Testosterona y homicidio: aspectos neuroendocrinos de la agresión
Testosterone and homicide: neuroendocrine aspects of aggression
Palabras clave:
Homicidio, Agresión, Testosterona, Suicidio (es)Homicide, Aggression, Testosterone, Suicide (en)
Introducción. Las tasas de homicidio, suicidio y agresión son mayores en el sexo masculino; la testosterona podría desempeñar un papel importante en el desarrollo de estos comportamientos.
Objetivo. Realizar una revisión de los aspectos endocrinos y neurobiológicos de la testosterona y su relación con comportamientos agresivos, homicidas y suicidas.
Materiales y métodos. Se realizó una revisión narrativa con diferentes estrategias de búsqueda en PubMed, SpringerLink, ScienceDirect y SciELO. Se incluyeron artículos de investigación, revisiones y reportes de caso publicados en español y en inglés entre 2002 y 2018.
Resultados. De los 66 estudios incluidos en la revisión, más del 50% asociaron el comportamiento agresivo u homicida con niveles elevados de testosterona, hormona que podría modular la actividad de las vías cerebrales serotoninérgicas y dopaminérgicas involucradas en el comportamiento agresivo por medio de receptores androgénicos y estrogénicos. Se encontraron relaciones entre uso de esteroides anabólicos y homicidio, y entre testosterona circulante en mujeres y rasgos de personalidad antisocial. Asimismo, se observaron cambios de concentraciones séricas de testosterona en sujetos con tendencias suicidas.
Conclusión. La información encontrada en la revisión sugiere que sí existe una asociación entre los niveles de testosterona y el desarrollo de comportamientos agresivos, homicidas y suicidas.
Introduction: Homicide, suicide, and assault rates are higher in males. Testosterone may play an important role in the development of these behaviors.
Objective: To review the endocrine and neurobiological aspects of testosterone and its relationship with aggressive, homicidal and suicidal behaviors.
Materials and methods: A literature review was conducted using different search strategies in the PubMed, SpringerLink, ScienceDirect and SciELO databases. Research articles, reviews and case reports published in Spanish and English between 2002 and 2018 were included.
Results: Out of the 66 studies included in the review, over 50% reported an association between aggressive or homicidal behavior with high levels of testosterone, a hormone that may modulate the activity of serotonergic and dopaminergic brain pathways involved in aggressive behavior via androgen and estrogen receptors. Associations between anabolic steroid use and homicide, and between circulating testosterone in women and antisocial personality traits were found. Changes in serum testosterone concentrations were also observed in individuals with suicidal tendencies.
Conclusion: The information found in this review suggests that there is indeed an association between testosterone levels and the development of aggressive, homicidal and suicidal behaviors.
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Allen JJ, Anderson CA. Aggression and violence: definitions and distinctions. In: Sturney P, editor. The Wiley Handbook of Violence and Aggression. Chichester: Wiley-Blackwell; 2017.
Runions KC, Morandini HAE, Rao P, Wong JWY, Kolla NJ, Pace G, et al. Serotonin and aggressive behaviour in children and adolescents: a systematic review. Acta Psychiatr Scand. 2018;139(2):117-44. http://doi.org/c2pr.
Banwari M. Twenty-three years (1993-2015) of homicide trends in the Transkei region of South Africa. Med Sci Law. 2018;58(1):47-54. http://doi.org/crjg.
De la Hoz-Bohórquez GA. Comportamiento del homicidio. Colombia, Forensis Datos Para La Vida. 2017 [cited 2020 May 21];18(1):100-152. Available from: https://bit.ly/3bRzhi3.
United Nations Office on Drugs and Crime. Global study on homicide 2013 Trends, Contexts, data. Viena: United Nations publication; 2014 [cited 2018 Mar 25]. Available from: https://bit.ly/1lTWEvh.
Goldey KL, van Anders SM. Sexual modulation of testosterone: insights for humans from across species. Adapt Human Behav Physiol. 2015;1:93-123. http://doi.org/crhm.
Roselli CE. Neurobiology of gender identity and sexual orientation. J Neuroendocrinol. 2017;30(7):e12562. http://doi.org/crjd.
Kelsey TW, Li LQ, Mitchell RT, Whelan A, Anderson RA, Wallace WH. A validated age-related normative model for male total testosterone shows increasing variance but no decline after age 40 years. PLoS One. 2014;9(10):e109346. http://doi.org/f6tfbx.
Rosell DR, Siever LJ. The neurobiology of aggression and violence. CNS Spectr. 2015;20(3):254-79. http://doi.org/czh5.
Yildirim BO, Derksen JJ. A review on the relationship between testosterone and life-course persistent antisocial behavior. Psychiatry Res. 2012;200(2):984-1010. http://doi.org/czqf.
Casullo MM. Ideaciones y comportamientos suicidas en adolescentes: una urgencia social. Anu investig. 2005;12:173-82.
Organización Mundial de la Salud (OMS). Suicidio. Ginebra: OMS; 2018 [cited 2018 Mar 25]. Available from:
Zhang J, Jia CX, Wang LL. Testosterone differs between suicide attempters and community controls in men and women of China. Physiol Behav. 2015;141:40-5. http://doi.org/f6263j.
Sher L. Low testosterone levels may be associated with suicidal behavior in older men while high testosterone levels may be related to suicidal behavior in adolescents and young adults: a hypothesis. Int J Adolesc Med Health. 2013;25(3):263-8. http://doi.org/crhs.
Johnson JM, Nachtigall LB, Stern TA. The effect of testosterone levels on mood in men: a review. Psychosomatics. 2013;54(6):509-14. http://doi.org/f5jm54.
Sisek-Šprem M, Križaj A, Jukić V, Milošević M, Petrović Z, Herceg M. Testosterone levels and clinical features of schizophrenia with emphasis on negative symptoms and aggression. Nord J Psychiatry. 2014;69(2):102-9. http://doi.org/crhw.
Nguyen TV, McCracken JT, Albaugh MD, Botteron KN, Hudziak JJ, Ducharme S. A testosterone-related structural brain phenotype predicts aggressive behavior from childhood to adulthood. Psychoneuroendocrinology. 2016;63:109-18. http://doi.org/f75t48.
Popma A, Vermeiren R, Geluk CA, Rinne T, van den Brink W, Knol DL, et al. Cortisol moderates the relationship between testosterone and aggression in delinquent male adolescents. Biol Psychiatry. 2007;61(3):405-11. http://doi.org/d76jpq.
Nguyen TV. Developmental effects of androgens in the human brain. J Neuroendocrinol. 2018;30(2):e12486. http://doi.org/gc22tw.
Cooke PS, Nanjappa MK, Ko C, Prins GS, Hess RA. Estrogens in male physiology. Physiol Rev. 2017;97(3):995-1043. http://doi.org/gbhfk7.
Zuloaga DG, Puts DA, Jordan CL, Breedlove SM. The role of androgen receptors in the masculinization of brain and behavior: what we’ve learned from the testicular feminization mutation. Horm Behav. 2008;53(5):613-26. http://doi.org/fkv8g8.
Prough RA, Clark BJ, Klinge CM. Novel mechanisms for DHEA action. J Mol Endocrinol. 2016;56(3):R139-55. http://doi.org/crjh.
Biegon A, Kim SW, Alexoff DL, Jayne M, Carter P, Hubbard B, et al. Unique distribution of aromatase in the human brain: in vivo studies with PET and [N-methyl-11C]vorozole. Synapse. 2010;64(11):801-7. http://doi.org/dqjpks.
Foradori CD, Weiser MJ, Handa RJ. Non-genomic actions of androgens. Front Neuroendocrinol. 2008;29(2):169-81. http://doi.org/bhfvnd.
Evuarherhe OM, Leggett JD, Waite EJ, Kershaw YM, Atkinson HC, Lightman SL. Organizational role for pubertal androgens on adult hypothalamic-pituitary-adrenal sensitivity to testosterone in the male rat. J Physiol. 2009;587(12):2977-85. http://doi.org/d7tvsq.
Arevalo MA, Azcoitia I, Gonzalez-Burgos I, Garcia-Segura LM. Signaling mechanisms mediating the regulation of synaptic plasticity and memory by estradiol. Horm Behav. 2015;74:19-27.
Scott HM, Mason JI, Sharpe RM. Steroidogenesis in the fetal testis and its susceptibility to disruption by exogenous compounds. Endocr Rev. 2009;30(7):883-925. http://doi.org/d39927.
Maninger N, Wolkowitz OM, Reus VI, Epel ES, Mellon SH. Neurobiological and neuropsychiatric effects of dehydroepiandrosterone (DHEA) and DHEA sulfate (DHEAS). Front Neuroendocrinol. 2009;30(1):65-91. http://doi.org/bp6rwf.
Welker KM, Lozoya E, Campbell JA, Neumann CS, Carré JM. Testosterone, cortisol, and psychopathic traits in men and women. Physiol Behav. 2014;129:230-6. http://doi.org/f5394s.
Oyola MG, Handa RJ. Hypothalamic-pituitary-adrenal and hypothalamic-pituitary-gonadal axes: sex differences in regulation of stress responsivity. Stress. 2017;20(5):476-94. http://doi.org/crgw.
Nguyen TV, Lew J, Albaugh MD, Botteron KN, Hudziak JJ, Fonov VS, et al. Sex-specific associations of testosterone with prefrontal-hippocampal development and executive function. Psychoneuroendocrinology. 2017;76:206-17. http://doi.org/f9qzwp.
Rutkowski K, Sowa P, Rutkowska-Talipska J, Kuryliszyn-Moskal A, Rutkowski R. Dehydroepiandrosterone (DHEA): hypes and hopes. Drugs. 2014;74(11):1195-207. http://doi.org/f6pd4t.
Ankarberg-Lindgren C, Norjavaara E. Sensitive RIA measures testosterone concentrations in prepubertal and pubertal children comparable to tandem mass spectrometry. Scand J Clin Lab Invest. 2015;75(4):341-4. http://doi.org/f3n3cb.
Glick AR. The role of serotonin in impulsive aggression, suicide, and homicide in adolescents and adults: a literature review. Int J Adolesc Med Health. 2015;27(2):143-50. http://doi.org/crjb.
Conner TS, Jensen KP, Tennen H, Furneaux HM, Kranzler HR, Covault J. Functional polymorphisms in the serotonin 1B receptor gene (HTR1B) predict self-reported anger and hostility among young men. Am J Med Genet B Neuropsychiatr Genet. 2010;153B(1):67-78. http://doi.org/brkqcg.
Dorfman HM, Meyer-Lindenberg A, Buckholtz JW. Neurobiological mechanisms for impulsive-aggression: the role of MAOA. In: Miczek K, Meyer-Lindenberg A, editors. Neuroscience of Aggression. Current Topics in Behavioral Neurosciences, vol 17. Berlín: Springer; 2013. http://doi.org/ct4v.
Meyer-Lindenberg A, Buckholtz JW, Kolachana B, R. Hariri A, Pezawas L, Blasi G, et al. Neural mechanisms of genetic risk for impulsivity and violence in humans. PNAS. 2006;
(16):6269-74. http://doi.org/ck3rz5.
Stadler C, Zepf FD, Demisch L, Schmitt M, Landgraf M, Poustka F. Influence of rapid tryptophan depletion on laboratory-provoked aggression in children with ADHD. Neuropsychobiology. 2007;56(2-3):104-10. http://doi.org/bpgsnj.
Soyka M. Neurobiology of aggression and violence in schizophrenia. Schizophr Bull. 2011;37(5):913-20. http://doi.org/fdx3rf.
de Almeida RM, Ferrari PF, Parmigiani S, Miczek KA. Escalated aggressive behavior: dopamine, serotonin and GABA. Eur J Pharmacol. 2005;526(1-3):51-64. http://doi.org/b7s47z.
Volavka J, Bilder R, Nolan K. Catecholamines and aggression: the role of COMT and MAO polymorphisms. Ann N Y Acad Sci. 2004;1036:393-8. http://doi.org/ccbz6z.
Bos PA, Terburg D, van Honk J. Testosterone decreases trust in socially naïve humans. PNAS. 2010;107(22):9991-5. http://doi.org/dwqdw3.
Pardini DA, Raine A, Erickson K, Loeber R. Lower amygdala volume in men is associated with childhood aggression, early psychopathic traits, and future violence. Biol Psychiatry. 2014;75(1):73-80. http://doi.org/f5kq8f.
Volman I, Toni I, Verhagen L, Roelofs K. Endogenous testosterone modulates prefrontal-amygdala connectivity during social emotional behavior. Cereb Cortex. 2011;21(10):2282-90.
Derntl B, Windischberger C, Robinson S, Kryspin-Exner I, Gur RC, Moser E, et al. Amygdala activity to fear and anger in healthy young males is associated with testosterone. Psychoneuroendocrinology. 2009;34(5):687-93. http://doi.org/fhc3ch.
Zilioli S, Bird BM. Functional significance of men’s testosterone reactivity to social stimuli. Front Neuroendocrinol. 2017;47:1-18. http://doi.org/gb3cr6.
Carre JM, Olmstead NA. Social neuroendocrinology of human aggression: examining the role of competition-induced testosterone dynamics. Neuroscience. 2015;286:171-86. http://doi.org/f8k6d9.
Carré JM, Geniole SN, Ortiz TL, Bird BM, Videto A, Bonin PL. Exogenous testosterone rapidly increases aggressive behavior in dominant and impulsive men. Biol Psychiatry. 2017;82(4):249-56. http://doi.org/gbrr4c.
McCarthy MM, Arnold AP. Reframing sexual differentiation of the brain. Nat Neurosci. 2011;14(6):677-83. http://doi.org/chtxnx.
De Vries GJ, Simerly RB. Anatomy, development, and function of sexually dimorphic neural circuits in the mammalian brain. Horm Brain Behav. 2002;4:137-91. http://doi.org/ffb6nq.
Tajima-Pozo K, Bayon C, Diaz-Marsá M, Carrasco JL. Correlation between personality traits and testosterone concentrations in healthy population. Indian J Psychol Med. 2015;37(3):317-21.
Assari S, Caldwell CH, Zimmerman MA. Sex differences in the association between testosterone and violent behaviors. Trauma Mon. 2014;19(3):e18040. http://doi.org/dqxg.
Zahnow R, Mcveigh J, Bates G, Hope V, Kean J, Campbell J, et al. Identifying a typology of men who use anabolic androgenic steroids (AAS). Int J Drug Policy. 2018;55:105-12. http://doi.org/crh4.
Dunn M, Bartle J, Mckay FH. Exploring judicial opinion on the relationship between anabolic-androgenic steroid use and violent offending. Perform Enhanc Heal. 2016;5(1):31-3.
Lundholm L, Käll K, Wallin S, Thiblin I. Use of anabolic androgenic steroids in substance abusers arrested for crime. Drug Alcohol Depend. 2010;111(3):222-6. http://doi.org/c2q5cp.
Klötz F, Petersson A, Hoffman O, Thiblin I. The significance of anabolic androgenic steroids in a swedish prison population. Compr Psychiatry. 2010;51(3):312-8. http://doi.org/dr6shq.
Skårberg K, Nyberg F, Engström I. Is there an association between the use of anabolic-androgenic steroids and criminality? Eur Addict Res. 2010;16(4):213-9. http://doi.org/cw5f79.
Ellis L. A theory explaining biological correlates of criminality. Eur J Criminol. 2005;2(3):287-315. http://doi.org/dz3pbq.
Pasterski V, Hindmarsh P, Geffner M, Brook C, Brain C, Hines M. Increased aggression and activity level in 3- to 11-year-old girls with congenital adrenal hyperplasia (CAH). Horm Behav. 2007;52(3):368-74. http://doi.org/d978sh.
Ohlsson-Gotby A, Nordenström A, Falhammar H, Nordenskjöld A, Linden-Hirschberg A, Frisén L, et al. Congenital adrenal hyperplasia, polycystic ovary syndrome and criminal behavior: a swedish population based study. Psychiatry Res. 2015;229(3):953-9. http://doi.org/f3pnsn.
Thornton J, Zehr JL, Loose MD. Effects of prenatal androgens on rhesus monkeys: A model system to explore the organizational hypothesis in primates. Horm Behav. 2009;55(5):633-45. http://doi.org/bfdhbh.
Sher L, Landers S. Bipolar disorder, testosterone administration, and homicide: a case report. Int J Psychiatry Clin Pract. 2014;18(3):215-6. http://doi.org/crhz.
Darke S, Torok M, Duflou J. Sudden or unnatural deaths involving anabolic-androgenic steroids. J Forensic Sci. 2014;59(4):1025-8. http://doi.org/crh3.
Crespi BJ. Oxytocin, testosterone, and human social cognition. Biol Rev . 2016;91(2):390-408. http://doi.org/f8hs29.
Spencer D, Pasterski V, Neufeld S, Glover V, Connor TG, Hindmarsh PC, et al. Prenatal androgen exposure and children’s aggressive behavior and activity level. Horm Behav. 2017;96:156-65. http://doi.org/gcrtmb.
Stefansson J, Chatzittofis A, Nordström P, Arver S, Åsberg M, Jokinen J. CSF and plasma testosterone in attempted suicide. Psychoneuroendocrinology. 2016;74:1-6. http://doi.org/f3t476.
Sher L, Grunebaum MF, Sullivan GM, Burke AK, Cooper TB, Mann JJ, et al. Association of testosterone levels and future suicide attempts in females with bipolar disorder. J Affect Disord. 2014;166:98-102. http://doi.org/f5836b.
Rice TR, Sher L. Adolescent suicide and testosterone. Int J Adolesc Med Health. 2015;29(4). http://doi.org/crhr.
Snowdon J, Chen YY, Zhong B, Yamauchi T. A longitudinal comparison of age patterns and rates of suicide in Hong Kong, Taiwan and Japan and two western countries. Asian J Psychiatr. 2018;31:15-20. http://doi.org/crht.
Phillips MR, Yang G, Zhang Y, Wang L, Ji H, Zhou M. Risk factors for suicide in China: a national case-control psychological autopsy study. Lancet. 2002;360(9347):1728-36. http://doi.org/fdgqhz.
Stephens MA, Mahon PB, McCaul ME, Wand GS. Hypothalamic-pituitary-adrenal axis response to acute psychosocial stress: effects of biological sex and circulating sex hormones. Psychoneuroendocrinology. 2016;66:47-55.
Cole-King A, Platt S. Suicide prevention for physicians: identification, intervention and mitigation of risk. Medicine. 2017;45(3):131-4. http://doi.org/crhq.
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