“…First, increased rates of violent death including suicide (Muldoon et al 1990) and the association of depressive symptomatology (Ernst et al 1994, Ketterer et al 1994) have been noted in subjects placed on low cholesterol diets or treated with statin-class medications. Second, higher rates of depression in subjects with hypocholesterolemia (Morgan et al 1993, Rozzini et al 1996, Steegmans et al 2000 and lower cholesterol levels in depressed subjects (Cadeddu et al 1995, Partonen et al 1999) and subjects with affective disorders (Glueck et al 1994) than in controls have been reported. Lower cholesterol levels have also been noted in suicidal subjects (Modai et al 1994, Sullivan et al 1994, Golier et al 1995, Kunugi et al 1997, Partonen et al 1999, Sarchiapone et al 2000 and hypocholesterolemia has also been implicated as a positive risk factor for suicide (Neaton et al 1992, Papassotiropoulos et al 1999, suggesting a possible association of hypocholesterolemia and syndromes characterized by elevated rates of suicide such as depression and mixed mania.…”