI

  • Patients with SI

    Subjects will have suicidal ideation (Hamilton Depression Rating Scale suicide item \>=2).

    Procedure: fMRI

Interventions

  • ProcedurefMRI

    An fMRI scan will be conducted to collect neuroimaging data. The scanning session will consist of a structural MRI, followed by resting state and task-based functional MRI protocol.

06

What researchers measure

Primary outcomes

  1. Neural network underlying acquired capability for suicide

    Measure the correlation between acquired capability for suicide and brain activity during a pressure pain task using fMRI in patients

    Time frame: 2 weeks

Secondary outcomes

  1. Correlation between pain task performance and acquired capability for suicide

    Assess the association between pain task ratings and acquired capability for suicide in patients

    Time frame: 2 weeks

07

Study locations

1 site
  • St. Michael's Hospital
    Toronto, Ontario M5B 0C1, Canada
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jan 2023 to primary completion in Apr 2025, 27 months.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 23, 2017
First posted
Oct 31, 2017
StartActual
Jan 1, 2023
Primary completionActual
Apr 1, 2025
CompletionEst.
Sep 2028
Last update
Feb 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Feb 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT03327129
Responsible party
Sponsor
First posted
Oct 31, 2017
Start date
Jan 1, 2023
Primary completion
Apr 1, 2025
Completion
Sep 2028 (estimated)
Last update
Feb 27, 2026

Study contacts

Sakina Rizvi, PhD
principal investigator · Unity Health Toronto

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is suspended, as verified in Feb 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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