Cognitive inflexibility as a prospective predictor of suicidal ideation among young adults with a suicide attempt history: Cognitive Inflexibility and Suicidal Behavior
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BACKGROUND: Previous studies suggest that people attempt suicide because they are cognitively inflexible, but past research suggesting a link between cognitive inflexibility and suicidal thoughts and behavior has been limited by cross-sectional designs. This study examined whether cognitive inflexibility differentially and prospectively predicted suicidal ideation among young adults with and without a history of a suicide attempt. METHODS: A sample of 45 young adults with (n = 13) or without (n = 32) a suicide attempt history completed the Wisconsin Card Sorting Test (WCST), a diagnostic interview, and self-report measures of hopelessness, depressive symptoms, and suicidal ideation, and were followed up 6 months later to reassess suicidal ideation. RESULTS: Cognitive inflexibility, as measured by perseverative errors on the WCST, predicted suicidal ideation at 6-month follow-up, among suicide attempters, but not among nonattempters, adjusting for the presence of a baseline mood or anxiety diagnosis, hopelessness, and baseline suicidal ideation. CONCLUSIONS: Cognitive inflexibility may increase vulnerability to suicidal ideation over time among individuals with a previous suicide attempt history. Implications for interventions with suicide attempters are discussed.
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Different facets of executive control have been associated with suicide risk.
“Finally, different facets of executive control have, in turn, been associated with suicide risk (Liu et al., 2017; Miranda et al., 2012).”
From Sleep and suicide: A systematic review and meta-analysis of longitudinal studies (2020) · cites this paper as Miranda et al., 2012
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- Authors
- Miranda, R., Gallagher, M., Bauchner, B., Vaysman, R., & Marroquín, B.
- Affiliations
- The Graduate Center, CUNY (US)
- City University of New York (US)
- State University of New York (US)
- Yale University (US)
- Corresponding author
- Miranda, Regina
- Venue
- Depression and Anxiety
- Publisher
- Wiley
- Published
- 2011-12-06
- Volume
- 29
- Issue
- 3
- Pages
- 180-186
- ISSN
- 1091-4269 (ISSN-L)
- OpenAlex
- W1500846503
- Cited by
- 159
- References
- 39
- Citations by year
- 2026: 6 · 2025: 13 · 2024: 10 · 2023: 13 · 2022: 13 · 2021: 18 · 2020: 13 · 2019: 21 · 2018: 9 · 2017: 6 · 2016: 14 · 2015: 4 · 2014: 11 · 2013: 5 · 2012: 2
- FWCI
- 6.55
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Depression and Anxiety (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Science Foundation (0123609)
- City University of New York
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Keywords
- cognitive inflexibility, suicidal ideation, suicide attempt history, young adults, perseverative errors, Wisconsin Card Sorting Test, hopelessness, depressive symptoms, prospective prediction, suicide risk
- MeSH terms
- Adolescent, Adult, Cognition, Female, Humans, Male, Neuropsychological Tests, Predictive Value of Tests, Prospective Studies, Psychiatric Status Rating Scales, Suicide, Attempted, Thinking, Young Adult, Executive Function, Suicidal Ideation
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