RT Journal Article SR Electronic T1 Gene and environment interaction in familial suicidal behavior. A single family with 4 committed suicides. JF Saudi Medical Journal JO Saudi Med J FD Prince Sultan Military Medical City SP 1073 OP 1077 VO 32 IS 10 A1 Khazaie, Habibolah A1 Rezaie, Leeba A1 Alibakhshi, Reza A1 Schwebel, David C. YR 2011 UL http://smj.org.sa/content/32/10/1073.abstract AB Family history of suicide is among the strongest predictors of suicide risk. From the context of gene by environment interactions, this manuscript presents a case study of the M family, which experienced 4 committed suicides within a short time period. Over the course of 5 years, the father and 3 sons committed suicide. Suicidal ideations developed in several other members of the family. The family's suicide risk appears to have stemmed from both environmental and genetic factors, and likely from an interactive effect between both. Environmental factors included low level of education, opium dependency among male family members, unemployment, and poverty, and limited access to mental health services. Genotype analyses of A218C polymorphism among surviving family members revealed that all individuals were associated with the gene variation genotypes CC and AC in tryptophan hydroxylase. The genetic by environmental interaction influence is discussed.