Background: Suicide has been identified as a serious public health problem that is often accompanied by alcohol misuse and
dependence. It seems that suicide is a result of an interplay between distal (e.g. genetic loading, family history of suicide) and
proximal factors (e.g. existence of psychiatric disorder, events conferring acute stress), as well as their interactions. However, like
suicide, alcohol dependence seems to be a multifactorial disorder caused by genetic and environmental factors. Serotonergic
dysfunction has been implicated to be involved in the pathophysiology of substance abuse, and has also an important role in suicidal
behaviour. Studies investigating suicide, alcohol-related suicide and the rate limiting enzyme of serotonin synthesis, tryptophan
hydroxylase 2 (TPH2), remain to date rather limited.
Results: Recent studies of TPH2 showed a range of strong, mild or no association with suicide and alcohol-related suicide,
depending on a study group and genetic variants tested. Overall, to date the clinical effects seems to be quite modest. Among suicide
victims with more impulsive and verbal aggressive behaviour more alcohol misuse or dependency was present.
Conclusions: Suicide and alcoholism are often comorbid disorders with a complex nature. They are both strongly linked to
serotonin modulation, and therefore association studies of SNPs in genes from the serotonergic system could provide an insight into
the genetic background of such disorders. However, based on current results we cannot draw any conclusions, but further research
to clarify the interplay between serotonergic system dysfunction, suicide, alcohol dependence, impulsivity and the role of TPH2
enzyme is needed
