The British Journal of Psychiatry (2009) 194: 464-465. doi: 10.1192/bjp.bp.108.055798
© 2009 The Royal College of Psychiatrists
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SHORT REPORT

Lithium levels in drinking water and risk of suicide{dagger}

Hirochika Ohgami, MD, PhD, Takeshi Terao, MD, PhD, Ippei Shiotsuki, MD and Nobuyoshi Ishii, MD

Department of Neuropsychiatry, Oita University Faculty of Medicine

Noboru Iwata, PhD

Department of Clinical Psychology, Hiroshima International University, Japan

Correspondence: Professor Takeshi Terao, Department of Neuropsychiatry, Oita University Faculty of Medicine, Idaigaoka 1-1, Hasama-machi, Yufu, Oita, 879-5593, Japan. Email: terao{at}med.oita-u.ac.jp

Declaration of interest

None.

{dagger} See invited commentary, p. 466, this issue.

Although lithium is known to prevent suicide in people with mood disorders, it is uncertain whether lithium in drinking water could also help lower the risk in the general population. To investigate this, we examined lithium levels in tap water in the 18 municipalities of Oita prefecture in Japan in relation to the suicide standardised mortality ratio (SMR) in each municipality. We found that lithium levels were significantly and negatively associated with SMR averages for 2002–2006. These findings suggest that even very low levels of lithium in drinking water may play a role in reducing suicide risk within the general population.


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