Executive performance of depressed suicide attempters: the role of suicidal ideation
Objective Suicidal ideation has been related to cognitive rigidity whereas suicidal behaviour itself was associated with specific executive deficits. Yet it remains unclear if a distinct cognitive suicidal phenotype does exist. The aim of the present study was to further investigate the role of suic...
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| Veröffentlicht in: | European archives of psychiatry and clinical neuroscience 2008-10, Vol.258 (7), p.414-421 |
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| creator | Westheide, Jens Quednow, Boris B. Kuhn, Kai-Uwe Hoppe, Christian Cooper-Mahkorn, Déirdre Hawellek, Barbara Eichler, Petra Maier, Wolfgang Wagner, Michael |
| description | Objective
Suicidal ideation has been related to cognitive rigidity whereas suicidal behaviour itself was associated with specific executive deficits. Yet it remains unclear if a distinct cognitive suicidal phenotype does exist. The aim of the present study was to further investigate the role of suicidal thinking for the neuropsychological performance in depressive suicide attempters.
Method
Depressive inpatients after a recent suicide attempt, who either had present suicidal ideation (
n
= 14) or not (
n
= 15) and healthy controls (
n
= 29) were recruited. The groups were assessed by means of executive tasks designed to capture impulsive decision-making, and with verbal memory and attention tests. Self-rating measures of impulsivity and aggression were further applied.
Results
Only patients with current suicidal ideation showed executive dysfunctions with impaired decision-making being the most salient. Verbal memory and attention were reasonably intact in all patients. All patients reported increased aggression.
Conclusion
Suicidal ideation is clearly associated with impaired cognitive performance. Our results suggest that executive deficits seen in depressive suicide attempters have a state-dependent component. |
| doi_str_mv | 10.1007/s00406-008-0811-1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_19513852</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1582875561</sourcerecordid><originalsourceid>FETCH-LOGICAL-c435t-e3c465ec86c77d7b9c8285210fc144a1f0e36fc527a92d898bf0f1a12a5a78463</originalsourceid><addsrcrecordid>eNp1kE1LxDAQhoMouq7-AC9SPHirzjRpmnoTWT9A8KLnkE0nWumXSSv67412QRA8zWGe953hYewI4QwBivMAIECmACoFhZjiFlug4DxVosRttoBSQIqciz22H8IrAGCewS7bQ8U5SFks2OPqg-w01u-UDORd71vTWUp6l1Q0eAqBqiRMta0rSsw4UjuM5MNFMr5Q4vvmh5z3pkkiZMa67w7YjjNNoMPNXLKn69Xj1W16_3Bzd3V5n1rB8zElboXMySppi6Iq1qVVmcozBGdRCIMOiEtn86wwZVapUq0dODSYmdwUSki-ZKdz7-D7t4nCqNs6WGoa01E_BY1ljjw2RvDkD_jaT76Lv-kMBUqUpYoQzpD1fQienB583Rr_qRH0t289-9bRt_72rTFmjjfF07ql6jexERyBbAZCXHXP5H8v_9_6BQL3in4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>214161698</pqid></control><display><type>article</type><title>Executive performance of depressed suicide attempters: the role of suicidal ideation</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Westheide, Jens ; Quednow, Boris B. ; Kuhn, Kai-Uwe ; Hoppe, Christian ; Cooper-Mahkorn, Déirdre ; Hawellek, Barbara ; Eichler, Petra ; Maier, Wolfgang ; Wagner, Michael</creator><creatorcontrib>Westheide, Jens ; Quednow, Boris B. ; Kuhn, Kai-Uwe ; Hoppe, Christian ; Cooper-Mahkorn, Déirdre ; Hawellek, Barbara ; Eichler, Petra ; Maier, Wolfgang ; Wagner, Michael</creatorcontrib><description>Objective
Suicidal ideation has been related to cognitive rigidity whereas suicidal behaviour itself was associated with specific executive deficits. Yet it remains unclear if a distinct cognitive suicidal phenotype does exist. The aim of the present study was to further investigate the role of suicidal thinking for the neuropsychological performance in depressive suicide attempters.
Method
Depressive inpatients after a recent suicide attempt, who either had present suicidal ideation (
n
= 14) or not (
n
= 15) and healthy controls (
n
= 29) were recruited. The groups were assessed by means of executive tasks designed to capture impulsive decision-making, and with verbal memory and attention tests. Self-rating measures of impulsivity and aggression were further applied.
Results
Only patients with current suicidal ideation showed executive dysfunctions with impaired decision-making being the most salient. Verbal memory and attention were reasonably intact in all patients. All patients reported increased aggression.
Conclusion
Suicidal ideation is clearly associated with impaired cognitive performance. Our results suggest that executive deficits seen in depressive suicide attempters have a state-dependent component.</description><identifier>ISSN: 0940-1334</identifier><identifier>EISSN: 1433-8491</identifier><identifier>DOI: 10.1007/s00406-008-0811-1</identifier><identifier>PMID: 18330667</identifier><language>eng</language><publisher>Dordrecht: D. Steinkopff-Verlag</publisher><subject>Adult ; Aggression - psychology ; Analysis of Variance ; Attention - physiology ; Cognition - physiology ; Decision Making - physiology ; Depressive Disorder, Major - physiopathology ; Depressive Disorder, Major - psychology ; Female ; Humans ; Impulsive Behavior - psychology ; Inpatients - psychology ; Male ; Medicine ; Medicine & Public Health ; Memory - physiology ; Middle Aged ; Neuropsychological Tests - statistics & numerical data ; Neurosciences ; Original Article ; Psychiatric Status Rating Scales ; Psychiatry ; Severity of Illness Index ; Suicide, Attempted - psychology ; Task Performance and Analysis ; Young Adult</subject><ispartof>European archives of psychiatry and clinical neuroscience, 2008-10, Vol.258 (7), p.414-421</ispartof><rights>Springer 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-e3c465ec86c77d7b9c8285210fc144a1f0e36fc527a92d898bf0f1a12a5a78463</citedby><cites>FETCH-LOGICAL-c435t-e3c465ec86c77d7b9c8285210fc144a1f0e36fc527a92d898bf0f1a12a5a78463</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00406-008-0811-1$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00406-008-0811-1$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18330667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Westheide, Jens</creatorcontrib><creatorcontrib>Quednow, Boris B.</creatorcontrib><creatorcontrib>Kuhn, Kai-Uwe</creatorcontrib><creatorcontrib>Hoppe, Christian</creatorcontrib><creatorcontrib>Cooper-Mahkorn, Déirdre</creatorcontrib><creatorcontrib>Hawellek, Barbara</creatorcontrib><creatorcontrib>Eichler, Petra</creatorcontrib><creatorcontrib>Maier, Wolfgang</creatorcontrib><creatorcontrib>Wagner, Michael</creatorcontrib><title>Executive performance of depressed suicide attempters: the role of suicidal ideation</title><title>European archives of psychiatry and clinical neuroscience</title><addtitle>Eur Arch Psychiatry Clin Neurosc</addtitle><addtitle>Eur Arch Psychiatry Clin Neurosci</addtitle><description>Objective
Suicidal ideation has been related to cognitive rigidity whereas suicidal behaviour itself was associated with specific executive deficits. Yet it remains unclear if a distinct cognitive suicidal phenotype does exist. The aim of the present study was to further investigate the role of suicidal thinking for the neuropsychological performance in depressive suicide attempters.
Method
Depressive inpatients after a recent suicide attempt, who either had present suicidal ideation (
n
= 14) or not (
n
= 15) and healthy controls (
n
= 29) were recruited. The groups were assessed by means of executive tasks designed to capture impulsive decision-making, and with verbal memory and attention tests. Self-rating measures of impulsivity and aggression were further applied.
Results
Only patients with current suicidal ideation showed executive dysfunctions with impaired decision-making being the most salient. Verbal memory and attention were reasonably intact in all patients. All patients reported increased aggression.
Conclusion
Suicidal ideation is clearly associated with impaired cognitive performance. Our results suggest that executive deficits seen in depressive suicide attempters have a state-dependent component.</description><subject>Adult</subject><subject>Aggression - psychology</subject><subject>Analysis of Variance</subject><subject>Attention - physiology</subject><subject>Cognition - physiology</subject><subject>Decision Making - physiology</subject><subject>Depressive Disorder, Major - physiopathology</subject><subject>Depressive Disorder, Major - psychology</subject><subject>Female</subject><subject>Humans</subject><subject>Impulsive Behavior - psychology</subject><subject>Inpatients - psychology</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Memory - physiology</subject><subject>Middle Aged</subject><subject>Neuropsychological Tests - statistics & numerical data</subject><subject>Neurosciences</subject><subject>Original Article</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychiatry</subject><subject>Severity of Illness Index</subject><subject>Suicide, Attempted - psychology</subject><subject>Task Performance and Analysis</subject><subject>Young Adult</subject><issn>0940-1334</issn><issn>1433-8491</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp1kE1LxDAQhoMouq7-AC9SPHirzjRpmnoTWT9A8KLnkE0nWumXSSv67412QRA8zWGe953hYewI4QwBivMAIECmACoFhZjiFlug4DxVosRttoBSQIqciz22H8IrAGCewS7bQ8U5SFks2OPqg-w01u-UDORd71vTWUp6l1Q0eAqBqiRMta0rSsw4UjuM5MNFMr5Q4vvmh5z3pkkiZMa67w7YjjNNoMPNXLKn69Xj1W16_3Bzd3V5n1rB8zElboXMySppi6Iq1qVVmcozBGdRCIMOiEtn86wwZVapUq0dODSYmdwUSki-ZKdz7-D7t4nCqNs6WGoa01E_BY1ljjw2RvDkD_jaT76Lv-kMBUqUpYoQzpD1fQienB583Rr_qRH0t289-9bRt_72rTFmjjfF07ql6jexERyBbAZCXHXP5H8v_9_6BQL3in4</recordid><startdate>20081001</startdate><enddate>20081001</enddate><creator>Westheide, Jens</creator><creator>Quednow, Boris B.</creator><creator>Kuhn, Kai-Uwe</creator><creator>Hoppe, Christian</creator><creator>Cooper-Mahkorn, Déirdre</creator><creator>Hawellek, Barbara</creator><creator>Eichler, Petra</creator><creator>Maier, Wolfgang</creator><creator>Wagner, Michael</creator><general>D. Steinkopff-Verlag</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope></search><sort><creationdate>20081001</creationdate><title>Executive performance of depressed suicide attempters: the role of suicidal ideation</title><author>Westheide, Jens ; Quednow, Boris B. ; Kuhn, Kai-Uwe ; Hoppe, Christian ; Cooper-Mahkorn, Déirdre ; Hawellek, Barbara ; Eichler, Petra ; Maier, Wolfgang ; Wagner, Michael</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-e3c465ec86c77d7b9c8285210fc144a1f0e36fc527a92d898bf0f1a12a5a78463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Aggression - psychology</topic><topic>Analysis of Variance</topic><topic>Attention - physiology</topic><topic>Cognition - physiology</topic><topic>Decision Making - physiology</topic><topic>Depressive Disorder, Major - physiopathology</topic><topic>Depressive Disorder, Major - psychology</topic><topic>Female</topic><topic>Humans</topic><topic>Impulsive Behavior - psychology</topic><topic>Inpatients - psychology</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Memory - physiology</topic><topic>Middle Aged</topic><topic>Neuropsychological Tests - statistics & numerical data</topic><topic>Neurosciences</topic><topic>Original Article</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychiatry</topic><topic>Severity of Illness Index</topic><topic>Suicide, Attempted - psychology</topic><topic>Task Performance and Analysis</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Westheide, Jens</creatorcontrib><creatorcontrib>Quednow, Boris B.</creatorcontrib><creatorcontrib>Kuhn, Kai-Uwe</creatorcontrib><creatorcontrib>Hoppe, Christian</creatorcontrib><creatorcontrib>Cooper-Mahkorn, Déirdre</creatorcontrib><creatorcontrib>Hawellek, Barbara</creatorcontrib><creatorcontrib>Eichler, Petra</creatorcontrib><creatorcontrib>Maier, Wolfgang</creatorcontrib><creatorcontrib>Wagner, Michael</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest Psychology</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><jtitle>European archives of psychiatry and clinical neuroscience</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Westheide, Jens</au><au>Quednow, Boris B.</au><au>Kuhn, Kai-Uwe</au><au>Hoppe, Christian</au><au>Cooper-Mahkorn, Déirdre</au><au>Hawellek, Barbara</au><au>Eichler, Petra</au><au>Maier, Wolfgang</au><au>Wagner, Michael</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Executive performance of depressed suicide attempters: the role of suicidal ideation</atitle><jtitle>European archives of psychiatry and clinical neuroscience</jtitle><stitle>Eur Arch Psychiatry Clin Neurosc</stitle><addtitle>Eur Arch Psychiatry Clin Neurosci</addtitle><date>2008-10-01</date><risdate>2008</risdate><volume>258</volume><issue>7</issue><spage>414</spage><epage>421</epage><pages>414-421</pages><issn>0940-1334</issn><eissn>1433-8491</eissn><abstract>Objective
Suicidal ideation has been related to cognitive rigidity whereas suicidal behaviour itself was associated with specific executive deficits. Yet it remains unclear if a distinct cognitive suicidal phenotype does exist. The aim of the present study was to further investigate the role of suicidal thinking for the neuropsychological performance in depressive suicide attempters.
Method
Depressive inpatients after a recent suicide attempt, who either had present suicidal ideation (
n
= 14) or not (
n
= 15) and healthy controls (
n
= 29) were recruited. The groups were assessed by means of executive tasks designed to capture impulsive decision-making, and with verbal memory and attention tests. Self-rating measures of impulsivity and aggression were further applied.
Results
Only patients with current suicidal ideation showed executive dysfunctions with impaired decision-making being the most salient. Verbal memory and attention were reasonably intact in all patients. All patients reported increased aggression.
Conclusion
Suicidal ideation is clearly associated with impaired cognitive performance. Our results suggest that executive deficits seen in depressive suicide attempters have a state-dependent component.</abstract><cop>Dordrecht</cop><pub>D. Steinkopff-Verlag</pub><pmid>18330667</pmid><doi>10.1007/s00406-008-0811-1</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0940-1334 |
| ispartof | European archives of psychiatry and clinical neuroscience, 2008-10, Vol.258 (7), p.414-421 |
| issn | 0940-1334 1433-8491 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_19513852 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Adult Aggression - psychology Analysis of Variance Attention - physiology Cognition - physiology Decision Making - physiology Depressive Disorder, Major - physiopathology Depressive Disorder, Major - psychology Female Humans Impulsive Behavior - psychology Inpatients - psychology Male Medicine Medicine & Public Health Memory - physiology Middle Aged Neuropsychological Tests - statistics & numerical data Neurosciences Original Article Psychiatric Status Rating Scales Psychiatry Severity of Illness Index Suicide, Attempted - psychology Task Performance and Analysis Young Adult |
| title | Executive performance of depressed suicide attempters: the role of suicidal ideation |
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