Cognition in Recent Suicide Attempts: Altered Executive Function

Background: Neuropsychological alterations can lead to inaccurate perception, interpretation, and response to environmental information, which could be a risk factor for suicide. Methods: Ninety-six subjects were recruited from the Psychiatry Department of the Araba University Hospital-Santiago, inc...

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Autores: Fernández Sevillano, Jessica, Alberich, Susana, Zorrilla, Iñaki, González Ortega, Itxaso, López, María Purificación, Pérez, Víctor, Vieta i Pascual, Eduard, 1963-, González Pinto, Ana, Saiz, Pilar A.
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/220284
Acceso en línea:https://hdl.handle.net/2445/220284
Access Level:acceso abierto
Palabra clave:Traumes psíquics
Cognició
Suïcidi
Funcions executives (Neuropsicologia)
Psychic trauma
Cognition
Suicide
Executive functions (Neuropsychology)
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spelling Cognition in Recent Suicide Attempts: Altered Executive FunctionFernández Sevillano, JessicaAlberich, SusanaZorrilla, IñakiGonzález Ortega, ItxasoLópez, María PurificaciónPérez, VíctorVieta i Pascual, Eduard, 1963-González Pinto, AnaSaiz, Pilar A.Traumes psíquicsCognicióSuïcidiFuncions executives (Neuropsicologia)Psychic traumaCognitionSuicideExecutive functions (Neuropsychology)Background: Neuropsychological alterations can lead to inaccurate perception, interpretation, and response to environmental information, which could be a risk factor for suicide. Methods: Ninety-six subjects were recruited from the Psychiatry Department of the Araba University Hospital-Santiago, including 20 patients with a recent attempt and diagnosis of major depressive disorder (MDD) according to DSM-V, 33 MDD patients with history of attempted suicide, 23 non-attempter MDD patients, and 20 healthy controls. All participants underwent a clinical interview and neuropsychological assessment on the following cognitive domains: working memory, processing speed, decision-making, executive function, and attention. Backward multiple regressions were performed adjusting for significant confounding variables. For group comparisons, ANOVA and Bonferroni post-hoc tests were performed with a p < 0.05 significance level. Results: The patient groups did not differ regarding severity of depression and stressful events in the last 6 months. In comparison to healthy controls, depressed patients with lifetime suicide attempts had more general trauma (p = 0.003), emotional abuse (p = 0.003), emotional negligence (p = 0.006), and physical negligence (p = 0.009), and depressed patients with recent suicide attempts had experienced more child sexual abuse (p = 0.038). Regarding neuropsychological assessment, all patient groups performed significantly worse than did healthy controls in processing speed, decision-making, and attention. Comparisons between patient groups indicated that recent suicide attempters had poorer performance on executive function in comparison to both depressed lifetime attempters and depressed non-attempters (B = 0.296, p = 0.019, and B = 0.301, p = 0.028, respectively). Besides, women with recent attempts had slightly better scores on executive function than males. Regarding the rest of the cognitive domains, there were no significant differences between groups. Conclusion: Executive function performance is altered in recent suicide attempts. As impaired executive function can be risk factor for suicide, preventive interventions on suicide should focus on its assessment and rehabilitation.Frontiers Media2025202520212025info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion8 p.application/pdfhttps://hdl.handle.net/2445/220284Articles publicats en revistes (Medicina)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.3389/fpsyt.2021.701140Frontiers In Psychiatry, 2021, vol. 12https://doi.org/10.3389/fpsyt.2021.701140cc-by (c) Fernandez-Sevillano Jessica et al., 2021http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:2445/2202842026-05-29T05:05:01Z
dc.title.none.fl_str_mv Cognition in Recent Suicide Attempts: Altered Executive Function
title Cognition in Recent Suicide Attempts: Altered Executive Function
spellingShingle Cognition in Recent Suicide Attempts: Altered Executive Function
Fernández Sevillano, Jessica
Traumes psíquics
Cognició
Suïcidi
Funcions executives (Neuropsicologia)
Psychic trauma
Cognition
Suicide
Executive functions (Neuropsychology)
title_short Cognition in Recent Suicide Attempts: Altered Executive Function
title_full Cognition in Recent Suicide Attempts: Altered Executive Function
title_fullStr Cognition in Recent Suicide Attempts: Altered Executive Function
title_full_unstemmed Cognition in Recent Suicide Attempts: Altered Executive Function
title_sort Cognition in Recent Suicide Attempts: Altered Executive Function
dc.creator.none.fl_str_mv Fernández Sevillano, Jessica
Alberich, Susana
Zorrilla, Iñaki
González Ortega, Itxaso
López, María Purificación
Pérez, Víctor
Vieta i Pascual, Eduard, 1963-
González Pinto, Ana
Saiz, Pilar A.
author Fernández Sevillano, Jessica
author_facet Fernández Sevillano, Jessica
Alberich, Susana
Zorrilla, Iñaki
González Ortega, Itxaso
López, María Purificación
Pérez, Víctor
Vieta i Pascual, Eduard, 1963-
González Pinto, Ana
Saiz, Pilar A.
author_role author
author2 Alberich, Susana
Zorrilla, Iñaki
González Ortega, Itxaso
López, María Purificación
Pérez, Víctor
Vieta i Pascual, Eduard, 1963-
González Pinto, Ana
Saiz, Pilar A.
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Traumes psíquics
Cognició
Suïcidi
Funcions executives (Neuropsicologia)
Psychic trauma
Cognition
Suicide
Executive functions (Neuropsychology)
topic Traumes psíquics
Cognició
Suïcidi
Funcions executives (Neuropsicologia)
Psychic trauma
Cognition
Suicide
Executive functions (Neuropsychology)
description Background: Neuropsychological alterations can lead to inaccurate perception, interpretation, and response to environmental information, which could be a risk factor for suicide. Methods: Ninety-six subjects were recruited from the Psychiatry Department of the Araba University Hospital-Santiago, including 20 patients with a recent attempt and diagnosis of major depressive disorder (MDD) according to DSM-V, 33 MDD patients with history of attempted suicide, 23 non-attempter MDD patients, and 20 healthy controls. All participants underwent a clinical interview and neuropsychological assessment on the following cognitive domains: working memory, processing speed, decision-making, executive function, and attention. Backward multiple regressions were performed adjusting for significant confounding variables. For group comparisons, ANOVA and Bonferroni post-hoc tests were performed with a p < 0.05 significance level. Results: The patient groups did not differ regarding severity of depression and stressful events in the last 6 months. In comparison to healthy controls, depressed patients with lifetime suicide attempts had more general trauma (p = 0.003), emotional abuse (p = 0.003), emotional negligence (p = 0.006), and physical negligence (p = 0.009), and depressed patients with recent suicide attempts had experienced more child sexual abuse (p = 0.038). Regarding neuropsychological assessment, all patient groups performed significantly worse than did healthy controls in processing speed, decision-making, and attention. Comparisons between patient groups indicated that recent suicide attempters had poorer performance on executive function in comparison to both depressed lifetime attempters and depressed non-attempters (B = 0.296, p = 0.019, and B = 0.301, p = 0.028, respectively). Besides, women with recent attempts had slightly better scores on executive function than males. Regarding the rest of the cognitive domains, there were no significant differences between groups. Conclusion: Executive function performance is altered in recent suicide attempts. As impaired executive function can be risk factor for suicide, preventive interventions on suicide should focus on its assessment and rehabilitation.
publishDate 2021
dc.date.none.fl_str_mv 2021
2025
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/220284
url https://hdl.handle.net/2445/220284
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.3389/fpsyt.2021.701140
Frontiers In Psychiatry, 2021, vol. 12
https://doi.org/10.3389/fpsyt.2021.701140
dc.rights.none.fl_str_mv cc-by (c) Fernandez-Sevillano Jessica et al., 2021
http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Fernandez-Sevillano Jessica et al., 2021
http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 8 p.
application/pdf
dc.publisher.none.fl_str_mv Frontiers Media
publisher.none.fl_str_mv Frontiers Media
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15,81155

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