학술논문

Building a neurocognitive profile of suicidal risk in severe mental disorders.
Document Type
Article
Source
BMC Psychiatry. 9/26/2022, Vol. 22 Issue 1, p1-8. 8p. 2 Charts, 1 Graph.
Subject
*MENTAL illness
*MULTIVARIATE analysis
*ATTEMPTED suicide
*SUICIDAL ideation
*SUICIDE risk factors
*SOCIAL perception
Language
ISSN
1471-244X
Abstract
Background: Research on the influence of neurocognitive factors on suicide risk, regardless of the diagnosis, is inconsistent. Recently, suicide risk studies propose applying a trans-diagnostic framework in line with the launch of the Research Domain Criteria Cognitive Systems model. In the present study, we highlight the extent of cognitive impairment using a standardized battery in a psychiatric sample stratified for different degrees of suicidal risk. We also differentiate in our sample various neurocognitive profiles associated with different levels of risk. Materials and methods: We divided a sample of 106 subjects into three groups stratified by suicide risk level: Suicide Attempt (SA), Suicidal Ideation (SI), Patient Controls (PC) and Healthy Controls (HC). We conducted a multivariate Analysis of Variance (MANOVA) for each cognitive domain measured through the standardized battery MATRICS Consensus Cognitive Battery (MCCB). Results: We found that the group of patients performed worse than the group of healthy controls on most domains; social cognition was impaired in the suicide risk groups compared both to HC and PC. Patients in the SA group performed worse than those in the SI group. Conclusion: Social cognition impairment may play a crucial role in suicidality among individuals diagnosed with serious mental illness as it is involved in both SI and SA; noteworthy, it is more compromised in the SA group fitting as a marker of risk severity. [ABSTRACT FROM AUTHOR]