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Cited by 79Suicide and Self-Harm StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesMental Health via Writing

Attentional bias toward suicide-relevant information in suicide attempters: a cross-sectional study and a meta-analysis

Richard-Devantoy, Stéphane, Ding, Yang, Turecki, Gustavo, Jollant, Fabrice·2016·Journal of Affective Disorders
DOI 10.1016/j.jad.2016.02.046
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Abstract

Objective Previous studies using a modified Stroop test suggested that suicide attempters, in contrast to depressed patients with no suicidal history, display a particular attentional bias toward suicide-related cues. However, negative results have also been reported. In the present study, we collected new data and pooled them as part of a meta-analysis intended to shed further light on this question.Method We conducted 1) a cross-sectional study comparing performance on the modified Stroop task for suicide-related, positively-valenced and negatively-valenced words in 33 suicide attempters and 46 patient controls with a history of mood disorders; 2) a systematic review and a meta-analysis of studies comparing performance on the modified Stroop task among patients with vs. without a history of suicidal acts in mood disorders.Results The cross-sectional study showed no significant difference in interference scores for any type of words between suicide attempters and patient controls. A meta-analysis of four studies, including 233 suicide attempters and 768 patient controls, showed a significant but small attentional bias toward suicide-related words (Hedges'g=0.22, 95%CI [0.06-0.38], Z=2.73, p=0.006), but not negatively-valenced words (Hedges'g=0.06, 95%CI [-0.09-0.22], Z=0.77, p=0.4) in suicide attempters compared to patient controls.Limitations Positively-valenced words and healthy controls could not be assessed in the meta-analysis.Conclusion Our data support a selective information-processing bias among suicide attempters. Indirect evidence suggests that this effect would be state-related and may be a cognitive component of the suicidal crisis. However, we could not conclude about the clinical utility of this Stroop version at this stage.

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  • Attempts to replicate Suicide Stroop findings have been less consistent than results for the suicide-related IAT, and treatment effects and reactivity to mood have not been demonstrated.

    “However, attempts to replicate these findings have been less consistent than results for the suicide-related IAT (61, 62), and treatment effects and reactivity to mood have not been demonstrated (59).”

    From New methods for assessing rapid changes in suicide risk (2021) · cites this paper as [61]

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Authors
Richard-Devantoy, S., Ding, Y., Turecki, G., & Jollant, F.
Affiliations
Douglas Mental Health University Institute (CA)
Corresponding author
Jollant, Fabrice
ORCID
Venue
Journal of Affective Disorders
Publisher
Elsevier BV
Published
2016-05
Volume
196
Pages
101-108
ISSN
0165-0327 (ISSN-L)
DOI
10.1016/j.jad.2016.02.046
OpenAlex
W2288050663
Cited by
79
References
40
Citations by year
2026: 2 · 2025: 6 · 2024: 10 · 2023: 9 · 2022: 7 · 2021: 8 · 2020: 7 · 2019: 5 · 2018: 21 · 2017: 4
FWCI
1.48
Type
journal article
Language
en
Open access
closed
Licence
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations
  • Journal of Affective Disorders (publishedVersion)
  • PubMed (publishedVersion)
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 › Social Psychology › Mental Health via Writing
Keywords
attentional bias, suicide attempters, mood disorders, suicidal crisis, cognitive biases
MeSH terms
Attentional Bias, Adolescent, Adult, Aged, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Suicide, Suicide, Attempted, Case-Control Studies, Young Adult, Stroop Test, Information Seeking Behavior

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