Skip to content

Cohort study, 2026

How do menstrual cycle hormones affect suicide risk in women?

A review suggests hormone changes during the menstrual cycle, especially in the luteal phase, may affect brain chemistry and increase suicide risk in vulnerable women. The exact mechanisms are not fully understood.

Moderate study design Review of research on females of reproductive age with menstrual cycle-related suicidal thoughts.

What they did

This is a literature review examining how ovarian hormone changes during the menstrual cycle affect suicide risk. The authors reviewed evidence on six biological systems affected by hormones (serotonergic, GABAergic, dopaminergic, neurotrophic, lipid, and DHEA systems) and their links to suicide.

What they found

Women have higher suicidal thoughts and attempts than men, especially during hormone transitions like the menstrual cycle, puberty, and pregnancy. Suicidal risk is higher in the luteal and perimenstrual phases. In hormone-sensitive women, normal hormone fluctuations in estradiol, progesterone, and allopregnanolone may disrupt brain chemistry affecting mood, thinking, and behavior.

What it means for you

Menstrual cycle phase should be considered when assessing suicide risk in women. The main limitation is that exact mechanisms are not proven and most evidence is not specific to individual women. More targeted research is needed to identify who is at highest risk and how to prevent suicide.

6

biological systems reviewed

Luteal phase

highest suicide risk

3

key hormones studied

About the study

Original title
Molecular Mechanisms of Menstrual Cycle-Related Suicide Risk: A Selective Review of Promising Candidate Systems
Authors
Ross A, Patterson AM, Eisenlohr-Moul TA
Journal
Biological psychiatry
Year
2026
Study design
Cohort study
What was tested
None - literature review.
Open access
Yes

Topics