Supplementary Material Systematic Meta-Analyses and Field Synopsis of Genetic Association Studies of Violence and Aggression Evangelos Vassos, MD, David A Collier, PhD, Seena Fazel, MD Supplementary Material contents: Supplementary Methods Supplementary Table 1. Detailed description of studies included in the review Supplementary Table 2. Grading of the strength of cumulative evidence of meta-analyses with nominally positive findings according to the HuGENet criteria Supplementary Figure 1. Forest Plots of meta-analyses of studies with categorical outcomes Supplementary Figure 2. Forest Plots of meta-analyses of studies with continuous outcomes Supplementary References 1 Supplementary Methods Measures of aggression In the categorical studies, cases were defined as individuals with a history of violence including homicide, “offenders”, “criminals”, persons with antisocial personality disorder, or people with history of aggression defined as a binary trait from the investigators of the original studies. Controls were usually taken from the general population. When the study reported two comparison groups, one with the same characteristics as the case group and the other a sample of the general population, we selected the comparator on the basis of being more similar to the cases (e.g. when aggressive alcoholics were compared with nonaggressive alcoholics and general population controls, we used the non-aggressive alcoholics as the preferred comparison group) and so that findings were more related to associations with violence rather than differences in the sample characteristics. Detailed description of the sample characteristics and definition of aggression is given in Supplementary Table 1. In the studies examining quantitative traits, aggression was measured with various scales or questionnaires including the Buss-Durkee Hostility Inventory (BDHI),1 the Overt Aggression Scale (OAS),2 the Brown-Goodwin Lifetime History of Aggression (BGHA),3 the Behavioral Pathology in Alzheimer’s Disease (BEHAVE-AD),4 the Past Feelings and Acts of Violence Scale (PFAVS),5 the Neuropsychiatric Inventory (NPI),6 the Child Behavior Checklist (CBCL),7 the Revised Behavior Problem Checklist (RBPC),8 the Aggression Questionnaire (AQ),9 the Life History of Aggression (LHA),10 and custom-made composite indexes of aggression. Anger was measured in the majority of studies with State Trait Anger Expression Inventory (STAXI)11 (for our analyses we used the trait anger scale) or with the angry hostility facet of the NEO Personality Inventory.12 When more than one scale was used by the investigators, we agreed in advance on the order of preference based on which scale more closely reflected the concept of externalized aggression. We favored physical to verbal aggression, and direct to indirect forms. This selection was blind to the direction of effect or the effect size of the association study. In the case of questionnaires with various subscales, we selected either the overall scale or the subscale that best reflected the previous concept. For example, in the case of BDHI we used the “assault/irritability” subscale when available, otherwise the total scale, and in OAS, we preferred the “physical aggression against other people” subscale. Data management The following data was extracted from each study: (i) allelic distribution and genotype frequency when available in studies with categorical outcomes, (ii) numbers, mean scores, and standard deviations (SD) of outcome by genotype in studies with continuous outcomes. Additional data extracted for each study was year of publication, study country, sex distribution, mean age, ethnic group, sample selection (general population, clinical, forensic or other specific sample), and the outcome measurement used. When genotypic distribution, means or standard deviations were not available for the preferred outcome measure, we contacted the authors. In total, we identified 37 relevant studies with missing data and we received tabular additional data from authors for 17 of those (46% response rate). This response rate was almost complete for studies published since 2008. 2 Articles reporting more than one genetic marker were included as independent samples for each marker. Similarly, publications that presented association results for males and females separately or with any other division of the total sample (e.g. different ethnic groups) were analyzed as independent samples. Where associations of a particular polymorphism in the same or overlapping samples were reported in separately published articles, we selected the publication with the larger sample. If we were not certain about duplication of data, we contacted the corresponding authors of both articles, and, in the absence of a response, when duplication was probable, we took the conservative approach of excluding the smaller study. When multiple identifiers were used for the same polymorphism, we used the most common nomenclature and recorded the NCBI reference rs number where available. We examined our dataset repeatedly to make sure that the order of alleles and genotypes was consistent across our list. In the case of complete linkage disequilibrium (LD) of two single nucleotide polymorphisms (SNPs) in the same gene (e.g. TPH1-A779C and TPH1-A218C), we pooled the study estimates together as if they referred to the same marker. As MAOA gene is xlinked, we performed separate meta-analyses for males and females. For variable number of tandem repeats (VNTR) polymorphisms with more than two variants (e.g. MAOA promoter or DRD4-ex3), we analyzed high versus low activity alleles based on the grouping of different number of repeats employed in each original study. Certain studies differed in the characterization of rare alleles (e.g. 5 repeats in MAOA 30bpVNTR have been included in either high or low activity markers). However as these variants are very rare, we assumed that they made little difference in the overall association and hence included them in the characterization presented in the original studies. Statistical analyses Studies with categorical and continuous outcomes of aggression were analyzed separately as the first employed case-control designs while the second examined aggression in a sample as a quantitative trait. For studies with binary outcomes, we tested allelic association (logadditive genetic model) and in studies with continuous outcomes we tested all 3 genetic models (dominant, recessive and additive) when sufficient data were available. In order for a polymorphism to be included in a meta-analysis, we required 3 or more separate samples to examine the association of this polymorphism with aggression as a quantitative trait or with violence as a binary outcome. The threshold of a minimum of 3 studies for the meta-analysis was selected so that there were at least two replication attempts of the original finding.13 However, all the primary studies that met the inclusion criteria are reported (Supplementary Table 1). Family-based association studies of related individuals were excluded. All statistical analyses were performed with STATA statistical software, release 10 (Stata Corp. 2007) and the R Project for Statistical Computing (www.r-project.org). Evidence of deviation from Hardy-Weinberg equilibrium (HWE) was assessed by χ2 tests using the genotype frequencies of the sample analyzed in studies with continuous outcomes or the control group in the case-control approach of studies with binary outcomes. For the primary analyses, studies with HWE p-value <0.01 were excluded but we also performed post hoc analyses with the inclusion of studies that deviated from HWE. In the case of the Xlinked MAOA genotype, when genotypes in females deviated from HWE, we also excluded males from the meta-analysis as this may have been an indication of problems with genotyping. 3 Studies that used both categorical and continuous outcome measures were included in the meta-analyses. For the categorical studies we calculated study-specific allelic odds ratios (ORs) and their 95% confidence intervals (CIs), with the exception of SLC6A3 where we calculated genotypic OR under the dominant model (9 repeats carriers vs 10 repeats homozygous) and DRD4-ex3 (presence of 7 repeats allele compared with all other genotypes). For continuous data, we computed Cohen's d effect sizes and their standard error (SE) from the reported means and SD. Whenever these data were not available, we computed d directly from the reported statistic (t or p value). We analyzed both dominant and recessive models by combining heterozygous with rare and common allele homozygous unless when the investigators consistently reported only combined genotypes (i.e. in the case of DRD4ex3 or SLC6A3). To include analyses under the additive genetic model, which is more consistent with the polygenic theory and with the allelic approach taken in the case-control design, we estimated regression coefficients (β) and their SE from the given means and SD for the 3 genotypes (method available from the authors upon request). Power for the most commonly examined polymorphisms was calculated with the Genetic Power Calculator14 (http://pngu.mgh.harvard.edu/~purcell/gpc) using different ORs of 1.5, 1.2, and 1.1. Initially, we calculated summary effect size and 95% CIs with the Der-Simonian and Laird random effects model,15 a more conservative approach to pooling data which utilizes weights that incorporate both the within and between study variance. This procedure was selected because, due to the broad definition of the aggression outcomes and variability of the samples, we expected large heterogeneity. Since a large number of analyses were performed, p-values of <0.05 are presented only as indicative of potential significance. We estimated between-study heterogeneity by calculating the Cochran’s Q and the I2 statistic with its confidence intervals (CIs).16, 17 The latter incorporates the percentage of variation across studies due to heterogeneity.18 As values of I2 > 50% are generally considered indicative of large heterogeneity, we repeated the analysis with fixed effect models using the Mantel-Haenszel weighting method when I2 were less than 50%. However, we favoured the random effects method because both Q and I2 metrics carry considerable uncertainty when few studies are included in a meta-analysis.19, 20 Sensitivity analyses As we used a broad definition of aggression and samples were heterogeneous in relation to baseline characteristics, we performed the following post-hoc analyses: (1) excluding nonEuropean and mixed ethnicity samples, (2) stratifying age groups (mean age<16, 16-65, and >65 years old), (3) separate analysis of samples from the general population, clinical samples with psychiatric disorder, offenders, and samples selected for substance use, (4) dividing the outcomes by severity to anger, general measures of aggressiveness including antisocial personality, history of violent acts, and criminal offending. Assessment of epidemiological credibility Evidence of publication bias was examined using Egger's, and Begg's tests21, 22 in studies with continuous outcomes, and the modified version of Egger’s test23 in studies with a binary outcome measure. For meta-analyses with nominally significant findings, the strength of cumulative evidence was graded based on the Human Genome Epidemiology Network (HuGENet) guidelines24 (Supplementary Table 2). 4 5 6 Supplementary Table 1. Detailed description of studies included in the review.25-211 Year First author Country Ethnicity Sample description Alcoholics (& controls) Alcohol and drug users Alcohol and drug users & control adolescents Mean age Sex 29.2/30.1 ? M/F ratio N/A 1992 Goldman Finland Caucasian 1994 Comings USA Caucasian 1995 Vanyukov USA ? 1997 Strous USA 1998 Sweet 1998 ? ? N/A 15.20 both 64/118 mixed S inpatients 40.60 both 32/5 aggression USA Caucasian 73.00 both 93/182 Sweet USA Caucasian 73.00 both 93/182 1998 Sweet USA Caucasian 73.00 both 93/182 1998 Sweet USA Caucasian Probable Alzheimer's Probable Alzheimer's Probable Alzheimer's Probable Alzheimer's 73.00 both 93/182 physical aggression physical aggression physical aggression physical aggression 1998 Lachman USA Caucasian S patients 42.80 both 34/21 history of violence 1998 Lappalainen Finland Caucasian Alcoholic criminals, family members, controls both 530/110 APD or IED & alcoholism 1998 Lappalainen USA Indianamericans Indian-american tribe (no selection) both 179/239 APD & alcoholism 7 Measure violence in alcoholics Ever jailed for violence/ not Conduct disorder, aggression Instrument / method group comparison group comparison group comparison MPQ, CBCL Polymorphism rs DRD2-Taq1A rs1800497 N (total) 46 DRD2-Taq1A rs1800497 194 MAOA Intron 2 VNTR rs10548363 182 records, history group comparison CBRS group comparison CBRS group comparison CBRS group comparison CBRS group comparison COMTVal158Met rs4680 37 DRD1-48A/G rs4532 193 DRD2-C311G rs1801028 DRD3-balI rs6280 group comparison (records, history) group comparison (SCID to diagnose APD or IED) group comparison (with SADS) COMTVal158Met rs4680 55 HTR1B-G861C rs6296 280 HTR1B-G861C rs6296 291 DRD4-ex3 48bp VNTR 187 210 1998 Nielsen Finland Caucasian Alcoholic violent offenders, controls PD patients 31.50 M N/A 1998 New USA Caucasian 1998 Sander Germany 1998 Mazzanti 1998 history of violence impulsivity, aggression APD in alcoholics group comparison BDHI, BIS TPH1-A779C rs1799913 511 ? M N/A TPH1-A218C rs1800532 21 Caucasian APD vs non-APD alcoholics & controls ? both ? group comparison, TPQ 5HTTLPR rs4795541 315 Finland Caucasian Alcoholic criminal offenders, controls ? ? ? Offence & alcoholism 5HTTLPR rs4795541 397 59/41 (anger hostility) group comparison, TPQ NEO Gelernter USA mixed 35.50 both 1999 Rotondo Finland Caucasian 32.00 M 1999 Huang USA ? Substance abuse, pd, controls Violent offenders vs controls brain tissue normal & suicide 5HTTLPR rs4795541 185 group comparison records, history group comparison LHA, BDHI, STAXI group comparison TPH -6526 41.70 both 134/44 1999 Manuck USA mixed normal 45.70 both 124/127 1999 Kotler Israel Caucasian 42.20 both 58/34 1999 Kotler Israel Caucasian violent S vs nonviolent S (& controls) violent S vs nonviolent S (& controls) aggression, anger homicide 42.20 both 58/34 homicide group comparison DRD4-ex3 48bp VNTR 1999 Kotler Israel Caucasian 42.20 both 1999 Lappalainen Finland Caucasian 38.00 1999 Hallikainen Finland Caucasian violent S vs nonviolent S (& controls) violent alcoholics/controls violent vs nonviolent alcoholics (& controls) 58/34 homicide group comparison 5HTTLPR rs4795541 82 M N/A HTR2CCys23Ser 5HTTLPR 436 N/A group comparison group comparison rs6318 M APD & alcoholism violent offence & alcoholism rs4795541 165 1999 Samochowie c Germany Caucasian APD vs non-APD alcoholics & controls 43.80 M N/A APD in alcoholics group comparison MAOA promoter 30bpVNTR 8 history of violence, arson h of violence, suicide 320 HTR1B-G861C rs6296 78 TPH1-A218C rs1800532 251 COMTVal158Met rs4680 92 91 303 1999 Wei UK Caucasian S patients both 29/20 Violent behavior 1999 Ishiguro Japan Asian antisocial alcoholics (& non-antisocial) /controls 2000 Nolan USA Caucasian 2000 Nolan USA 2000 Nolan 2000 group comparison group comparison COMT (other) 49 5HTTLPR [various SNPs] rs4795541 52.20 both 153/13 Antisocial behavior & alcoholism S patients ? M N/A history of violence history of violence history of violence group comparison group comparison group comparison TPH1-A779C rs1799913 55 Caucasian S patients ? M N/A 5HTTLPR rs4795541 56 USA Caucasian S patients ? M N/A Comings USA Caucasian 2 samples: students, parents of twins both 40/60 irritability hostility BADD, BDHI, MPQ ADRA2Apromoter 2000 Manuck USA Caucasian normal 45.20 M N/A aggression impulsivity LHA, BIS, BDHI MAOA promoter 30bpVNTR 110 2000 Persson Sweden Caucasian normal 41.00 both 109/96 anger hostility NEO TH (TCAT)n VNTR 58 2000 2000 Greenberg Damberg USA Sweden mixed Caucasian normal normal both both 64/73 NEO KSP 5HTTLPR AP-2beta 902 137 30.4/54.6 M N/A both 174/182 COMTVal158Met TPH1-A779C 329 30.16 rs1799913 350 UK ? Suicide attempters 30.16 both 174/182 impulsiveness USA ? Probable Alzheimer's 75.40 both 36/64 aggression HTR2CCys23Ser 5HTTLPR rs6318 Sweet rs4795541 332 Holmes UK Caucasian Probable Alzheimer's 83.50 both 23/77 aggression group comparison IVE impuls. Quest, STAXI IVE impuls. Quest, STAXI EBEHAVE, ERS group comparison CAMDEX, group comparison rs4680 ? violent alcoholics vs controls Suicide attempters anger hostility indirect aggression violent offence & alcoholism impulsiveness rs4795541 ? 2000 Hallikainen Finland Caucasian 2000 Evans UK 2000 Evans 2001 2001 DRD1-48A/G rs4532 105 9 MAOA promoter 30bpVNTR 166 54 rs1800544 123 2001 Holmes UK Caucasian Probable Alzheimer's 83.50 both 23/77 aggression CAMDEX, group comparison BDHI DRD3-balI rs6280 2001 New USA mixed PD patients 38.10 both 86/59 2001 Zalsman Israel Caucasian 17.40 both 40/48 2001 Jonsson Sweden Caucasian adolescents patients suicide attempters healthy subjects impulsive aggression violence HTR1B-G861C rs6296 145 PFAVS, IS TPH1-A218C rs1800532 88 42.90 both 185/152 aggression KSP AR_(CAG)n rs72181988 335 2001 Reist USA ? 40.80 M N/A 2001 Zalsman Israel Caucasian 18.90 both 16/32 2001 Preuss Germany Caucasian alcoholics and controls adolescents patients suicide attempters alcoholics BIS, BGLHA, BDHI PFAVS, IS 5HTTLPR rs4795541 27 5HTTLPR rs4795541 46 107/28 aggression, hostility violence, impulsivity impulsivity 42.00 both BIS rs6311 135 both 94/104 h of violence rs4680 198 both 102/31 APD in alcoholics group comparison group comparison HTR2A1438A/G COMTVal158Met 5HTTLPR 2001 Liou Taiwan Asian S patients 37.80 2001 Parsian USA Caucasian APD vs non-APD alcoholics & controls rs4795541 133 2001 Matsushita Japan Caucasian 2001 Twitchell USA Caucasian 2001 Jorm Australia Caucasian alcoholics (& controls) children of alcoholics children & adolescents 50.50 M N/A rs4795541 369 both 45/17 group comparison CBCL 5HTTLPR 10.90 5HTTLPR rs4795541 62 16.00 both ? RBPC, Rutter PBQ SLC6A340bpVNTR 680 normal 44.30 M N/A violence while intoxicated Aggressive behavior Conduct disorder, aggression aggression 2002 Manuck USA mixed LHA, (also BDHI, BIS) MAOA promoter 30bpVNTR 58 2002 Rujescu Germany Caucasian healthy/suicide attempters healthy 44.70 both 93/147 hostility, anger BDHI, STAXI TPH1-A779C rs1799913 214 2002 Avramopoul Greece Caucasian 21.00 M N/A aggression AQ COMTVal158Met rs4680 334 10 2002 Caspi New Zealand Caucasian young w or w/out maltreatment 26.00 M N/A violence 2002 Patkar USA Black 36.60 both 75/30 2002 Patkar USA Black 36.60 both 75/30 2002 Staner Caucasian 38.80 both 34/20 aggression, impulsivity aggression, impulsivity hostility 2002 Staner 35.20 both 11/16 hostility 2002 Saito Luxembou rg Luxembou rg Finland cocaine users (& controls) cocaine users (& controls) Impulsive inpatients non-psychotic Healthy controls Caucasian violent vs nonviolent alcoholics (& controls) M N/A violent offence & alcoholism 2002 Hill USA Caucasian Antisocial alcoholic probands & parents both 26/11 2002 Stoltenberg USA Caucasian ? M N/A 2002 Young USA ? Antisocial vs nonantisocial alcoholics Children 7.00 both ? 2002 Kranzler USA Caucasian substance dependence +/ASPD (& controls) 2002 Kranzler USA Black substance dependence +/ASPD (& controls) 2002 Comings USA Caucasian Substance abuse, pd, controls Caucasian M 11 group comparison, convictions, DTVS, APD BDHI, SSS, BIS, ASI BDHI, SSS, BIS, ASI BIS, BDHI, SADS BIS, BDHI, SADS group comparison MAOA promoter 30bpVNTR MAOA promoter 30bpVNTR 172 antisocial behavior ABC HTTLPR, TPH, HTR1b, HTR2A, HTR2C, SLC6A4, MAOA 37 antisocial behavior Externalizing behavior APD group comparison CBCL 5HTTLPR APD Aggression 5HTTLPR 442 rs4795541 5HTT-VNTR 105 103 TPH1-A218C rs1800532 54 TPH1-A218C rs1800532 27 rs4795541 33 SLC6A340bpVNTR HTR1B-G861C rs6296 278 group comparison HTR1B-G861C rs6296 69 BDHI AR_(GGC)n group comparison 790 121 2003 Berggård Sweden Caucasian criminals/controls 35.00 M N/A violence group comparison STAXI, group comparison LHA, group comparison LHA, group comparison LHA, group comparison HTR2A1438A/G COMTVal158Met COMTVal158Met COMTVal158Met MAOA promoter 30bpVNTR 2003 Rujescu Germany Caucasian 44.00 both 202/275 aggression 2003 Strous Israel Caucasian suicide attempters & controls S patients M N/A aggression 2003 Strous Israel Caucasian S patients F N/A aggression 2003 Strous Israel Caucasian S patients M N/A aggression 2003 Strous Israel Caucasian S patients F N/A 2003 Retz Germany Caucasian offenders, various diagnoses 34.70 M 2003 Westberg Sweden Caucasian volunteers 42.00 2003 Koller Germany Caucasian alcoholics (& controls) 2003 Lu Taiwan Asian 2003 Cadoret USA 2003 Sen 2004 aggression LHA, group comparison MAOA promoter 30bpVNTR N/A violence, impulsiveness DRD3-balI F N/A ER-alpha VNTR 172 41.80 M N/A aggression, irritability aggression, irritability group comparison EIQ, WURS KSP BIS, BGLHA, BDHI, group comparison MAOA promoter 30bpVNTR 169 APD jailed/ controls (& nonAPD jailed) 30.00 M N/A APD jailed ± alcoholism group comparison MAOA promoter 30bpVNTR 168 ? Adoptees ? both 37/50 aggressivity 5HTTLPR rs4795541 87 USA Caucasian Hypertensives 33.00 both 173/268 Hostility Behavior scales NEO rs6265 439 Han Korea Asian M N/A aggression OAS rs4680 168 2004 Han Korea Asian M N/A aggression OAS rs4795541 168 2004 Assal USA mixed S patients (& controls) S patients (& controls) Alzheimer's BDNFVal66Met COMTVal158Met 5HTTLPR both 37/59 agitation, aggression NPI 5HTTLPR rs4795541 96 76.70 12 rs6311 317 rs4680 411 rs4680 94 rs4680 28 95 29 rs6280 146 2004 Assal USA mixed Alzheimer's 76.70 both 37/59 NPI HTR2A-T102C rs6313 96 2004 Assal USA mixed Alzheimer's 76.70 both 37/59 NPI HTR2CCys23Ser 5HTT-VNTR rs6318 96 2004 Assal USA mixed Alzheimer's 76.70 both 37/59 2004 Retz Germany Caucasian forensic referrals (violent/no violent) 34.70 M N/A EIQ, WURS, group comparison NPI group comparison NPI group comparison BIS, BGLHA, BDHI 5HTTLPR rs4795541 153 2004 Lam China Asian Alzheimer's 77.40 both 2004 Craig UK ? Alzheimer's 78.00 both 139/257 2004 Huang USA mixed mood disorders 37.60 M N/A agitation, aggression agitation, aggression aggression HTR2A-T102C rs6313 87 TPH1-A218C rs1800532 396 MAOA promoter 30bpVNTR 272 2004 Huang USA mixed mood disorders 37.60 F N/A aggression BIS, BGLHA, BDHI MAOA promoter 30bpVNTR 398 2004 Volavka USA mixed S patients 40.80 both 48/12 hostility N/A aggression COMTVal158Met MAOA promoter 30bpVNTR rs4680 M PANSS hostility item BDHI, forensic examination 2004 Gerra Italy Caucasian heroin users (&controls) 33.70 2004 Gerra Italy Caucasian heroin users 34.60 M N/A aggression 5HTTLPR rs4795541 101 35.80 M N/A aggression 5HTTLPR rs4795541 101 M N/A violence towards self or others, or violent threats BDHI, forensic examination BDHI, forensic examination group comparison CABS, PANSS, OAS 2004 Gerra Italy Caucasian (controls) 2004 Koen South Africa mixed S patients COMTVal158Met rs4680 63 13 agitation, aggression agitation, aggression agitation, aggression violence NPI 96 60 104 2004 Koen South Africa mixed S patients M N/A violence group comparison CABS, PANSS, OAS group comparison group comparison CD group comparison MAOA promoter 30bpVNTR 2004 Liao Taiwan Asian 2004 Matsushita Japan Asian 2004 Foley USA Caucasian violent criminals/controls alcoholics (& controls) Twins 34.70 M N/A violence 49.90 M N/A 12.23 M N/A violence while intoxicated conduct disorder 2004 Zalsman Israel Caucasian suicide attempters 17.70 both 29/40 2004 Zammit UK Caucasian S patients (& controls) both 2004 Zammit UK Caucasian S patients (& controls) 2004 Zammit UK Caucasian S patients (& controls) 2004 Baca-Garcia Spain Caucasian suicide attempters only 2004 Baca-Garcia Spain Caucasian suicide attempters only 2004 Baca-Garcia Spain Caucasian 2004 Baca-Garcia Spain 2005 Gerra Italy violence PFAVS, IS DRD4-ex3 48bp VNTR 136/44 aggression COMTVal158Met M N/A aggression overt aggression scale overt aggression scale MAOA promoter 30bpVNTR 120 F N/A aggression overt aggression scale MAOA promoter 30bpVNTR 42 36.80 M N/A Aggressive behavior 5HTTLPR rs4795541 63 36.80 F N/A Aggressive behavior 5HTTLPR rs4795541 139 controls only M N/A Aggressive behavior 5HTTLPR rs4795541 87 Caucasian controls only F N/A Aggressive behavior 5HTTLPR rs4795541 77 Caucasian heroin users (&controls) M N/A aggression BGLAS, BIS, group comparison BGLAS, BIS, group comparison BGLAS, BIS, group comparison BGLAS, BIS, group comparison BDHI, forensic 33.70 14 63 5HTTLPR rs4795541 246 BDNFVal66Met MAOA promoter 30bpVNTR rs6265 377 SLC6A340bpVNTR 514 67 rs4680 326 104 examination 2005 Chen pathol aggressive adolescents/super controls/controls ? aggression violence group comparison? SLC6A340bpVNTR 2005 Chen pathol aggressive adolescents/super controls/controls ? aggression violence group comparison? DRD2-Taq1A rs1800497 41 2005 Tsai Taiwan Asian violent criminals/controls violence BDNFVal66Met rs6265 283 2005 Jacob Germany Caucasian PD/controls history, MINI, group comparison SCID II, NEO-PI, TPQ 2005 Gerra Italy Caucasian 16.74 both 129/87 5HTTLPR rs4795541 216 Reuter Germany Caucasian 25.43 both 125/127 personality, aggressiveness indirect hostility BDHI, TPQ 2005 students (14-19) +/using drugs normal BDHI TPH1-A779C rs1799913 252 2005 Kweon Korea Asian violent vs nonviolent alcoholics (& controls) 45.70 M N/A violence group comparison COMTVal158Met rs4680 97 2005 Kweon Korea Asian violent vs nonviolent alcoholics (& controls) 45.70 M N/A violence group comparison 5HTTLPR rs4795541 145 2005 Haberstick USA Caucasian young w or w/out maltreatment ? M N/A conduct problems Lifetime conduct problems MAOA promoter 30bpVNTR 2005 Ha Korea Asian Alzheimer's 74.90 both 27/38 aggression 5HTTLPR 2006 de Young Canada mixed children 10.00 M N/A externalizing behavior BEHAVE-AD group comparison informant rating scales 34.70 M N/A both 15 PD cluster, aggressiveness 41 MAOA promoter 30bpVNTR DRD4-ex3 48bp VNTR 847 774 rs4795541 65 48 2006 de Young Canada mixed adults with ADHD 35.17 M N/A externalizing behavior informant rating scales DRD4-ex3 48bp VNTR 42 2006 de Young Canada mixed boys 17.00 M N/A externalizing behavior informant rating scales DRD4-ex3 48bp VNTR 87 2006 Eisenberger USA mixed community sample 20.60 both 13/19 aggression BSI, Spielberger anger trait MAOA promoter 30bpVNTR 32 2006 Sakai USA mixed 15.50 both 252/145 conduct disorder with aggression rs4795541 339 Giegling Germany Caucasian 40.00 both 173/243 anger aggression CIDI, DISC, group comparison STAXI, BDHI 5HTTLPR 2006 416 Widom USA mixed 41.00 both 268/141 violence antisocial behavior HTR2A1438A/G MAOA promoter 30bpVNTR rs6311 2006 adolescents w CD & aggression /controls suicide attempters & controls together adults who had been abused as children and controls 2006 Beitchman Canada ? aggressive children/controls 9.54 both 70/12 aggression 5HTTLPR rs4795541 2006 Beitchman Canada ? aggressive children/controls 9.54 both 70/12 aggression 2006 Han Korea Asian 1st onset S (&controls) 27.00 M N/A aggression 2006 Verona USA mixed students 21.00 both 55/56 aggression 2006 Cheng Taiwan Asian M N/A 2006 Nilsson Sweden Caucasian violent criminals /controls adolescents 19.00 M N/A violent criminal activity criminal activity 2006 Pritchard UK Caucasian Alzheimer's 74.40 both 173/220 16 agitation, aggression composite index: criminal history, selfreport, DIS group comparison CBC, TRF group comparison CBC, TRF overt aggression scale laboratory experimet group comparison criminality index NPI, group comparison 409 5HTT-VNTR 318 146 COMTVal158Met rs4680 132 5HTTLPR rs4795541 111 AR_(CAG)n rs72181988 254 MAOA promoter 30bpVNTR HTR2A-T102C 78 rs6313 393 2006 Pritchard UK Caucasian Alzheimer's 74.40 both 173/220 agitation, aggression Aggressive behavior NPI, group comparison Parent and teacher rating scales HTR2CCys23Ser 5HTTLPR rs6318 393 2006 Haberstick USA Caucasian School children from general population 9.50 both 358/374 rs4795541 732 2006 Sengupta Canada mixed Children w ADHD 9.00 both 167/24 conduct disorder 191 N/A Antisocial behavior COMTVal158Met MAOA promoter 30bpVNTR rs4680 M CD symptom score Antisocial behavior scale 2006 Kim-Cohen UK Caucasian Twins 7.00 2006 Huizinga USA Caucasian Adolescents M N/A Violence MAOA promoter 30bpVNTR ? both ? aggression 74.40 both 44/56% 74.40 both 44/56% 74.40 both 44/56% both 1/1 both 1/1 17.00 F N/A aggression irritability aggression irritability aggression irritability violent delinquency violent delinquency criminal activity composite index: criminal history, selfreport, CD DISC, group comparison NPI group comparison NPI group comparison NPI group comparison delinquency scales delinquency scales criminality index 2007 Guerin Canada mixed 2007 Pritchard UK Caucasian 2007 Pritchard UK Caucasian 2007 Pritchard UK Caucasian 2007 Guo USA mixed 2007 Guo USA mixed 2007 Sjoberg Sweden Caucasian aggressive children/ adult controls Probable Alzheimer's Probable Alzheimer's Probable Alzheimer's adolescents (sibs & twins!) adolescents (sibs & twins!) adolescents 2007 Perlis USA Caucasian depressed 39.20 both 42/52 anger expression STAXI parents of suicidal probands, controls 48.00 both 49/51 anger-hostility NEO CREB1 (various) TBX19 2007 Wasserman Ukraine Caucasian 17 975 277 BDNFVal66Met ApoE (various) rs6265 5HTTLPR rs4795541 170 388 367 5HTT-VNTR 257 SLC6A340bpVNTR DRD2-Taq1A 2530 rs1800497 MAOA promoter 30bpVNTR 2525 115 [6 SNPs] 94 [various SNPs] 744 2007 Sakai USA mixed adolescents w CD & aggression /controls forensic referrals (violent/no violent) 16.09 both 48/52 conduct disorder with aggression CIDI, DISC, group comparison group comparison 5HTTLPR 2007 Reif Germany Caucasian 34.10 M N/A violence 2007 Reif Germany Caucasian forensic referrals (violent/no violent) forensic referrals (violent/no violent) Suicide attempters, & controls Suicide attempters, & controls Suicide attempters, & controls Suicide attempters, & controls suicide completers (& controls) 34.10 M N/A violence 5HTTLPR anger aggression group comparison group comparison STAXI, FAF 2007 Reif Germany Caucasian 34.10 M N/A violence 2007 Gietl Germany Caucasian ? both 198/283 2007 Serretti Germany Caucasian ? both anger aggression STAXI, FAF 2007 Serretti Germany Caucasian ? both anger aggression 2007 Giegling Germany Caucasian ? both 198/283 2007 Zouk Canada Caucasian 38.00 both 274/64 2007 Frazzetto Italy Caucasian psychiatric outpatients, controls 32.18 M 2007 Frazzetto Italy Caucasian psychiatric outpatients, controls 32.18 2007 2007 Silva Fresan Chile Mexico mixed ? Borderline PD schizophrenic patients 2007 Fresan Mexico ? schizophrenic patients rs4795541 MAOA promoter 30bpVNTR SLC6A340bpVNTR ABCG1 1736 184 rs4795541 184 184 [5 SNPs] 414 rs6318 404 STAXI, FAF HTR2CCys23Ser HTR1A rs6295 404 anger aggression STAXI, FAF TACR1 [4 SNPs] BDHI, BIS, BGHA HTR1B-G861C rs6296 N/A Aggression (proxy interview) aggression aggression questionnaire MAOA promoter 30bpVNTR 82 F N/A aggression aggression questionnaire MAOA promoter 30bpVNTR 153 ? 30.50 both both 13/36 22/49 aggression aggression OAS group comparison & OAS 5HTTLPR DRD4-ex3 48bp VNTR 30.50 M N/A aggression group comparison & OAS MAOA promoter 30bpVNTR 18 rs4795541 322 49 71 49 2007 Fresan Mexico ? schizophrenic patients 30.50 F N/A aggression group comparison & OAS MAOA promoter 30bpVNTR 22 2007 Yang Korea Asian Students 22.80 F N/A anger STAXI MAOA promoter 30bpVNTR 211 2007 Flory USA Caucasian ? both 76/36 Hostility BDHI 2007 Nobile Italy Caucasian 12.11 both 309/298 CBCL Nobile Italy Caucasian 12.11 both 309/298 Aggressive behavior Aggressive behavior COMTVal158Met 5HTTLPR 2007 Personality disorders general population preadolescents general population preadolescents CBCL DRD4-ex3 48bp VNTR 2007 Gerra Italy Caucasian 22.60 M N/A aggressiveness BDHI 5HTTLPR 2008 Schulz-Heik USA mixed 15.80 both ? conduct disorder group comparison SLC6A340bpVNTR 2008 Keltikangas Finland Caucasian cocaine users (& controls) adolescents w CD & substance /controls healthy population 28.00 both 313/416 hostility HTR1A rs6295 729 2008 Keltikangas Finland Caucasian healthy population 28.00 both 313/416 hostility HTR2A-T102C rs6313 729 2008 Rujescu Germany Caucasian ? both 198/283 anger aggression NOS1 [4 SNPs] 571 2008 Kang Korea Asian Suicide attempters, & controls Students anger, cynicism, paranoia scales anger, cynicism, paranoia scales STAXI, FAF 22.50 M N/A anger STAXI, TFS DRD4-ex3 48bp VNTR 184 2008 Kang Korea Asian Students 22.50 F N/A anger STAXI, TFS DRD4-ex3 48bp VNTR 124 2008 Kang Korea Asian Students 22.50 M N/A anger STAXI, TFS COMTVal158Met 19 rs4680 112 rs4795541 589 589 rs4795541 96 303 rs4680 184 2008 Kang Korea Asian Students 22.50 F N/A anger STAXI, TFS 2008 Guo USA mixed adolescents (sibs & twins!) 15.60 M N/A violent delinquency delinquency scales 2008 Guo USA mixed adolescents (sibs & twins!) 15.50 F N/A violent delinquency delinquency scales MAOA promoter 30bpVNTR 2008 Caspi UK Caucasian 9.20 both 214/27 UK Caucasian 9.20 both 214/27 2008 Caspi UK Caucasian 9.20 both 214/27 COMTVal158Met SLC6A340bpVNTR DRD4-ex3 48bp VNTR rs4680 Caspi conduct problems conduct problems conduct problems CAPA 2008 ADHD children (Cardiff) ADHD children (Cardiff) ADHD children (Cardiff) 2008 Caspi UK Caucasian 7.00 both UK Caucasian 7.00 both 1839 Caspi UK Caucasian 7.00 both 2008 Caspi UK Caucasian ADHD children (Erisk) controls (E-risk) 7.00 both 2008 Caspi UK Caucasian ADHD children (Erisk) 7.00 both COMTVal158Met COMTVal158Met SLC6A340bpVNTR SLC6A340bpVNTR DRD4-ex3 48bp VNTR rs4680 2008 Child behavior checklist Child behavior checklist Child behavior checklist Child behavior checklist Child behavior checklist 185 Caspi Aggressive behavior Aggressive behavior Aggressive behavior Aggressive behavior Aggressive behavior rs4680 2008 ADHD children (Erisk) controls (E-risk) 2008 Caspi UK Caucasian controls (E-risk) 7.00 both Aggressive behavior Child behavior checklist DRD4-ex3 48bp VNTR 2008 Caspi New Zealand Caucasian ADHD children (Dunedin) 26.00 both Antisocial behavior, adult court convictions Antisocial composite index, group comparison COMTVal158Met 20 CAPA CAPA COMTVal158Met MAOA promoter 30bpVNTR rs4680 124 1200 1324 241 186 184 180 1788 184 1803 rs4680 49 2008 Caspi New Zealand Caucasian controls (Dunedin) 26.00 both Antisocial behavior, adult court convictions 2008 Caspi New Zealand Caucasian ADHD children (Dunedin) 26.00 both Antisocial behavior, adult court convictions 2008 Caspi New Zealand Caucasian controls (Dunedin) 26.00 both Antisocial behavior, adult court convictions 2008 Caspi New Zealand Caucasian ADHD children (Dunedin) 26.00 both Antisocial behavior, adult court convictions 2008 Caspi New Zealand Caucasian controls (Dunedin) 26.00 both Antisocial behavior, adult court convictions 2008 Rajender India Caucasian criminals/controls 2008 Giegling Germany Caucasian 2008 Kulikova Russia Caucasian Suicide attempters, & controls Young women 2008 Hong Korea Asian 2008 Burt USA 2008 Burt 2008 Ducci M N/A 43.20 both 196/283 17.00 F N/A Schizophrenic patients ? M N/A Caucasian Students 19.00 M N/A USA Caucasian Students 19.00 M N/A USA Indianamericans Indian-american tribe (alcoholics +/APD & controls) 37.80 F N/A 21 serious offence (rape, murder) anger aggression Aggressive behavior homicide Aggressive behavior Aggressive behavior APD in alcoholism Antisocial composite index, group comparison Antisocial composite index, group comparison Antisocial composite index, group comparison Antisocial composite index, group comparison Antisocial composite index, group comparison group comparison STAXI, FAF COMTVal158Met Buss-Darky? group comparison, OAS, LHA ASR rs4680 787 SLC6A340bpVNTR 48 SLC6A340bpVNTR 727 DRD4-ex3 48bp VNTR 49 DRD4-ex3 48bp VNTR 799 AR_(CAG)n rs72181988 645 ESR1 [6 SNPs] ? COMTVal158Met COMTVal158Met rs4680 114 rs4680 193 ASR SLC6A340bpVNTR TPH1-A218C group comparison (of ASPD) MAOA promoter 30bpVNTR 197 rs1800532 204 167 2008 Gonzalez Cuba mixed Students & staff both 24/76 Aggression KSP 2008 Kim Korea Asian S patients (& controls) 2008 Pombo Portugal Caucasian 2009 Gonda Hungary 2009 Tikkanen 2009 CYP2D6 (various) COMTVal158Met [various SNPs] rs4680 246 38.40 both 96/69 Aggressive behavior Alcohol dependent 48.00 both 78/19 Caucasian Healthy volunteers 32.13 F N/A Finland Caucasian alcoholic criminals 32.50 M N/A outward aggression aggression, hostility Impulsive violence group comparison, OAS SDAS 5HTTLPR rs4795541 97 BDHI 5HTTLPR rs4795541 169 examination MAOA promoter 30bpVNTR Sysoeva Russia Caucasian 13.00 F N/A 2009 Sysoeva Russia Caucasian 23.00 F N/A 2009 Sysoeva Russia Caucasian 13.00 F N/A 2009 Reif Germany Caucasian Young women, controls Young women, controls Young women, swimmers forensic referrals (violent/no violent) Aggressive behavior Aggressive behavior Aggressive behavior Violence BDHI 5HTTLPR rs4795541 64 BDHI 5HTTLPR rs4795541 40 BDHI 5HTTLPR rs4795541 62 34.10 M N/A group comparison NOS1 Ex1f VNTR 182 2009 McDermott USA mixed Students 22.00 M N/A Aggressive tendencies controlled experiment MAOA promoter 30bpVNTR 70 2009 Williams Australia Caucasian Healthy individuals 36.34 M N/A Antisocial index NEO MAOA promoter 30bpVNTR 140 2009 Williams Australia Caucasian Healthy individuals 35.80 F N/A Antisocial index NEO MAOA promoter 30bpVNTR 68 2009 2009 2009 Terraciano Terraciano Conner Italy USA USA Caucasian mixed Caucasian volunteers volunteers Students 42.60 52.90 18.70 both both both 43/57 49/51 168/193 anger-hostility anger-hostility Hostility questionnaire NEO NEO controlled experiment 5HTTLPR 5HTTLPR HTR1B-G861C 22 167 174 rs4795541 rs4795541 rs6296 3913 548 361 2009 Kinnally USA mixed mood disorders & controls 38.60 F N/A Hostility aggressiveness BGAI, BIS, BDHI MAOA promoter 30bpVNTR 2009 Kim Korea Asian Schizophrenic patients 38.20 both 56/47 aggression, anger 5HTTLPR rs4795541 2009 Kim Korea Asian Schizophrenic patients 38.20 both 5HTTLPR rs4795541 2009 Gu China Asian 36.00 M N/A Violent behavior 584 Wagner Germany Caucasian 33.00 both 49/110 rs6265 159 2009 Wagner Germany Caucasian Borderline PD 32.00 F N/A impulsive aggression impulsive aggression COMTVal158Met BDNFVal66Met COMTVal158Met rs4680 2009 Schizophrenic patients Borderline PD MOAS, STAXI, group comparison MOAS, STAXI, group comparison MOAS, group comparison BDHI rs4680 161 2009 Edwards USA Caucasian School children from general population M N/A externalizing behavior Child behavior checklist MAOA promoter 30bpVNTR 2009 Perroud France ? Suicide attempters 39.60 both 30/70 Anger STAXI rs4680 779 2009 2009 Perroud Perroud France France ? ? Suicide attempters Suicide attempters 39.60 39.60 both both 30/70 30/70 Anger Anger STAXI STAXI COMTVal158Met 5HTTLPR TPH1-A218C rs4795541 rs1800532 835 840 2009 Perroud France ? Suicide attempters 39.60 both 30/70 Anger STAXI rs6311 562 2009 Perroud France ? Suicide attempters 39.60 M N/A Anger STAXI HTR2A1438A/G MAOA promoter 30bpVNTR 2009 Perroud France ? Suicide attempters 39.60 F N/A Anger STAXI MAOA promoter 30bpVNTR 2009 Perroud France ? Suicide attempters 39.60 both 30/70 Anger STAXI BDNFVal66Met 23 aggression, anger BDHI 159 103 186 248 590 rs6265 842 2009 Perroud France ? Suicide attempters 39.60 both 30/70 Anger STAXI HTR1B-G861C rs6296 839 2009 Kim Korea Asian Schizophrenic patients 38.20 both 57/47 aggression, anger TPH1-A218C rs1800532 104 2009 Hohmann Germany Caucasian Adolescents 15.00 both 144/154 5HTTLPR rs4795541 298 2009 Hohmann Germany Caucasian Adolescents 15.00 both 144/154 externalizing behavior externalizing behavior group comparison, OAS, STAXI YSR, CBCL YSR, CBCL DRD4-ex3 48bp VNTR 2009 Zimmerman Germany Caucasian Adolescents 12.00 both 45/46 aggressiveness 5HTTLPR 2009 May USA Caucasian Intellectual disabilities (& controls) 41.00 M N/A Problem behavior CCQ (mothers report) group comparison, N of PB 2009 Jensen USA Caucasian Students 18.60 both rs13212041 359 Westberg Sweden Caucasian volunteers 59.00 M N/A Conduct disorder items KSP, TCI HTR1B 2009 AR_(CAG)n rs72181988 141 2009 Westberg Sweden Caucasian 35.00 M N/A KSP, TCI AR_(CAG)n rs72181988 63 2010 Isir Turkey Caucasian 13.50 both 45/27 group comparison COMTVal158Met rs4680 72 2010 Kim Korea Asian forensic patients with violent history Violent offenders with MR vs controls S patients (& controls) Conduct disorder items nonconformity factor (KSP) nonconformity factor (KSP) violent offence 38.40 both 96/69 aggression, anger TPH1-A218C rs1800532 165 2010 Beaver USA mixed adolescents 16.47 M N/A gang membership, weapon use group comparison, OAS, STAXI group comparison MAOA promoter 30bpVNTR 1041 2010 Beaver USA mixed adolescents 16.47 F N/A gang membership, weapon use group comparison MAOA promoter 30bpVNTR 1155 2010 Dmitrieva Russia Caucasian adolescents 14.60 both 50/50 Delinquency Problem behavior scale & offending DRD4-ex3 48bp VNTR 235 24 298 rs4795541 MAOA promoter 30bpVNTR 91 70 checklist 2010 USA Caucasian PD and controls 42.00 both 70/53 Aggression 2010 PerezRodriguez Chung BDHI, BPAQ, OAS group comparison, LHA, OAS Cook-Medley, Buss-Perry, HDHQ TPH2 Korea Asian violent vs nonviolent S patients 38.00 M N/A homicide 2010 Williams USA mixed Healthy volunteers 34.20 M N/A Hostility 2010 2010 Yang Albaugh Korea USA Asian ? Students Children 23.00 11.00 F both N/A 97/69 Anger Aggressive behavior Problem behavior STAXI Child behavior checklist group comparison, N of PB 5HTTLPR COMTVal158Met 5HTTLPR 2010 May USA Caucasian Intellectual disabilities (& controls) 41.00 M N/A 2010 May USA Caucasian Intellectual disabilities (& controls) 41.00 M N/A Problem behavior group comparison, N of PB 5HTT-VNTR 2010 Grigorenko Russia Caucasian Adolescents 16.20 M N/A Incancerated offenders vs controls group comparison COMTVal158Met rs4680 461 2011 Koh Korea Asian Violent S & controls 34.00 both 138/94 criminal activity COMTVal158Met rs4680 229 34.00 both 138/94 criminal activity group comparison, LHA group comparison, LHA group comparison 2011 Koh Korea Asian Violent S & controls TPH1-A218C rs1800532 230 2011 Kasiakogia UK ? Alcoholics with criminal record (& controls) DRD2-Taq1A rs1800497 1006 2011 Vogel Germany Caucasian BPD patients & controls group comparison, BDHI AVPR1A criminal police record 33.20 both 25 95/223 impulsive aggression BDNFVal66Met 123 rs6265 MAOA promoter 30bpVNTR 95 86 rs4795541 rs4680 228 149 rs4795541 67 63 318 2011 Johansson Finland Caucasian University students administered alcohol or placebo 22.70 M N/A Aggressive behavior laboratory paradigm OXTR 116 2011 Fergusson New Zealand mixed birth cohort - not exposed to abuse 30.00 M N/A Violent offences self-report, police, SCL90 MAOA promoter 30bpVNTR 309 2011 Fergusson New Zealand mixed birth cohort exposed to abuse 30.00 M N/A Violent offences self-report, police, SCL90 MAOA promoter 30bpVNTR 89 2011 2011 2011 Gonda Gonda Tosato Hungary Hungary Italy Caucasian Caucasian Caucasian depressed controls S patients 48.00 32.00 42.10 F F both N/A N/A 41/39 Spain Caucasian M N/A rs72181988 153 2011 Aluja Spain Caucasian Inmates (& vs controls) controls 5HTTLPR 5HTTLPR COMTVal158Met AR_(CAG)n 137 118 80 Aluja M N/A AR_(CAG)n rs72181988 108 2011 Brennan Australia Caucasian birth cohort both 43/57 BDHI BDHI OAS, group comparison Zuckerman questionnaire Zuckerman questionnaire ABCL, ASR rs4795541 rs4795541 rs4680 2011 Aggression Aggression Aggression against others aggression hostility aggression hostility Aggression rs4680 430 2011 Reti USA mixed cohort both 224/211 antisocial behavior ASPD, NEO COMTVal158Met MAOA promoter 30bpVNTR 2011 Zai Canada mixed 10.80 both 104/40 >90 percentile of aggression CBC & TRF SLC6A340bpVNTR 2011 Zai Canada mixed 10.80 both 104/40 >90 percentile of aggression CBC & TRF DRD2-Taq1A 2011 Zai Canada mixed 10.80 both 104/40 >90 percentile of aggression CBC & TRF DRD4-ex3 48bp VNTR 2011 Hurd Canada mixed children with pervasive aggression vs controls children with pervasive aggression vs controls children with pervasive aggression vs controls psychology students 19.20 M N/A physical aggression AQ AR_(CAG)n 20.00 26 435 260 rs1800497 282 256 rs72181988 2011 Hurd Canada mixed psychology students 19.20 M 2011 Zalsman Israel Caucasian suicidal and not suicidal adolescents 16.00 both 2011 Nedic Croatia Caucasian suicidal alcoholics 49.50 M N/A 2011 Nedic Croatia Caucasian 49.50 M N/A 2011 Nedic Croatia Caucasian not suicidal alcoholics suicidal alcoholics 51.50 F N/A 2011 Nedic Croatia Caucasian 51.50 F N/A 2011 Basoglu Turkey Caucasian not suicidal alcoholics offenders with APD & controls 21.00 M N/A 2011 Cao China Asian Children exposed to domestic violence 14.50 both Aggressive behavior 2011 Cao China Asian Children exposed to domestic violence 14.50 both Aggressive behavior 27 N/A physical aggression AQ MAOA promoter 30bpVNTR Anger, Impulse control ICS, Anger inventory HTR2A, 5HTTLPR, MAO-A Aggressive behavior Aggressive behavior Aggressive behavior Aggressive behavior offending behavior BGLHA COMTVal158Met COMTVal158Met COMTVal158Met COMTVal158Met SNAP25 DdeI rs4680 59 rs4680 253 rs4680 23 rs4680 58 COMTVal158Met rs4680 68 5HTTLPR rs4795541 68 BGLHA BGLHA BGLHA group comparison, Psychopathy group comparison, CBC group comparison, CBC 211 129 Supplementary Table 2. Grading of the strength of cumulative evidence of meta-analyses with nominally positive findings according to the HuGENet criteria. Gene Subgroup* Model Studies with categorical outcomes COMT Violence allelic MAOA-M Violence allelic TPH1 Psychiatric patients allelic Studies with continuous outcomes 5HTTLPR Age >16 and <65 dominant 5HTTLPR Substance users dominant COMT Caucasian recessive COMT Substance users recessive COMT Anger recessive COMT Caucasian additive COMT Substance users additive MAOA-F Aggressiveness recessive N AMOUNT N minor REPLICATION I2 BIAS Publ. Bias OVERALL 6 3 4 B B B 344 629 772 C A A 54 0 16 C A B Harbord p=0.047 C B B 22 4 16 4 5 16 4 4 A B A B A A B B 9742 599 4933 378 1355 4933 378 263 B B C A A C A A 39 28 56 12 0 54 0 0 C C B B B B B B Egger p = 0.044 Egger p = 0.027 C C C B B C B B * Subgroup analyses were performed by ethnicity, age of participants, sample characteristics, and outcome measure. N is the number of studies included, N minor, the size of the smallest genetic group (minor allele), I 2 = I square test for heterogeneity and Publ. bias = the method and the p-value of publication bias (when significant). The overall evidence was rated as A (strong), B (moderate) or C (weak). 28 29 Supplementary Figure 1. Forest Plots of meta-analyses of studies with categorical outcomes 5HT-1B-G861C 1. By ethnicity (1 caucasian, 0 other) Odds ratio (95% CI) Study 0 Lappalainen 1.14 ( 0.76, 1.70) Huang 1.46 ( 0.65, 3.26) Kranzler 0.50 ( 0.22, 1.14) Subtotal 0.99 ( 0.58, 1.67) 1 Lappalainen 0.58 ( 0.38, 0.87) Kranzler 0.98 ( 0.61, 1.56) Subtotal 0.74 ( 0.44, 1.24) Overall 0.86 ( 0.60, 1.24) .219419 1 Odds ratio 4.55747 4. By outcome measure Odds ratio (95% CI) Study Aggresiveness Lappalainen 0.58 ( 0.38, 0.87) Lappalainen 1.14 ( 0.76, 1.70) Kranzler 0.50 ( 0.22, 1.14) Kranzler 0.98 ( 0.61, 1.56) Subtotal 0.79 ( 0.54, 1.17) Violence Huang 1.46 ( 0.65, 3.26) Subtotal 1.46 ( 0.65, 3.26) Overall 0.86 ( 0.60, 1.24) .219419 1 Odds ratio 30 4.55747 5HTTLPR 1. By ethnicity (1: caucasian, 0: other) Odds ratio (95% CI) Study 0 Ishiguro Sweet Liao Ha Sakai Beitchman Kim Cao Subtotal 1.48 ( 0.84, 2.63) 1.65 ( 1.19, 2.30) 0.83 ( 0.56, 1.23) 0.59 ( 0.26, 1.36) 0.46 ( 0.32, 0.66) 0.79 ( 0.58, 1.09) 1.48 ( 0.77, 2.82) 1.28 ( 0.59, 2.78) 0.97 ( 0.68, 1.39) 1 Sander Mazzanti Kotler Nolan Matsushita Stoltenberg Retz Gerra May Parsian Pritchard Subtotal 0.92 ( 0.62, 1.36) 0.99 ( 0.75, 1.31) 0.69 ( 0.36, 1.32) 0.59 ( 0.28, 1.25) 0.65 ( 0.35, 1.20) 0.89 ( 0.33, 2.42) 0.56 ( 0.35, 0.88) 0.51 ( 0.29, 0.89) 2.51 ( 0.85, 7.42) 1.35 ( 0.81, 2.25) 1.16 ( 0.78, 1.72) 0.85 ( 0.68, 1.07) Overall 0.90 ( 0.74, 1.09) .134688 1 Odds ratio 7.42452 2. By Age (1: <16, 2: 16-65, 3: >65) Odds ratio (95% CI) Study agegroup==1 Beitchman 0.79 ( 0.58, 1.09) Cao 1.28 ( 0.59, 2.78) Subtotal 0.88 ( 0.60, 1.31) agegroup==2 Ishiguro 1.48 ( 0.84, 2.63) Liao 0.83 ( 0.56, 1.23) Sakai 0.46 ( 0.32, 0.66) Kim 1.48 ( 0.77, 2.82) Sander 0.92 ( 0.62, 1.36) Mazzanti 0.99 ( 0.75, 1.31) Kotler 0.69 ( 0.36, 1.32) Nolan 0.59 ( 0.28, 1.25) Matsushita 0.65 ( 0.35, 1.20) Stoltenberg 0.89 ( 0.33, 2.42) Retz 0.56 ( 0.35, 0.88) Gerra 0.51 ( 0.29, 0.89) May 2.51 ( 0.85, 7.42) Parsian 1.35 ( 0.81, 2.25) Subtotal 0.84 ( 0.67, 1.05) agegroup==3 Sweet 1.65 ( 1.19, 2.30) Ha 0.59 ( 0.26, 1.36) Pritchard 1.16 ( 0.78, 1.72) Subtotal 1.18 ( 0.75, 1.87) Overall 0.90 ( 0.74, 1.09) .134688 1 7.42452 Odds ratio 31 3. By sample characteristics Odds ratio (95% CI) Study Forensic Liao 0.83 ( 0.56, 1.23) Mazzanti 0.99 ( 0.75, 1.31) Retz 0.56 ( 0.35, 0.88) Subtotal 0.80 ( 0.58, 1.10) General Beitchman 0.79 ( 0.58, 1.09) Cao 1.28 ( 0.59, 2.78) Sakai 0.46 ( 0.32, 0.66) Subtotal 0.72 ( 0.44, 1.19) Psychiatric Kim 1.48 ( 0.77, 2.82) Kotler 0.69 ( 0.36, 1.32) Nolan 0.59 ( 0.28, 1.25) May 2.51 ( 0.85, 7.42) Sweet 1.65 ( 1.19, 2.30) Ha 0.59 ( 0.26, 1.36) Pritchard 1.16 ( 0.78, 1.72) Subtotal 1.09 ( 0.77, 1.56) Substance Ishiguro 1.48 ( 0.84, 2.63) Sander 0.92 ( 0.62, 1.36) Matsushita 0.65 ( 0.35, 1.20) Stoltenberg 0.89 ( 0.33, 2.42) Gerra 0.51 ( 0.29, 0.89) Parsian 1.35 ( 0.81, 2.25) Subtotal 0.91 ( 0.65, 1.28) Overall 0.90 ( 0.74, 1.09) .134688 1 7.42452 Odds ratio 4. By outcome measure Odds ratio (95% CI) Study Aggresiveness Beitchman 0.79 ( 0.58, 1.09) Cao 1.28 ( 0.59, 2.78) Sakai 0.46 ( 0.32, 0.66) May 2.51 ( 0.85, 7.42) Sweet 1.65 ( 1.19, 2.30) Ha 0.59 ( 0.26, 1.36) Pritchard 1.16 ( 0.78, 1.72) Ishiguro 1.48 ( 0.84, 2.63) Sander 0.92 ( 0.62, 1.36) Stoltenberg 0.89 ( 0.33, 2.42) Parsian 1.35 ( 0.81, 2.25) Subtotal 1.04 ( 0.78, 1.39) Offence Liao 0.83 ( 0.56, 1.23) Mazzanti 0.99 ( 0.75, 1.31) Kotler 0.69 ( 0.36, 1.32) Gerra 0.51 ( 0.29, 0.89) Subtotal 0.79 ( 0.60, 1.05) Violence Retz 0.56 ( 0.35, 0.88) Kim 1.48 ( 0.77, 2.82) Nolan 0.59 ( 0.28, 1.25) Matsushita 0.65 ( 0.35, 1.20) Subtotal 0.73 ( 0.47, 1.14) Overall 0.90 ( 0.74, 1.09) .134688 1 7.42452 Odds ratio 32 5HTT-VNTR Odds ratio Study (95% CI) Beitchman 1.16 ( 0.72, 1.85) May 0.87 ( 0.32, 2.41) Pritchard 1.26 ( 0.85, 1.86) Overall 1.18 ( 0.88, 1.58) .316558 1 3.15897 Odds ratio BDNF (val/met) 2. By Age (1: <16, 2: 16-65, 3: >65) Odds ratio (95% CI) Study agegroup==1 Guerin 1.13 ( 0.65, 1.96) Subtotal 1.13 ( 0.65, 1.96) agegroup==2 Tsai 0.95 ( 0.68, 1.32) Chung 0.95 ( 0.54, 1.69) Matsushita 0.60 ( 0.40, 0.89) Subtotal 0.80 ( 0.58, 1.11) Overall 0.86 ( 0.65, 1.13) .399737 1 Odds ratio 33 2.50164 COMT 1. By ethnicity (1: caucasian, 0: other) Odds ratio (95% CI) Study 0 Cao Koen Hong Gu Koh Strous Liou Kweon Subtotal 0.61 ( 0.28, 1.30) 1.03 ( 0.50, 2.12) 0.65 ( 0.39, 1.09) 1.11 ( 0.86, 1.43) 0.96 ( 0.63, 1.47) 0.42 ( 0.16, 1.06) 1.24 ( 0.76, 2.03) 0.42 ( 0.22, 0.81) 0.82 ( 0.63, 1.08) 1 Isir Strous Strous Zammit Hallikainen Caspi Grigorenko Kotler Caspi Lachman Tosato Subtotal 1.06 ( 0.54, 2.10) 0.29 ( 0.15, 0.54) 0.40 ( 0.14, 1.20) 1.23 ( 0.89, 1.70) 1.09 ( 0.74, 1.61) 1.03 ( 0.79, 1.34) 1.28 ( 0.87, 1.89) 0.58 ( 0.31, 1.09) 2.36 ( 1.03, 5.39) 0.38 ( 0.18, 0.82) 0.65 ( 0.27, 1.55) 0.84 ( 0.63, 1.14) Overall 0.84 ( 0.69, 1.02) .136984 1 Odds ratio 7.30008 2. By Age (1: <16, 2: 16-65, 3: >65) Study Odds ratio (95% CI) agegroup==1 Cao Isir Subtotal 0.61 ( 0.28, 1.30) 1.06 ( 0.54, 2.10) 0.83 ( 0.48, 1.42) agegroup==2 Koen Hong Gu Koh Strous Liou Kweon Strous Strous Zammit Hallikainen Caspi Grigorenko Kotler Caspi Lachman Tosato Subtotal 1.03 ( 0.50, 2.12) 0.65 ( 0.39, 1.09) 1.11 ( 0.86, 1.43) 0.96 ( 0.63, 1.47) 0.42 ( 0.16, 1.06) 1.24 ( 0.76, 2.03) 0.42 ( 0.22, 0.81) 0.29 ( 0.15, 0.54) 0.40 ( 0.14, 1.20) 1.23 ( 0.89, 1.70) 1.09 ( 0.74, 1.61) 1.03 ( 0.79, 1.34) 1.28 ( 0.87, 1.89) 0.58 ( 0.31, 1.09) 2.36 ( 1.03, 5.39) 0.38 ( 0.18, 0.82) 0.65 ( 0.27, 1.55) 0.84 ( 0.68, 1.03) Overall 0.84 ( 0.69, 1.02) .136984 1 Odds ratio 7.30008 34 3. By sample characteristics Odds ratio (95% CI) Study Forensic Isir 1.06 ( 0.54, 2.10) Hallikainen 1.09 ( 0.74, 1.61) Subtotal 1.08 ( 0.77, 1.52) General Cao 0.61 ( 0.28, 1.30) Caspi 1.03 ( 0.79, 1.34) Grigorenko 1.28 ( 0.87, 1.89) Subtotal 1.04 ( 0.78, 1.38) Psychiatric Koen 1.03 ( 0.50, 2.12) Hong 0.65 ( 0.39, 1.09) Gu 1.11 ( 0.86, 1.43) Koh 0.96 ( 0.63, 1.47) Strous 0.42 ( 0.16, 1.06) Liou 1.24 ( 0.76, 2.03) Strous 0.29 ( 0.15, 0.54) Strous 0.40 ( 0.14, 1.20) Zammit 1.23 ( 0.89, 1.70) Kotler 0.58 ( 0.31, 1.09) Caspi 2.36 ( 1.03, 5.39) Lachman 0.38 ( 0.18, 0.82) Tosato 0.65 ( 0.27, 1.55) Subtotal 0.78 ( 0.59, 1.04) Substance Kweon 0.42 ( 0.22, 0.81) Subtotal 0.42 ( 0.22, 0.81) Overall 0.84 ( 0.69, 1.02) .136984 1 7.30008 Odds ratio 4. By outcome measure Odds ratio (95% CI) Study Aggresiveness Koen 1.03 ( 0.50, 2.12) Strous 0.29 ( 0.15, 0.54) Strous 0.40 ( 0.14, 1.20) Zammit 1.23 ( 0.89, 1.70) Subtotal 0.65 ( 0.30, 1.42) Offence Isir 1.06 ( 0.54, 2.10) Hallikainen 1.09 ( 0.74, 1.61) Caspi 1.03 ( 0.79, 1.34) Grigorenko 1.28 ( 0.87, 1.89) Hong 0.65 ( 0.39, 1.09) Gu 1.11 ( 0.86, 1.43) Koh 0.96 ( 0.63, 1.47) Kotler 0.58 ( 0.31, 1.09) Caspi 2.36 ( 1.03, 5.39) Subtotal 1.03 ( 0.87, 1.22) Violence Cao 0.61 ( 0.28, 1.30) Strous 0.42 ( 0.16, 1.06) Liou 1.24 ( 0.76, 2.03) Lachman 0.38 ( 0.18, 0.82) Tosato 0.65 ( 0.27, 1.55) Kweon 0.42 ( 0.22, 0.81) Subtotal 0.59 ( 0.38, 0.92) Overall 0.84 ( 0.69, 1.02) .136984 1 7.30008 Odds ratio 35 DAT1_gen Odds ratio Study (95% CI) Schulz-Heik 1.15 ( 0.71, 1.85) Reif 1.33 ( 0.73, 2.43) Caspi 1.17 ( 0.80, 1.72) Overall 1.19 ( 0.91, 1.56) .410900 1 2.43368 Odds ratio DRD4_gen 2. By Age (1: <16, 2: 16-65, 3: >65) Odds ratio (95% CI) Study agegroup==1 Zai 1.53 ( 0.88, 2.64) Subtotal 1.53 ( 0.88, 2.64) agegroup==2 Fresan 3.47 ( 1.29, 9.33) Caspi 0.96 ( 0.65, 1.41) Kotler 1.19 ( 0.47, 3.04) Subtotal 1.43 ( 0.69, 2.98) Overall 1.40 ( 0.87, 2.26) .107187 1 Odds ratio 36 9.32944 37 MAO-F 1. By ethnicity (1: caucasian, 0: other) Odds ratio (95% CI) Study 0 Fresan 1.52 ( 0.42, 5.47) Ducci 0.67 ( 0.41, 1.12) Beaver 0.99 ( 0.40, 2.43) Subtotal 0.80 ( 0.53, 1.22) 1 Strous 0.93 ( 0.33, 2.67) Zammit 2.09 ( 0.76, 5.73) Subtotal 1.42 ( 0.64, 3.12) Overall 0.96 ( 0.64, 1.45) .174620 1 Odds ratio 5.72668 3. By sample characteristics Odds ratio (95% CI) Study General Beaver 0.99 ( 0.40, 2.43) Subtotal 0.99 ( 0.40, 2.43) Psychiatric Fresan 1.52 ( 0.42, 5.47) Strous 0.93 ( 0.33, 2.67) Zammit 2.09 ( 0.76, 5.73) Subtotal 1.44 ( 0.77, 2.72) Substance Ducci 0.67 ( 0.41, 1.12) Subtotal 0.67 ( 0.41, 1.12) Overall 0.96 ( 0.64, 1.45) .174620 1 Odds ratio 38 5.72668 4. By outcome measure Odds ratio (95% CI) Study Aggresiveness Fresan 1.52 ( 0.42, 5.47) Strous 0.93 ( 0.33, 2.67) Zammit 2.09 ( 0.76, 5.73) Ducci 0.67 ( 0.41, 1.12) Subtotal 1.03 ( 0.59, 1.79) Violence Beaver 0.99 ( 0.40, 2.43) Subtotal 0.99 ( 0.40, 2.43) Overall 0.96 ( 0.64, 1.45) .174620 1 Odds ratio 39 5.72668 MAO-M 1. By ethnicity (1: caucasian, 0: other) Odds ratio (95% CI) Study 0 Lu Koen Fresan Beaver Subtotal 0.79 ( 0.43, 1.46) 0.56 ( 0.20, 1.58) 2.31 ( 0.71, 7.45) 0.55 ( 0.31, 0.99) 0.77 ( 0.46, 1.27) 1 Samochowiec Nolan Caspi Saito Strous Koller Gerra Foley Zammit Reif Huizinga Tikkanen May Subtotal 0.55 ( 0.31, 0.97) 0.51 ( 0.17, 1.57) 0.78 ( 0.42, 1.46) 0.97 ( 0.51, 1.82) 0.57 ( 0.23, 1.41) 1.12 ( 0.58, 2.15) 0.31 ( 0.12, 0.77) 1.54 ( 0.81, 2.94) 1.54 ( 0.69, 3.40) 0.53 ( 0.28, 0.98) 1.44 ( 0.77, 2.67) 1.56 ( 0.84, 2.90) 0.33 ( 0.11, 0.97) 0.83 ( 0.62, 1.12) Overall 0.82 ( 0.64, 1.06) .114913 1 Odds ratio 8.70218 2. By Age (1: <16, 2: 16-65, 3: >65) Study Odds ratio (95% CI) agegroup==1 Foley Subtotal 1.54 ( 0.81, 2.94) 1.54 ( 0.81, 2.94) agegroup==2 Lu Koen Fresan Beaver Samochowiec Nolan Caspi Saito Strous Koller Gerra Zammit Reif Huizinga Tikkanen May Subtotal 0.79 ( 0.43, 1.46) 0.56 ( 0.20, 1.58) 2.31 ( 0.71, 7.45) 0.55 ( 0.31, 0.99) 0.55 ( 0.31, 0.97) 0.51 ( 0.17, 1.57) 0.78 ( 0.42, 1.46) 0.97 ( 0.51, 1.82) 0.57 ( 0.23, 1.41) 1.12 ( 0.58, 2.15) 0.31 ( 0.12, 0.77) 1.54 ( 0.69, 3.40) 0.53 ( 0.28, 0.98) 1.44 ( 0.77, 2.67) 1.56 ( 0.84, 2.90) 0.33 ( 0.11, 0.97) 0.79 ( 0.61, 1.01) Overall 0.82 ( 0.64, 1.06) .114913 1 Odds ratio 8.70218 40 41 3. By sample characteristics Odds ratio (95% CI) Study Forensic Lu 0.79 ( 0.43, 1.46) Saito 0.97 ( 0.51, 1.82) Reif 0.53 ( 0.28, 0.98) Tikkanen 1.56 ( 0.84, 2.90) Subtotal 0.89 ( 0.57, 1.39) General Foley 1.54 ( 0.81, 2.94) Beaver 0.55 ( 0.31, 0.99) Caspi 0.78 ( 0.42, 1.46) Huizinga 1.44 ( 0.77, 2.67) Subtotal 0.98 ( 0.60, 1.60) Psychiatric Koen 0.56 ( 0.20, 1.58) Fresan 2.31 ( 0.71, 7.45) Nolan 0.51 ( 0.17, 1.57) Strous 0.57 ( 0.23, 1.41) Zammit 1.54 ( 0.69, 3.40) May 0.33 ( 0.11, 0.97) Subtotal 0.77 ( 0.43, 1.37) Substance Samochowiec 0.55 ( 0.31, 0.97) Koller 1.12 ( 0.58, 2.15) Gerra 0.31 ( 0.12, 0.77) Subtotal 0.60 ( 0.31, 1.18) Overall 0.82 ( 0.64, 1.06) .114913 1 8.70218 Odds ratio 4. By outcome measure Odds ratio (95% CI) Study Aggresiveness Foley 1.54 ( 0.81, 2.94) Huizinga 1.44 ( 0.77, 2.67) Koen 0.56 ( 0.20, 1.58) Fresan 2.31 ( 0.71, 7.45) Strous 0.57 ( 0.23, 1.41) Zammit 1.54 ( 0.69, 3.40) May 0.33 ( 0.11, 0.97) Samochowiec 0.55 ( 0.31, 0.97) Koller 1.12 ( 0.58, 2.15) Subtotal 0.95 ( 0.65, 1.40) Offence Lu 0.79 ( 0.43, 1.46) Saito 0.97 ( 0.51, 1.82) Reif 0.53 ( 0.28, 0.98) Tikkanen 1.56 ( 0.84, 2.90) Gerra 0.31 ( 0.12, 0.77) Subtotal 0.76 ( 0.46, 1.24) Violence Beaver 0.55 ( 0.31, 0.99) Caspi 0.78 ( 0.42, 1.46) Nolan 0.51 ( 0.17, 1.57) Subtotal 0.63 ( 0.42, 0.94) Overall 0.82 ( 0.64, 1.06) .114913 1 8.70218 Odds ratio 42 TPH 1. By ethnicity (1: caucasian, 0: other) Odds ratio (95% CI) Study 0 Kim 1.05 ( 0.67, 1.65) Koh 1.36 ( 0.94, 1.98) Subtotal 1.23 ( 0.92, 1.63) 1 Nielsen 0.88 ( 0.69, 1.13) Nolan 2.47 ( 1.14, 5.35) Craig 1.27 ( 0.96, 1.70) Subtotal 1.24 ( 0.81, 1.90) Overall 1.19 ( 0.92, 1.55) .186974 1 Odds ratio 5.34832 2. By Age (1: <16, 2: 16-65, 3: >65) Odds ratio (95% CI) Study agegroup==2 Kim 1.05 ( 0.67, 1.65) Koh 1.36 ( 0.94, 1.98) Nielsen 0.88 ( 0.69, 1.13) Nolan 2.47 ( 1.14, 5.35) Subtotal 1.20 ( 0.85, 1.69) agegroup==3 Craig 1.27 ( 0.96, 1.70) Subtotal 1.27 ( 0.96, 1.70) Overall 1.19 ( 0.92, 1.55) .186974 1 Odds ratio 43 5.34832 3. By sample characteristics Odds ratio (95% CI) Study Forensic Nielsen 0.88 ( 0.69, 1.13) Subtotal 0.88 ( 0.69, 1.13) Psychiatric Kim 1.05 ( 0.67, 1.65) Koh 1.36 ( 0.94, 1.98) Nolan 2.47 ( 1.14, 5.35) Craig 1.27 ( 0.96, 1.70) Subtotal 1.31 ( 1.05, 1.64) Overall 1.19 ( 0.92, 1.55) .186974 1 Odds ratio 44 5.34832 AR (CAG) Odds ratio Study (95% CI) Cheng 4.32 ( 0.94, 19.90) Rajender 5.64 ( 4.00, 7.96) Aluja 1.28 ( 0.76, 2.14) Overall 3.04 ( 0.94, 9.84) .050243 1 19.9029 Odds ratio DRD2 Odds ratio Study (95% CI) Zai 1.66 ( 1.11, 2.50) Kasiakogia 1.14 ( 0.91, 1.42) Goldman 1.56 ( 0.45, 5.43) Overall 1.30 ( 0.99, 1.71) .184092 1 5.43205 Odds ratio 45 Supplementary Figure 2. Forest Plots of meta-analyses of studies with continuous outcomes 5HT-2A A1438G Dominant Effect size Study (95% CI) Preuss -0.54 (-0.93,-0.14) Perroud -0.15 (-0.33, 0.04) Giegling -0.08 (-0.28, 0.13) Overall -0.19 (-0.39, 0.01) -2.2221 0 2.22214 Effect size 5HT-2A A1438G Recessive Effect size Study (95% CI) Preuss -0.14 (-0.55, 0.27) Perroud 0.01 (-0.18, 0.20) Giegling 0.31 ( 0.05, 0.56) Overall 0.08 (-0.15, 0.32) -2.7171 0 2.71712 Effect size 46 5HT-2A A1438G Additive Effect size Study (95% CI) Preuss 0.68 ( 0.04, 1.33) Perroud 0.32 (-0.37, 1.02) Giegling -0.19 (-0.67, 0.30) Overall 0.24 (-0.30, 0.77) -12.283 0 12.2831 Effect size 47 5HTTLPR Dominant 1. By ethnicity (1: caucasian, 0: other) Effect size (95% CI) Study caucasian==0 Greenberg -0.07 (-0.24, 0.10) Patkar -0.08 (-0.61, 0.45) Han -0.11 (-0.42, 0.21) Verona -0.14 (-0.52, 0.24) Silva 0.17 (-0.42, 0.76) Terraciano -0.08 (-0.30, 0.14) Kim -0.43 (-1.02, 0.16) Kim -0.56 (-1.13, 0.01) Yang 0.00 (-0.33, 0.34) Subtotal -0.09 (-0.20, 0.01) caucasian==1 Zalsman 0.08 (-0.53, 0.68) Twitchell 0.64 ( 0.01, 1.26) Gerra -0.46 (-0.89,-0.03) Gerra -0.31 (-0.85, 0.23) Gerra -0.60 (-0.96,-0.24) Baca-Garcia -0.82 (-1.51,-0.13) Baca-Garcia 0.01 (-0.35, 0.37) Baca-Garcia -0.21 (-0.73, 0.31) Baca-Garcia 0.28 (-0.31, 0.88) Gonda 0.15 (-0.29, 0.58) Sysoeva 1.35 ( 0.48, 2.22) Sysoeva -0.73 (-1.52, 0.06) Sysoeva -0.20 (-0.91, 0.51) Terraciano -0.03 (-0.11, 0.04) Perroud 0.13 (-0.03, 0.29) Pombo -0.08 (-0.58, 0.42) Hohmann -0.04 (-0.37, 0.28) Subtotal -0.07 (-0.22, 0.08) Overall -0.08 (-0.18, 0.02) -2.2221 0 2.22214 Effect size 2. By Age (1: <16, 2: 16-65, 3: >65) Effect size (95% CI) Study agegroup==1 Twitchell 0.64 ( 0.01, 1.26) Sysoeva 1.35 ( 0.48, 2.22) Sysoeva -0.20 (-0.91, 0.51) Hohmann -0.04 (-0.37, 0.28) Subtotal 0.37 (-0.23, 0.96) agegroup==2 Greenberg -0.07 (-0.24, 0.10) Patkar -0.08 (-0.61, 0.45) Han -0.11 (-0.42, 0.21) Verona -0.14 (-0.52, 0.24) Silva 0.17 (-0.42, 0.76) Terraciano -0.08 (-0.30, 0.14) Kim -0.43 (-1.02, 0.16) Kim -0.56 (-1.13, 0.01) Yang 0.00 (-0.33, 0.34) Zalsman 0.08 (-0.53, 0.68) Gerra -0.46 (-0.89,-0.03) Gerra -0.31 (-0.85, 0.23) Gerra -0.60 (-0.96,-0.24) Baca-Garcia -0.82 (-1.51,-0.13) Baca-Garcia 0.01 (-0.35, 0.37) Baca-Garcia -0.21 (-0.73, 0.31) Baca-Garcia 0.28 (-0.31, 0.88) Gonda 0.15 (-0.29, 0.58) Sysoeva -0.73 (-1.52, 0.06) Terraciano -0.03 (-0.11, 0.04) Perroud 0.13 (-0.03, 0.29) Pombo -0.08 (-0.58, 0.42) Subtotal -0.11 (-0.20,-0.01) Overall -0.08 (-0.18, 0.02) -2.2221 0 2.22214 Effect size 48 49 3. By sample characteristics Effect size (95% CI) Study General Twitchell 0.64 ( 0.01, 1.26) Sysoeva 1.35 ( 0.48, 2.22) Sysoeva -0.20 (-0.91, 0.51) Hohmann -0.04 (-0.37, 0.28) Greenberg -0.07 (-0.24, 0.10) Verona -0.14 (-0.52, 0.24) Terraciano -0.08 (-0.30, 0.14) Yang 0.00 (-0.33, 0.34) Gerra -0.31 (-0.85, 0.23) Baca-Garcia -0.21 (-0.73, 0.31) Baca-Garcia 0.28 (-0.31, 0.88) Gonda 0.15 (-0.29, 0.58) Sysoeva -0.73 (-1.52, 0.06) Terraciano -0.03 (-0.11, 0.04) Subtotal -0.02 (-0.14, 0.09) Psychiatric Han -0.11 (-0.42, 0.21) Silva 0.17 (-0.42, 0.76) Kim -0.43 (-1.02, 0.16) Kim -0.56 (-1.13, 0.01) Zalsman 0.08 (-0.53, 0.68) Baca-Garcia -0.82 (-1.51,-0.13) Baca-Garcia 0.01 (-0.35, 0.37) Perroud 0.13 (-0.03, 0.29) Subtotal -0.11 (-0.33, 0.10) Substance Patkar -0.08 (-0.61, 0.45) Gerra -0.46 (-0.89,-0.03) Gerra -0.60 (-0.96,-0.24) Pombo -0.08 (-0.58, 0.42) Subtotal -0.35 (-0.62,-0.09) Overall -0.08 (-0.18, 0.02) -2.2221 0 2.22214 Effect size 4. By outcome measure Effect size (95% CI) Study Aggressiveness Twitchell 0.64 ( 0.01, 1.26) Sysoeva 1.35 ( 0.48, 2.22) Sysoeva -0.20 (-0.91, 0.51) Hohmann -0.04 (-0.37, 0.28) Verona -0.14 (-0.52, 0.24) Gerra -0.31 (-0.85, 0.23) Baca-Garcia -0.21 (-0.73, 0.31) Baca-Garcia 0.28 (-0.31, 0.88) Gonda 0.15 (-0.29, 0.58) Sysoeva -0.73 (-1.52, 0.06) Han -0.11 (-0.42, 0.21) Silva 0.17 (-0.42, 0.76) Zalsman 0.08 (-0.53, 0.68) Baca-Garcia -0.82 (-1.51,-0.13) Baca-Garcia 0.01 (-0.35, 0.37) Patkar -0.08 (-0.61, 0.45) Gerra -0.46 (-0.89,-0.03) Gerra -0.60 (-0.96,-0.24) Pombo -0.08 (-0.58, 0.42) Subtotal -0.09 (-0.26, 0.07) Anger Greenberg -0.07 (-0.24, 0.10) Terraciano -0.08 (-0.30, 0.14) Yang 0.00 (-0.33, 0.34) Terraciano -0.03 (-0.11, 0.04) Kim -0.43 (-1.02, 0.16) Kim -0.56 (-1.13, 0.01) Perroud 0.13 (-0.03, 0.29) Subtotal -0.04 (-0.13, 0.06) Overall -0.08 (-0.18, 0.02) -2.2221 0 2.22214 Effect size 50 5HTTLPR Recessive 1. By ethnicity (1: caucasian, 0: other) Effect size (95% CI) Study caucasian==0 Greenberg -0.32 (-0.46,-0.18) Patkar 0.01 (-0.38, 0.41) Han -0.23 (-0.99, 0.53) Verona -0.12 (-0.84, 0.60) Silva -0.06 (-0.78, 0.66) Terraciano 0.03 (-0.15, 0.20) Kim -1.29 (-2.49,-0.09) Kim -0.64 (-1.57, 0.28) Yang 0.39 (-0.29, 1.07) Subtotal -0.14 (-0.35, 0.07) caucasian==1 Zalsman 1.05 ( 0.26, 1.84) Twitchell 0.70 ( 0.12, 1.28) Gerra -0.21 (-0.65, 0.23) Gerra -0.33 (-0.75, 0.08) Gerra -0.53 (-0.81,-0.24) Nobile -0.07 (-0.24, 0.10) Baca-Garcia -0.08 (-0.60, 0.44) Baca-Garcia 0.35 (-0.07, 0.78) Baca-Garcia 0.27 (-0.20, 0.75) Baca-Garcia -0.28 (-0.75, 0.19) Gonda -0.16 (-0.48, 0.15) Sysoeva -0.14 (-0.67, 0.39) Sysoeva -0.05 (-0.70, 0.60) Sysoeva 0.23 (-0.27, 0.73) Terraciano -0.04 (-0.11, 0.03) Perroud 0.04 (-0.12, 0.19) May 0.87 ( 0.14, 1.61) Pombo -0.12 (-0.55, 0.31) Hohmann 0.03 (-0.21, 0.27) Zimmerman -0.42 (-0.84, 0.01) Gonda 0.38 ( 0.03, 0.74) Gonda -0.37 (-0.75,-0.00) Subtotal -0.02 (-0.13, 0.09) Overall -0.05 (-0.14, 0.05) -2.4941 0 2.49415 Effect size 2. By Age (1: <16, 2: 16-65, 3: >65) Effect size (95% CI) Study agegroup==1 Twitchell 0.70 ( 0.12, 1.28) Nobile -0.07 (-0.24, 0.10) Sysoeva -0.14 (-0.67, 0.39) Sysoeva 0.23 (-0.27, 0.73) Hohmann 0.03 (-0.21, 0.27) Zimmerman -0.42 (-0.84, 0.01) Subtotal 0.01 (-0.21, 0.22) agegroup==2 Greenberg -0.32 (-0.46,-0.18) Patkar 0.01 (-0.38, 0.41) Han -0.23 (-0.99, 0.53) Verona -0.12 (-0.84, 0.60) Silva -0.06 (-0.78, 0.66) Terraciano 0.03 (-0.15, 0.20) Kim -1.29 (-2.49,-0.09) Kim -0.64 (-1.57, 0.28) Yang 0.39 (-0.29, 1.07) Zalsman 1.05 ( 0.26, 1.84) Gerra -0.21 (-0.65, 0.23) Gerra -0.33 (-0.75, 0.08) Gerra -0.53 (-0.81,-0.24) Baca-Garcia -0.08 (-0.60, 0.44) Baca-Garcia 0.35 (-0.07, 0.78) Baca-Garcia 0.27 (-0.20, 0.75) Baca-Garcia -0.28 (-0.75, 0.19) Gonda -0.16 (-0.48, 0.15) Sysoeva -0.05 (-0.70, 0.60) Terraciano -0.04 (-0.11, 0.03) Perroud 0.04 (-0.12, 0.19) May 0.87 ( 0.14, 1.61) Pombo -0.12 (-0.55, 0.31) Gonda 0.38 ( 0.03, 0.74) Gonda -0.37 (-0.75,-0.00) Subtotal -0.06 (-0.17, 0.05) Overall -0.05 (-0.14, 0.05) -2.4941 0 2.49415 Effect size 51 3. By sample characteristics Effect size (95% CI) Study General Twitchell 0.70 ( 0.12, 1.28) Nobile -0.07 (-0.24, 0.10) Sysoeva -0.14 (-0.67, 0.39) Sysoeva 0.23 (-0.27, 0.73) Hohmann 0.03 (-0.21, 0.27) Zimmerman -0.42 (-0.84, 0.01) Greenberg -0.32 (-0.46,-0.18) Verona -0.12 (-0.84, 0.60) Terraciano 0.03 (-0.15, 0.20) Yang 0.39 (-0.29, 1.07) Gerra -0.33 (-0.75, 0.08) Baca-Garcia 0.27 (-0.20, 0.75) Baca-Garcia -0.28 (-0.75, 0.19) Gonda -0.16 (-0.48, 0.15) Sysoeva -0.05 (-0.70, 0.60) Terraciano -0.04 (-0.11, 0.03) Gonda -0.37 (-0.75,-0.00) Subtotal -0.08 (-0.19, 0.02) Psychiatric Han -0.23 (-0.99, 0.53) Silva -0.06 (-0.78, 0.66) Kim -1.29 (-2.49,-0.09) Kim -0.64 (-1.57, 0.28) Zalsman 1.05 ( 0.26, 1.84) Baca-Garcia -0.08 (-0.60, 0.44) Baca-Garcia 0.35 (-0.07, 0.78) Perroud 0.04 (-0.12, 0.19) May 0.87 ( 0.14, 1.61) Gonda 0.38 ( 0.03, 0.74) Subtotal 0.14 (-0.13, 0.40) Substance Patkar 0.01 (-0.38, 0.41) Gerra -0.21 (-0.65, 0.23) Gerra -0.53 (-0.81,-0.24) Pombo -0.12 (-0.55, 0.31) Subtotal -0.24 (-0.50, 0.02) Overall -0.05 (-0.14, 0.05) -2.4941 0 2.49415 Effect size 4. By outcome measure Effect size (95% CI) Study Aggressiveness Twitchell 0.70 ( 0.12, 1.28) Nobile -0.07 (-0.24, 0.10) Sysoeva -0.14 (-0.67, 0.39) Sysoeva 0.23 (-0.27, 0.73) Hohmann 0.03 (-0.21, 0.27) Zimmerman -0.42 (-0.84, 0.01) Verona -0.12 (-0.84, 0.60) Gerra -0.33 (-0.75, 0.08) Baca-Garcia 0.27 (-0.20, 0.75) Baca-Garcia -0.28 (-0.75, 0.19) Gonda -0.16 (-0.48, 0.15) Sysoeva -0.05 (-0.70, 0.60) Gonda -0.37 (-0.75,-0.00) Han -0.23 (-0.99, 0.53) Silva -0.06 (-0.78, 0.66) Zalsman 1.05 ( 0.26, 1.84) Baca-Garcia -0.08 (-0.60, 0.44) Baca-Garcia 0.35 (-0.07, 0.78) May 0.87 ( 0.14, 1.61) Gonda 0.38 ( 0.03, 0.74) Patkar 0.01 (-0.38, 0.41) Gerra -0.21 (-0.65, 0.23) Gerra -0.53 (-0.81,-0.24) Pombo -0.12 (-0.55, 0.31) Subtotal -0.02 (-0.15, 0.11) Anger Greenberg -0.32 (-0.46,-0.18) Terraciano 0.03 (-0.15, 0.20) Yang 0.39 (-0.29, 1.07) Terraciano -0.04 (-0.11, 0.03) Kim -1.29 (-2.49,-0.09) Kim -0.64 (-1.57, 0.28) Perroud 0.04 (-0.12, 0.19) Subtotal -0.09 (-0.24, 0.07) Overall -0.05 (-0.14, 0.05) -2.4941 0 2.49415 Effect size 52 5HTTLPR Additive 1. By ethnicity (1: caucasian, 0: other) Effect size (95% CI) Study caucasian==0 Verona 0.76 (-1.33, 2.85) Han 0.59 (-0.93, 2.11) Silva -0.94 (-7.53, 5.64) Patkar 0.07 (-1.31, 1.45) Greenberg 1.92 ( 0.81, 3.03) Terraciano 0.09 (-0.91, 1.10) Yang -0.43 (-2.18, 1.33) Kim 2.58 (-0.00, 5.16) Kim 1.90 ( 0.01, 3.78) Subtotal 0.79 ( 0.11, 1.47) caucasian==1 Twitchell -3.21 (-5.53,-0.89) Sysoeva -0.42 (-1.22, 0.37) Sysoeva -0.42 (-1.22, 0.37) Hohmann -0.01 (-0.84, 0.81) Gerra 2.10 (-0.34, 4.54) Baca-Garcia -0.06 (-0.48, 0.37) Baca-Garcia 0.06 (-0.36, 0.48) Gonda 0.05 (-0.23, 0.33) Sysoeva -0.42 (-1.22, 0.37) Zalsman -1.23 (-2.84, 0.37) Baca-Garcia 1.63 (-0.65, 3.91) Baca-Garcia -0.48 (-1.49, 0.52) Gerra 2.75 (-0.21, 5.72) Gerra 3.76 ( 2.03, 5.49) Pombo 0.42 (-1.19, 2.03) Terraciano 0.25 (-0.16, 0.66) Perroud -0.37 (-0.94, 0.21) Subtotal -0.01 (-0.32, 0.31) Overall 0.17 (-0.13, 0.47) -7.5261 0 7.52614 Effect size 2. By Age (1: <16, 2: 16-65, 3: >65) Effect size (95% CI) Study agegroup==1 Twitchell -3.21 (-5.53,-0.89) Sysoeva -0.42 (-1.22, 0.37) Sysoeva -0.42 (-1.22, 0.37) Hohmann -0.01 (-0.84, 0.81) Subtotal -0.52 (-1.25, 0.20) agegroup==2 Verona 0.76 (-1.33, 2.85) Han 0.59 (-0.93, 2.11) Silva -0.94 (-7.53, 5.64) Patkar 0.07 (-1.31, 1.45) Greenberg 1.92 ( 0.81, 3.03) Terraciano 0.09 (-0.91, 1.10) Yang -0.43 (-2.18, 1.33) Kim 2.58 (-0.00, 5.16) Kim 1.90 ( 0.01, 3.78) Gerra 2.10 (-0.34, 4.54) Baca-Garcia -0.06 (-0.48, 0.37) Baca-Garcia 0.06 (-0.36, 0.48) Gonda 0.05 (-0.23, 0.33) Sysoeva -0.42 (-1.22, 0.37) Zalsman -1.23 (-2.84, 0.37) Baca-Garcia 1.63 (-0.65, 3.91) Baca-Garcia -0.48 (-1.49, 0.52) Gerra 2.75 (-0.21, 5.72) Gerra 3.76 ( 2.03, 5.49) Pombo 0.42 (-1.19, 2.03) Terraciano 0.25 (-0.16, 0.66) Perroud -0.37 (-0.94, 0.21) Subtotal 0.32 (-0.01, 0.64) Overall 0.17 (-0.13, 0.47) -7.5261 0 7.52614 Effect size 53 3. By sample characteristics Effect size (95% CI) Study General Twitchell -3.21 (-5.53,-0.89) Sysoeva -0.42 (-1.22, 0.37) Sysoeva -0.42 (-1.22, 0.37) Hohmann -0.01 (-0.84, 0.81) Verona 0.76 (-1.33, 2.85) Greenberg 1.92 ( 0.81, 3.03) Terraciano 0.09 (-0.91, 1.10) Yang -0.43 (-2.18, 1.33) Gerra 2.10 (-0.34, 4.54) Baca-Garcia -0.06 (-0.48, 0.37) Baca-Garcia 0.06 (-0.36, 0.48) Gonda 0.05 (-0.23, 0.33) Sysoeva -0.42 (-1.22, 0.37) Terraciano 0.25 (-0.16, 0.66) Subtotal 0.03 (-0.25, 0.31) Psychiatric Han 0.59 (-0.93, 2.11) Silva -0.94 (-7.53, 5.64) Kim 2.58 (-0.00, 5.16) Kim 1.90 ( 0.01, 3.78) Zalsman -1.23 (-2.84, 0.37) Baca-Garcia 1.63 (-0.65, 3.91) Baca-Garcia -0.48 (-1.49, 0.52) Perroud -0.37 (-0.94, 0.21) Subtotal 0.25 (-0.54, 1.05) Substance Patkar 0.07 (-1.31, 1.45) Gerra 2.75 (-0.21, 5.72) Gerra 3.76 ( 2.03, 5.49) Pombo 0.42 (-1.19, 2.03) Subtotal 1.62 (-0.25, 3.49) Overall 0.17 (-0.13, 0.47) -7.5261 0 7.52614 Effect size 4. By outcome measure Effect size (95% CI) Study Aggressiveness Twitchell -3.21 (-5.53,-0.89) Sysoeva -0.42 (-1.22, 0.37) Sysoeva -0.42 (-1.22, 0.37) Hohmann -0.01 (-0.84, 0.81) Verona 0.76 (-1.33, 2.85) Gerra 2.10 (-0.34, 4.54) Baca-Garcia -0.06 (-0.48, 0.37) Baca-Garcia 0.06 (-0.36, 0.48) Gonda 0.05 (-0.23, 0.33) Sysoeva -0.42 (-1.22, 0.37) Han 0.59 (-0.93, 2.11) Silva -0.94 (-7.53, 5.64) Zalsman -1.23 (-2.84, 0.37) Baca-Garcia 1.63 (-0.65, 3.91) Baca-Garcia -0.48 (-1.49, 0.52) Patkar 0.07 (-1.31, 1.45) Gerra 2.75 (-0.21, 5.72) Gerra 3.76 ( 2.03, 5.49) Pombo 0.42 (-1.19, 2.03) Subtotal 0.04 (-0.30, 0.39) Anger Greenberg 1.92 ( 0.81, 3.03) Terraciano 0.09 (-0.91, 1.10) Yang -0.43 (-2.18, 1.33) Terraciano 0.25 (-0.16, 0.66) Kim 2.58 (-0.00, 5.16) Kim 1.90 ( 0.01, 3.78) Perroud -0.37 (-0.94, 0.21) Subtotal 0.55 (-0.13, 1.24) Overall 0.17 (-0.13, 0.47) -7.5261 0 7.52614 Effect size 54 BDNF Effect size Study (95% CI) Wagner -0.17 (-0.49, 0.14) Sen 0.05 (-0.14, 0.24) Perroud -0.02 (-0.16, 0.12) Overall -0.01 (-0.12, 0.09) -2.7171 0 2.71712 Effect size 55 COMT Dominant 1. By ethnicity (1: caucasian, 0: other) Effect size (95% CI) Study caucasian==0 Han -0.68 (-1.25,-0.11) Han -1.01 (-1.74,-0.29) Kang -0.11 (-0.60, 0.38) Kang 0.05 (-0.55, 0.64) Volavka -0.96 (-1.76,-0.15) Subtotal -0.49 (-0.91,-0.07) caucasian==1 Caspi -0.00 (-0.10, 0.10) Avramopoul 0.17 (-0.09, 0.43) Caspi 0.13 (-0.16, 0.43) Caspi 0.12 (-0.20, 0.45) Strous -0.82 (-1.32,-0.32) Strous -0.78 (-1.63, 0.06) Zammit -0.03 (-0.27, 0.22) Flory 0.33 (-0.13, 0.79) Caspi 0.44 (-0.24, 1.11) Wagner 0.18 (-0.15, 0.52) Nedic -0.06 (-0.57, 0.46) Nedic 0.16 (-0.15, 0.47) Nedic 0.10 (-0.74, 0.94) Nedic 0.20 (-0.39, 0.79) Rujescu -0.17 (-0.40, 0.05) Perroud 0.17 (-0.00, 0.34) Subtotal 0.04 (-0.06, 0.15) Overall -0.03 (-0.15, 0.09) -1.7628 0 1.76282 Effect size 2. By Age (1: <16, 2: 16-65, 3: >65) Effect size (95% CI) Study agegroup==1 Caspi -0.00 (-0.10, 0.10) Caspi 0.13 (-0.16, 0.43) Caspi 0.12 (-0.20, 0.45) Subtotal 0.02 (-0.07, 0.12) agegroup==2 Han -0.68 (-1.25,-0.11) Han -1.01 (-1.74,-0.29) Kang -0.11 (-0.60, 0.38) Kang 0.05 (-0.55, 0.64) Volavka -0.96 (-1.76,-0.15) Avramopoul 0.17 (-0.09, 0.43) Strous -0.82 (-1.32,-0.32) Strous -0.78 (-1.63, 0.06) Zammit -0.03 (-0.27, 0.22) Flory 0.33 (-0.13, 0.79) Caspi 0.44 (-0.24, 1.11) Wagner 0.18 (-0.15, 0.52) Nedic -0.06 (-0.57, 0.46) Nedic 0.16 (-0.15, 0.47) Nedic 0.10 (-0.74, 0.94) Nedic 0.20 (-0.39, 0.79) Rujescu -0.17 (-0.40, 0.05) Perroud 0.17 (-0.00, 0.34) Subtotal -0.08 (-0.24, 0.08) Overall -0.03 (-0.15, 0.09) -1.7628 0 1.76282 Effect size 56 57 3. By sample characteristics Effect size (95% CI) Study General Caspi -0.00 (-0.10, 0.10) Kang -0.11 (-0.60, 0.38) Kang 0.05 (-0.55, 0.64) Avramopoul 0.17 (-0.09, 0.43) Subtotal 0.02 (-0.07, 0.11) Psychiatric Caspi 0.13 (-0.16, 0.43) Caspi 0.12 (-0.20, 0.45) Han -0.68 (-1.25,-0.11) Han -1.01 (-1.74,-0.29) Volavka -0.96 (-1.76,-0.15) Strous -0.82 (-1.32,-0.32) Strous -0.78 (-1.63, 0.06) Zammit -0.03 (-0.27, 0.22) Flory 0.33 (-0.13, 0.79) Caspi 0.44 (-0.24, 1.11) Wagner 0.18 (-0.15, 0.52) Rujescu -0.17 (-0.40, 0.05) Perroud 0.17 (-0.00, 0.34) Subtotal -0.13 (-0.33, 0.07) Substance Nedic -0.06 (-0.57, 0.46) Nedic 0.16 (-0.15, 0.47) Nedic 0.10 (-0.74, 0.94) Nedic 0.20 (-0.39, 0.79) Subtotal 0.12 (-0.11, 0.35) Overall -0.03 (-0.15, 0.09) -1.7628 0 1.76282 Effect size 4. By outcome measure Effect size (95% CI) Study Aggressiveness Caspi -0.00 (-0.10, 0.10) Avramopoul 0.17 (-0.09, 0.43) Caspi 0.13 (-0.16, 0.43) Caspi 0.12 (-0.20, 0.45) Han -0.68 (-1.25,-0.11) Han -1.01 (-1.74,-0.29) Strous -0.82 (-1.32,-0.32) Strous -0.78 (-1.63, 0.06) Zammit -0.03 (-0.27, 0.22) Flory 0.33 (-0.13, 0.79) Caspi 0.44 (-0.24, 1.11) Wagner 0.18 (-0.15, 0.52) Nedic -0.06 (-0.57, 0.46) Nedic 0.16 (-0.15, 0.47) Nedic 0.10 (-0.74, 0.94) Nedic 0.20 (-0.39, 0.79) Subtotal -0.02 (-0.16, 0.13) Anger Kang -0.11 (-0.60, 0.38) Kang 0.05 (-0.55, 0.64) Volavka -0.96 (-1.76,-0.15) Rujescu -0.17 (-0.40, 0.05) Perroud 0.17 (-0.00, 0.34) Subtotal -0.09 (-0.37, 0.18) Overall -0.03 (-0.15, 0.09) -1.7628 0 1.76282 Effect size 58 COMT Recessive 1. By ethnicity (1: caucasian, 0: other) Effect size (95% CI) Study caucasian==0 Albaugh -0.43 (-0.78,-0.08) Sengupta 0.05 (-0.27, 0.38) Han -0.25 (-0.55, 0.06) Han -0.36 (-0.71,-0.00) Kang 0.12 (-0.17, 0.41) Kang -0.02 (-0.38, 0.33) Volavka 0.16 (-0.37, 0.69) Subtotal -0.11 (-0.29, 0.06) caucasian==1 Caspi -0.03 (-0.14, 0.07) Avramopoul 0.16 (-0.08, 0.40) Caspi 0.32 ( 0.01, 0.63) Caspi 0.43 ( 0.09, 0.77) Strous -0.42 (-0.85,-0.00) Strous -0.70 (-1.62, 0.22) Zammit 0.18 (-0.07, 0.42) Flory 0.44 (-0.17, 1.05) Caspi 0.78 ( 0.09, 1.47) Wagner -0.20 (-0.61, 0.22) Nedic 0.21 (-0.63, 1.06) Nedic 0.21 (-0.07, 0.50) Nedic 1.43 ( 0.14, 2.72) Nedic 0.39 (-0.21, 1.00) Rujescu 0.10 (-0.14, 0.33) Perroud 0.17 ( 0.02, 0.32) Subtotal 0.14 ( 0.02, 0.27) Overall 0.06 (-0.04, 0.17) -2.7171 0 2.71712 Effect size 2. By Age (1: <16, 2: 16-65, 3: >65) Effect size (95% CI) Study agegroup==1 Albaugh -0.43 (-0.78,-0.08) Sengupta 0.05 (-0.27, 0.38) Caspi -0.03 (-0.14, 0.07) Caspi 0.32 ( 0.01, 0.63) Caspi 0.43 ( 0.09, 0.77) Subtotal 0.06 (-0.18, 0.30) agegroup==2 Han -0.25 (-0.55, 0.06) Han -0.36 (-0.71,-0.00) Kang 0.12 (-0.17, 0.41) Kang -0.02 (-0.38, 0.33) Volavka 0.16 (-0.37, 0.69) Avramopoul 0.16 (-0.08, 0.40) Strous -0.42 (-0.85,-0.00) Strous -0.70 (-1.62, 0.22) Zammit 0.18 (-0.07, 0.42) Flory 0.44 (-0.17, 1.05) Caspi 0.78 ( 0.09, 1.47) Wagner -0.20 (-0.61, 0.22) Nedic 0.21 (-0.63, 1.06) Nedic 0.21 (-0.07, 0.50) Nedic 1.43 ( 0.14, 2.72) Nedic 0.39 (-0.21, 1.00) Rujescu 0.10 (-0.14, 0.33) Perroud 0.17 ( 0.02, 0.32) Subtotal 0.06 (-0.06, 0.19) Overall 0.06 (-0.04, 0.17) -2.7171 0 2.71712 Effect size 59 3. By sample characteristics Effect size (95% CI) Study General Albaugh -0.43 (-0.78,-0.08) Caspi -0.03 (-0.14, 0.07) Kang 0.12 (-0.17, 0.41) Kang -0.02 (-0.38, 0.33) Avramopoul 0.16 (-0.08, 0.40) Subtotal -0.02 (-0.18, 0.14) Psychiatric Sengupta 0.05 (-0.27, 0.38) Caspi 0.32 ( 0.01, 0.63) Caspi 0.43 ( 0.09, 0.77) Han -0.25 (-0.55, 0.06) Han -0.36 (-0.71,-0.00) Volavka 0.16 (-0.37, 0.69) Strous -0.42 (-0.85,-0.00) Strous -0.70 (-1.62, 0.22) Zammit 0.18 (-0.07, 0.42) Flory 0.44 (-0.17, 1.05) Caspi 0.78 ( 0.09, 1.47) Wagner -0.20 (-0.61, 0.22) Rujescu 0.10 (-0.14, 0.33) Perroud 0.17 ( 0.02, 0.32) Subtotal 0.06 (-0.09, 0.21) Substance Nedic 0.21 (-0.63, 1.06) Nedic 0.21 (-0.07, 0.50) Nedic 1.43 ( 0.14, 2.72) Nedic 0.39 (-0.21, 1.00) Subtotal 0.31 ( 0.02, 0.61) Overall 0.06 (-0.04, 0.17) -2.7171 0 2.71712 Effect size 4. By outcome measure Effect size (95% CI) Study Aggressiveness Albaugh -0.43 (-0.78,-0.08) Caspi -0.03 (-0.14, 0.07) Avramopoul 0.16 (-0.08, 0.40) Sengupta 0.05 (-0.27, 0.38) Caspi 0.32 ( 0.01, 0.63) Caspi 0.43 ( 0.09, 0.77) Han -0.25 (-0.55, 0.06) Han -0.36 (-0.71,-0.00) Strous -0.42 (-0.85,-0.00) Strous -0.70 (-1.62, 0.22) Zammit 0.18 (-0.07, 0.42) Flory 0.44 (-0.17, 1.05) Caspi 0.78 ( 0.09, 1.47) Wagner -0.20 (-0.61, 0.22) Nedic 0.21 (-0.63, 1.06) Nedic 0.21 (-0.07, 0.50) Nedic 1.43 ( 0.14, 2.72) Nedic 0.39 (-0.21, 1.00) Subtotal 0.05 (-0.09, 0.19) Anger Kang 0.12 (-0.17, 0.41) Kang -0.02 (-0.38, 0.33) Volavka 0.16 (-0.37, 0.69) Rujescu 0.10 (-0.14, 0.33) Perroud 0.17 ( 0.02, 0.32) Subtotal 0.13 ( 0.02, 0.24) Overall 0.06 (-0.04, 0.17) -2.7171 0 2.71712 Effect size 60 COMT Additive 1. By ethnicity (1: caucasian, 0: other) Effect size (95% CI) Study caucasian==0 Han 1.52 ( 0.18, 2.86) Han 2.20 ( 0.56, 3.84) Kang -0.29 (-1.67, 1.09) Kang 0.02 (-1.31, 1.35) Volavka 0.20 (-0.36, 0.76) Subtotal 0.61 (-0.18, 1.40) caucasian==1 Caspi 0.10 (-0.43, 0.62) Avramopoul -1.96 (-4.40, 0.48) Caspi -0.23 (-0.48, 0.02) Caspi -2.88 (-5.83, 0.07) Strous 3.98 ( 1.40, 6.55) Strous 6.22 ( 0.15, 12.28) Zammit -1.11 (-4.22, 1.99) Flory -1.26 (-2.65, 0.14) Caspi -0.59 (-1.13,-0.05) Wagner -0.30 (-2.82, 2.22) Nedic -0.05 (-1.96, 1.86) Nedic -0.64 (-1.45, 0.16) Nedic -1.12 (-3.00, 0.76) Nedic -0.74 (-2.00, 0.51) Rujescu 0.12 (-0.37, 0.61) Perroud -0.75 (-1.34,-0.17) Subtotal -0.37 (-0.72,-0.02) Overall -0.15 (-0.49, 0.19) -12.283 0 12.2831 Effect size 2. By Age (1: <16, 2: 16-65, 3: >65) Effect size (95% CI) Study agegroup==1 Caspi 0.10 (-0.43, 0.62) Caspi -0.23 (-0.48, 0.02) Caspi -2.88 (-5.83, 0.07) Subtotal -0.18 (-0.69, 0.34) agegroup==2 Han 1.52 ( 0.18, 2.86) Han 2.20 ( 0.56, 3.84) Kang -0.29 (-1.67, 1.09) Kang 0.02 (-1.31, 1.35) Volavka 0.20 (-0.36, 0.76) Avramopoul -1.96 (-4.40, 0.48) Strous 3.98 ( 1.40, 6.55) Strous 6.22 ( 0.15, 12.28) Zammit -1.11 (-4.22, 1.99) Flory -1.26 (-2.65, 0.14) Caspi -0.59 (-1.13,-0.05) Wagner -0.30 (-2.82, 2.22) Nedic -0.05 (-1.96, 1.86) Nedic -0.64 (-1.45, 0.16) Nedic -1.12 (-3.00, 0.76) Nedic -0.74 (-2.00, 0.51) Rujescu 0.12 (-0.37, 0.61) Perroud -0.75 (-1.34,-0.17) Subtotal -0.09 (-0.54, 0.35) Overall -0.15 (-0.49, 0.19) -12.283 0 12.2831 Effect size 61 3. By sample characteristics Effect size (95% CI) Study General Caspi 0.10 (-0.43, 0.62) Kang -0.29 (-1.67, 1.09) Kang 0.02 (-1.31, 1.35) Avramopoul -1.96 (-4.40, 0.48) Subtotal -0.02 (-0.48, 0.43) Psychiatric Caspi -0.23 (-0.48, 0.02) Caspi -2.88 (-5.83, 0.07) Han 1.52 ( 0.18, 2.86) Han 2.20 ( 0.56, 3.84) Volavka 0.20 (-0.36, 0.76) Strous 3.98 ( 1.40, 6.55) Strous 6.22 ( 0.15, 12.28) Zammit -1.11 (-4.22, 1.99) Flory -1.26 (-2.65, 0.14) Caspi -0.59 (-1.13,-0.05) Wagner -0.30 (-2.82, 2.22) Rujescu 0.12 (-0.37, 0.61) Perroud -0.75 (-1.34,-0.17) Subtotal 0.03 (-0.45, 0.51) Substance Nedic -0.05 (-1.96, 1.86) Nedic -0.64 (-1.45, 0.16) Nedic -1.12 (-3.00, 0.76) Nedic -0.74 (-2.00, 0.51) Subtotal -0.65 (-1.26,-0.05) Overall -0.15 (-0.49, 0.19) -12.283 0 12.2831 Effect size 4. By outcome measure Effect size (95% CI) Study Aggressiveness Caspi 0.10 (-0.43, 0.62) Avramopoul -1.96 (-4.40, 0.48) Caspi -0.23 (-0.48, 0.02) Caspi -2.88 (-5.83, 0.07) Han 1.52 ( 0.18, 2.86) Han 2.20 ( 0.56, 3.84) Strous 3.98 ( 1.40, 6.55) Strous 6.22 ( 0.15, 12.28) Zammit -1.11 (-4.22, 1.99) Flory -1.26 (-2.65, 0.14) Caspi -0.59 (-1.13,-0.05) Wagner -0.30 (-2.82, 2.22) Nedic -0.05 (-1.96, 1.86) Nedic -0.64 (-1.45, 0.16) Nedic -1.12 (-3.00, 0.76) Nedic -0.74 (-2.00, 0.51) Subtotal -0.14 (-0.62, 0.35) Anger Kang -0.29 (-1.67, 1.09) Kang 0.02 (-1.31, 1.35) Volavka 0.20 (-0.36, 0.76) Rujescu 0.12 (-0.37, 0.61) Perroud -0.75 (-1.34,-0.17) Subtotal -0.13 (-0.55, 0.30) Overall -0.15 (-0.49, 0.19) -12.283 0 12.2831 Effect size 62 DAT1 Dominant 2. By Age (1: <16, 2: 16-65, 3: >65) Effect size (95% CI) Study agegroup==1 Jorm 0.06 (-0.09, 0.21) Caspi -0.01 (-0.30, 0.28) Caspi -0.12 (-0.42, 0.18) Caspi -0.16 (-0.25,-0.06) Subtotal -0.06 (-0.19, 0.07) agegroup==2 Gerra 0.31 (-0.27, 0.89) Caspi -0.58 (-1.17, 0.01) Burt 0.02 (-0.25, 0.30) Subtotal -0.06 (-0.49, 0.36) Overall -0.06 (-0.18, 0.07) -1.1738 0 Effect size 1.17384 3. By sample characteristics Study Effect size (95% CI) General Jorm Caspi Burt Subtotal 0.06 (-0.09, 0.21) -0.16 (-0.25,-0.06) 0.02 (-0.25, 0.30) -0.04 (-0.21, 0.12) Psychiatric Caspi Caspi Caspi Subtotal -0.01 (-0.30, 0.28) -0.12 (-0.42, 0.18) -0.58 (-1.17, 0.01) -0.14 (-0.39, 0.11) Substance Gerra Subtotal 0.31 (-0.27, 0.89) 0.31 (-0.27, 0.89) Overall -0.06 (-0.18, 0.07) -1.1738 0 Effect size 1.17384 63 DAT1 Recessive Effect size Study (95% CI) Jorm -0.20 (-0.49, 0.09) Burt -0.05 (-0.50, 0.41) Gerra 1.37 ( 0.62, 2.11) Overall 0.29 (-0.44, 1.02) -2.7171 0 2.71712 Effect size DAT1 Additive Effect size Study (95% CI) Jorm -0.01 (-0.26, 0.25) Burt -0.00 (-0.21, 0.21) Gerra -3.57 (-6.30,-0.84) Overall -0.07 (-0.45, 0.31) -12.283 0 12.2831 Effect size 64 DRD4-ex3 Dominant 1. By ethnicity (1: caucasian, 0: other) Study Effect size (95% CI) caucasian==0 de Young de Young Kang Kang de Young Fresan Subtotal -0.45 (-1.03, 0.13) -0.20 (-0.64, 0.24) -0.17 (-0.49, 0.16) 0.07 (-0.34, 0.49) -0.20 (-0.85, 0.46) 0.59 ( 0.09, 1.09) -0.05 (-0.31, 0.21) caucasian==1 Caspi Nobile Dmitrieva Hohmann Caspi Caspi Zalsman Caspi Subtotal -0.01 (-0.11, 0.09) -0.02 (-0.19, 0.16) 0.19 (-0.13, 0.51) 0.33 ( 0.10, 0.56) -0.08 (-0.38, 0.22) 0.19 (-0.11, 0.50) -0.05 (-0.56, 0.47) 0.14 (-0.46, 0.74) 0.07 (-0.04, 0.17) Overall 0.04 (-0.06, 0.15) -1.0885 0 Effect size 1.08852 2. By Age (1: <16, 2: 16-65, 3: >65) Study Effect size (95% CI) agegroup==1 de Young Caspi Nobile Dmitrieva Hohmann Caspi Caspi Subtotal -0.45 (-1.03, 0.13) -0.01 (-0.11, 0.09) -0.02 (-0.19, 0.16) 0.19 (-0.13, 0.51) 0.33 ( 0.10, 0.56) -0.08 (-0.38, 0.22) 0.19 (-0.11, 0.50) 0.06 (-0.07, 0.19) agegroup==2 de Young Kang Kang de Young Fresan Zalsman Caspi Subtotal -0.20 (-0.64, 0.24) -0.17 (-0.49, 0.16) 0.07 (-0.34, 0.49) -0.20 (-0.85, 0.46) 0.59 ( 0.09, 1.09) -0.05 (-0.56, 0.47) 0.14 (-0.46, 0.74) 0.01 (-0.19, 0.21) Overall 0.04 (-0.06, 0.15) -1.0885 0 Effect size 1.08852 65 3. By sample characteristics Study Effect size (95% CI) General de Young Caspi Nobile Dmitrieva Hohmann de Young Kang Kang Subtotal -0.45 (-1.03, 0.13) -0.01 (-0.11, 0.09) -0.02 (-0.19, 0.16) 0.19 (-0.13, 0.51) 0.33 ( 0.10, 0.56) -0.20 (-0.64, 0.24) -0.17 (-0.49, 0.16) 0.07 (-0.34, 0.49) 0.02 (-0.11, 0.15) Psychiatric Caspi Caspi de Young Fresan Zalsman Caspi Subtotal -0.08 (-0.38, 0.22) 0.19 (-0.11, 0.50) -0.20 (-0.85, 0.46) 0.59 ( 0.09, 1.09) -0.05 (-0.56, 0.47) 0.14 (-0.46, 0.74) 0.10 (-0.10, 0.30) Overall 0.04 (-0.06, 0.15) -1.0885 0 Effect size 1.08852 4. By outcome measure Study Effect size (95% CI) Aggressiveness de Young Caspi Nobile Dmitrieva Hohmann de Young Caspi Caspi de Young Fresan Zalsman Caspi Subtotal -0.45 (-1.03, 0.13) -0.01 (-0.11, 0.09) -0.02 (-0.19, 0.16) 0.19 (-0.13, 0.51) 0.33 ( 0.10, 0.56) -0.20 (-0.64, 0.24) -0.08 (-0.38, 0.22) 0.19 (-0.11, 0.50) -0.20 (-0.85, 0.46) 0.59 ( 0.09, 1.09) -0.05 (-0.56, 0.47) 0.14 (-0.46, 0.74) 0.06 (-0.06, 0.18) Anger Kang Kang Subtotal -0.17 (-0.49, 0.16) 0.07 (-0.34, 0.49) -0.07 (-0.33, 0.18) Overall 0.04 (-0.06, 0.15) -1.0885 0 Effect size 1.08852 66 MAO-Females Dominant 1. By ethnicity (1: caucasian, 0: other) Effect size (95% CI) Study caucasian==0 Guo -0.06 (-0.20, 0.09) Fresan 0.52 (-0.39, 1.43) Yang -0.09 (-0.37, 0.19) Subtotal -0.05 (-0.18, 0.07) caucasian==1 Sjoberg 0.30 (-0.25, 0.84) Strous 0.04 (-0.77, 0.85) Kinnally 0.05 (-0.35, 0.45) Perroud 0.13 (-0.12, 0.38) Subtotal 0.13 (-0.06, 0.32) Overall 0.00 (-0.10, 0.11) -1.4278 0 Effect size 1.42786 2. By Age (1: <16, 2: 16-65, 3: >65) Effect size (95% CI) Study agegroup==1 Guo -0.06 (-0.20, 0.09) Subtotal -0.06 (-0.20, 0.09) agegroup==2 Fresan 0.52 (-0.39, 1.43) Yang -0.09 (-0.37, 0.19) Sjoberg 0.30 (-0.25, 0.84) Strous 0.04 (-0.77, 0.85) Kinnally 0.05 (-0.35, 0.45) Perroud 0.13 (-0.12, 0.38) Subtotal 0.07 (-0.09, 0.23) Overall 0.00 (-0.10, 0.11) -1.4278 0 Effect size 1.42786 67 3. By sample characteristics Effect size (95% CI) Study General Guo -0.06 (-0.20, 0.09) Yang -0.09 (-0.37, 0.19) Sjoberg 0.30 (-0.25, 0.84) Subtotal -0.05 (-0.17, 0.08) Psychiatric Fresan 0.52 (-0.39, 1.43) Strous 0.04 (-0.77, 0.85) Kinnally 0.05 (-0.35, 0.45) Perroud 0.13 (-0.12, 0.38) Subtotal 0.12 (-0.08, 0.32) Overall 0.00 (-0.10, 0.11) -1.4278 0 Effect size 1.42786 4. By outcome measure Effect size (95% CI) Study Aggressiveness Guo -0.06 (-0.20, 0.09) Sjoberg 0.30 (-0.25, 0.84) Fresan 0.52 (-0.39, 1.43) Strous 0.04 (-0.77, 0.85) Kinnally 0.05 (-0.35, 0.45) Subtotal -0.01 (-0.14, 0.11) Anger Yang -0.09 (-0.37, 0.19) Perroud 0.13 (-0.12, 0.38) Subtotal 0.03 (-0.19, 0.24) Overall 0.00 (-0.10, 0.11) -1.4278 0 Effect size 1.42786 68 MAO-Females Recessive 1. By ethnicity (1: caucasian, 0: other) Effect size (95% CI) Study caucasian==0 Fresan 0.56 (-0.35, 1.47) Yang 0.28 (-0.06, 0.62) Subtotal 0.31 (-0.00, 0.63) caucasian==1 Sjoberg 0.32 (-0.05, 0.70) Strous 0.21 (-0.75, 1.18) Kinnally 0.14 (-0.18, 0.46) Perroud -0.03 (-0.20, 0.13) Subtotal 0.07 (-0.09, 0.23) Overall 0.13 (-0.03, 0.28) -1.4725 0 Effect size 1.47252 3. By sample characteristics Effect size (95% CI) Study General Yang 0.28 (-0.06, 0.62) Sjoberg 0.32 (-0.05, 0.70) Subtotal 0.30 ( 0.05, 0.55) Psychiatric Fresan 0.56 (-0.35, 1.47) Strous 0.21 (-0.75, 1.18) Kinnally 0.14 (-0.18, 0.46) Perroud -0.03 (-0.20, 0.13) Subtotal 0.02 (-0.12, 0.16) Overall 0.13 (-0.03, 0.28) -1.4725 0 Effect size 69 1.47252 4. By outcome measure Effect size (95% CI) Study Aggressiveness Sjoberg 0.32 (-0.05, 0.70) Fresan 0.56 (-0.35, 1.47) Strous 0.21 (-0.75, 1.18) Kinnally 0.14 (-0.18, 0.46) Subtotal 0.24 ( 0.01, 0.47) Anger Yang 0.28 (-0.06, 0.62) Perroud -0.03 (-0.20, 0.13) Subtotal 0.09 (-0.21, 0.39) Overall 0.13 (-0.03, 0.28) -1.4725 0 Effect size 1.47252 MAO-Females Additive 1. By ethnicity (1: caucasian, 0: other) Effect size (95% CI) Study caucasian==0 Fresan -1.80 (-4.50, 0.90) Yang -0.26 (-1.37, 0.85) Subtotal -0.52 (-1.65, 0.61) caucasian==1 Sjoberg -1.05 (-2.22, 0.13) Strous -1.04 (-7.81, 5.74) Kinnally -0.07 (-0.26, 0.12) Perroud -0.07 (-0.79, 0.65) Subtotal -0.09 (-0.28, 0.09) Overall -0.11 (-0.29, 0.08) -7.8134 0 Effect size 70 7.81346 3. By sample characteristics Effect size (95% CI) Study General Yang -0.26 (-1.37, 0.85) Sjoberg -1.05 (-2.22, 0.13) Subtotal -0.63 (-1.44, 0.18) Psychiatric Fresan -1.80 (-4.50, 0.90) Strous -1.04 (-7.81, 5.74) Kinnally -0.07 (-0.26, 0.12) Perroud -0.07 (-0.79, 0.65) Subtotal -0.08 (-0.27, 0.11) Overall -0.11 (-0.29, 0.08) -7.8134 0 Effect size 7.81346 4. By outcome measure Effect size (95% CI) Study Aggressiveness Sjoberg -1.05 (-2.22, 0.13) Fresan -1.80 (-4.50, 0.90) Strous -1.04 (-7.81, 5.74) Kinnally -0.07 (-0.26, 0.12) Subtotal -0.42 (-1.13, 0.28) Anger Yang -0.26 (-1.37, 0.85) Perroud -0.07 (-0.79, 0.65) Subtotal -0.12 (-0.73, 0.48) Overall -0.11 (-0.29, 0.08) -7.8134 0 Effect size 71 7.81346 MAO-Males 1. By ethnicity (1: caucasian, 0: other) Study Effect size (95% CI) caucasian==0 Guo Manuck Williams Fergusson Fergusson Fresan Subtotal 0.17 ( 0.05, 0.28) 0.57 ( 0.02, 1.11) 0.49 ( 0.06, 0.92) -0.06 (-0.29, 0.17) -0.47 (-0.91,-0.04) 0.39 (-0.18, 0.96) 0.14 (-0.10, 0.38) caucasian==1 Kim-Cohen Manuck Caspi Haberstick Nilsson Williams Edwards Strous Tikkanen Perroud Subtotal 0.20 ( 0.07, 0.34) 0.52 ( 0.12, 0.92) 0.02 (-0.18, 0.21) 0.06 (-0.09, 0.21) 0.10 (-0.35, 0.55) -0.47 (-0.82,-0.13) -0.18 (-0.49, 0.13) 0.24 (-0.20, 0.68) 0.14 (-0.16, 0.44) -0.00 (-0.27, 0.26) 0.06 (-0.07, 0.18) Overall 0.08 (-0.03, 0.19) -1.1130 0 Effect size 1.11307 2. By Age (1: <16, 2: 16-65, 3: >65) Study Effect size (95% CI) agegroup==1 Guo Kim-Cohen Subtotal 0.17 ( 0.05, 0.28) 0.20 ( 0.07, 0.34) 0.18 ( 0.10, 0.27) agegroup==2 Manuck Williams Fergusson Fergusson Fresan Manuck Caspi Haberstick Nilsson Williams Edwards Strous Tikkanen Perroud Subtotal 0.57 ( 0.02, 1.11) 0.49 ( 0.06, 0.92) -0.06 (-0.29, 0.17) -0.47 (-0.91,-0.04) 0.39 (-0.18, 0.96) 0.52 ( 0.12, 0.92) 0.02 (-0.18, 0.21) 0.06 (-0.09, 0.21) 0.10 (-0.35, 0.55) -0.47 (-0.82,-0.13) -0.18 (-0.49, 0.13) 0.24 (-0.20, 0.68) 0.14 (-0.16, 0.44) -0.00 (-0.27, 0.26) 0.06 (-0.08, 0.19) Overall 0.08 (-0.03, 0.19) -1.1130 0 Effect size 1.11307 72 3. By sample characteristics Study Effect size (95% CI) General Guo Kim-Cohen Manuck Williams Fergusson Fergusson Manuck Caspi Haberstick Nilsson Williams Edwards Subtotal 0.17 ( 0.05, 0.28) 0.20 ( 0.07, 0.34) 0.57 ( 0.02, 1.11) 0.49 ( 0.06, 0.92) -0.06 (-0.29, 0.17) -0.47 (-0.91,-0.04) 0.52 ( 0.12, 0.92) 0.02 (-0.18, 0.21) 0.06 (-0.09, 0.21) 0.10 (-0.35, 0.55) -0.47 (-0.82,-0.13) -0.18 (-0.49, 0.13) 0.06 (-0.07, 0.19) Psychiatric Fresan Strous Perroud Subtotal 0.39 (-0.18, 0.96) 0.24 (-0.20, 0.68) -0.00 (-0.27, 0.26) 0.10 (-0.11, 0.31) Substance Tikkanen Subtotal 0.14 (-0.16, 0.44) 0.14 (-0.16, 0.44) Overall 0.08 (-0.03, 0.19) -1.1130 0 1.11307 Effect size 4. By outcome measure Study Effect size (95% CI) Aggressiveness Guo Kim-Cohen Manuck Williams Fergusson Fergusson Manuck Caspi Haberstick Nilsson Williams Edwards Fresan Strous Tikkanen Subtotal 0.17 ( 0.05, 0.28) 0.20 ( 0.07, 0.34) 0.57 ( 0.02, 1.11) 0.49 ( 0.06, 0.92) -0.06 (-0.29, 0.17) -0.47 (-0.91,-0.04) 0.52 ( 0.12, 0.92) 0.02 (-0.18, 0.21) 0.06 (-0.09, 0.21) 0.10 (-0.35, 0.55) -0.47 (-0.82,-0.13) -0.18 (-0.49, 0.13) 0.39 (-0.18, 0.96) 0.24 (-0.20, 0.68) 0.14 (-0.16, 0.44) 0.09 (-0.03, 0.20) Anger Perroud Subtotal -0.00 (-0.27, 0.26) -0.00 (-0.27, 0.26) Overall 0.08 (-0.03, 0.19) -1.1130 0 Effect size 1.11307 73 TPH Dominant 1. By ethnicity (1: caucasian, 0: other) Study Effect size (95% CI) caucasian==0 Manuck Kim Kim Evans Subtotal -0.11 (-0.46, 0.23) 0.17 (-0.54, 0.87) 0.44 (-0.06, 0.94) 0.24 (-0.04, 0.51) 0.16 (-0.07, 0.39) caucasian==1 Reuter Staner Burt New Zalsman Staner Perroud Subtotal -0.08 (-0.43, 0.28) 0.54 (-0.38, 1.46) 0.17 (-0.21, 0.54) -0.56 (-2.03, 0.90) 0.18 (-0.38, 0.73) 0.43 (-0.29, 1.15) -0.01 (-0.19, 0.17) 0.04 (-0.10, 0.17) Overall 0.08 (-0.03, 0.19) -2.0314 0 Effect size 2.03142 3. By sample characteristics Study Effect size (95% CI) General Manuck Reuter Staner Burt Subtotal -0.11 (-0.46, 0.23) -0.08 (-0.43, 0.28) 0.54 (-0.38, 1.46) 0.17 (-0.21, 0.54) 0.01 (-0.19, 0.21) Psychiatric Kim Kim Evans New Zalsman Staner Perroud Subtotal 0.17 (-0.54, 0.87) 0.44 (-0.06, 0.94) 0.24 (-0.04, 0.51) -0.56 (-2.03, 0.90) 0.18 (-0.38, 0.73) 0.43 (-0.29, 1.15) -0.01 (-0.19, 0.17) 0.11 (-0.03, 0.24) Overall 0.08 (-0.03, 0.19) -2.0314 0 Effect size 2.03142 74 4. By outcome measure Study Effect size (95% CI) Aggressiveness Manuck Reuter Staner Burt New Zalsman Staner Subtotal -0.11 (-0.46, 0.23) -0.08 (-0.43, 0.28) 0.54 (-0.38, 1.46) 0.17 (-0.21, 0.54) -0.56 (-2.03, 0.90) 0.18 (-0.38, 0.73) 0.43 (-0.29, 1.15) 0.05 (-0.14, 0.23) Anger Kim Kim Evans Perroud Subtotal 0.17 (-0.54, 0.87) 0.44 (-0.06, 0.94) 0.24 (-0.04, 0.51) -0.01 (-0.19, 0.17) 0.14 (-0.06, 0.33) Overall 0.08 (-0.03, 0.19) -2.0314 0 Effect size 2.03142 TPH Recessive 1. By ethnicity (1: caucasian, 0: other) Study Effect size (95% CI) caucasian==0 Manuck Kim Kim Evans Subtotal -0.05 (-0.32, 0.21) -0.10 (-0.78, 0.58) 0.34 (-0.17, 0.86) 0.22 ( 0.00, 0.45) 0.12 (-0.07, 0.30) caucasian==1 Rujescu Reuter Staner Burt New Zalsman Staner Perroud Subtotal 0.14 (-0.14, 0.42) -0.37 (-0.63,-0.12) 0.05 (-0.81, 0.91) 0.19 (-0.10, 0.48) 0.98 ( 0.07, 1.89) 0.18 (-0.29, 0.64) -0.04 (-0.63, 0.56) -0.08 (-0.22, 0.06) 0.02 (-0.17, 0.22) Overall 0.05 (-0.09, 0.19) -1.8894 0 Effect size 1.88944 75 3. By sample characteristics Study Effect size (95% CI) General Manuck Rujescu Reuter Staner Burt Subtotal -0.05 (-0.32, 0.21) 0.14 (-0.14, 0.42) -0.37 (-0.63,-0.12) 0.05 (-0.81, 0.91) 0.19 (-0.10, 0.48) -0.03 (-0.26, 0.21) Psychiatric Kim Kim Evans New Zalsman Staner Perroud Subtotal -0.10 (-0.78, 0.58) 0.34 (-0.17, 0.86) 0.22 ( 0.00, 0.45) 0.98 ( 0.07, 1.89) 0.18 (-0.29, 0.64) -0.04 (-0.63, 0.56) -0.08 (-0.22, 0.06) 0.12 (-0.08, 0.32) Overall 0.05 (-0.09, 0.19) -1.8894 0 Effect size 1.88944 4. By outcome measure Study Effect size (95% CI) Aggressiveness Manuck Rujescu Reuter Staner Burt New Zalsman Staner Subtotal -0.05 (-0.32, 0.21) 0.14 (-0.14, 0.42) -0.37 (-0.63,-0.12) 0.05 (-0.81, 0.91) 0.19 (-0.10, 0.48) 0.98 ( 0.07, 1.89) 0.18 (-0.29, 0.64) -0.04 (-0.63, 0.56) 0.04 (-0.17, 0.25) Anger Kim Kim Evans Perroud Subtotal -0.10 (-0.78, 0.58) 0.34 (-0.17, 0.86) 0.22 ( 0.00, 0.45) -0.08 (-0.22, 0.06) 0.08 (-0.14, 0.31) Overall 0.05 (-0.09, 0.19) -1.8894 0 Effect size 1.88944 76 TPH Additive 1. By ethnicity (1: caucasian, 0: other) Study Effect size (95% CI) caucasian==0 Manuck Kim Kim Evans Subtotal 0.22 (-0.50, 0.93) -0.12 (-2.54, 2.29) -1.36 (-2.78, 0.07) -1.13 (-2.12,-0.14) -0.57 (-1.47, 0.33) caucasian==1 Reuter Staner Burt New Zalsman Staner Perroud Subtotal 0.45 ( 0.06, 0.85) -0.70 (-2.57, 1.16) -0.14 (-0.34, 0.06) -2.18 (-5.90, 1.54) -0.93 (-3.18, 1.32) -0.59 (-2.60, 1.43) 0.23 (-0.35, 0.81) 0.04 (-0.31, 0.40) Overall -0.12 (-0.46, 0.23) -5.9017 0 Effect size 5.90176 3. By sample characteristics Study Effect size (95% CI) General Manuck Reuter Staner Burt Subtotal 0.22 (-0.50, 0.93) 0.45 ( 0.06, 0.85) -0.70 (-2.57, 1.16) -0.14 (-0.34, 0.06) 0.10 (-0.30, 0.51) Psychiatric Kim Kim Evans New Zalsman Staner Perroud Subtotal -0.12 (-2.54, 2.29) -1.36 (-2.78, 0.07) -1.13 (-2.12,-0.14) -2.18 (-5.90, 1.54) -0.93 (-3.18, 1.32) -0.59 (-2.60, 1.43) 0.23 (-0.35, 0.81) -0.60 (-1.29, 0.09) Overall -0.12 (-0.46, 0.23) -5.9017 0 Effect size 5.90176 77 4. By outcome measure Study Effect size (95% CI) Aggressiveness Manuck Reuter Staner Burt New Zalsman Staner Subtotal 0.22 (-0.50, 0.93) 0.45 ( 0.06, 0.85) -0.70 (-2.57, 1.16) -0.14 (-0.34, 0.06) -2.18 (-5.90, 1.54) -0.93 (-3.18, 1.32) -0.59 (-2.60, 1.43) 0.03 (-0.33, 0.40) Anger Kim Kim Evans Perroud Subtotal -0.12 (-2.54, 2.29) -1.36 (-2.78, 0.07) -1.13 (-2.12,-0.14) 0.23 (-0.35, 0.81) -0.56 (-1.50, 0.38) Overall -0.12 (-0.46, 0.23) -5.9017 0 Effect size 5.90176 AR (CAG) Effect size Study (95% CI) Aluja -0.14 (-0.47, 0.20) Westberg 1.73 ( 1.07, 2.40) Aluja -0.69 (-1.09,-0.29) Westberg 0.25 (-0.09, 0.58) Overall 0.24 (-0.50, 0.99) -2.7171 0 Effect size 78 2.71712 References 1. Buss AH, Durkee A. An inventory for assessing different kinds of hostility. J Consult Psychol 1957; 21(4): 343-349. 2. Yudofsky SC, Silver JM, Jackson W, Endicott J, Williams D. The Overt Aggression Scale for the objective rating of verbal and physical aggression. Am J Psychiatry 1986; 143(1): 35-39. 3. 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