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Cognitive Performance in Suicidal Depressed Elderly: Preliminary Report
Open accessAbstract
Objective Deficits in executive functions may play an important role in late-life suicide; however the association is understudied. This study examined cognitive function in general and executive functioning specifically in depressed elderly with and without suicidal ideation and attempts.Design Case-control study.Setting University-affiliated psychiatric hospital.Participants We compared 32 suicidal depressed participants aged 60 and older with 32 non-suicidal depressed participants equated for age, education, and gender.Measurements We assessed global cognitive function and executive function with the Dementia Rating Scale (DRS) and the Executive Interview (EXIT25), respectively.Results Suicidal and non-suicidal depressed groups were comparable in terms of severity of depression and burden of physical illness. Suicidal participants performed worse on the EXIT25, and on the DRS total scale, as well as on Memory and Attention subscales. The differences were not explained by the presence of dementia, substance use, medication exposure, or brain injury from suicide attempts.Conclusions Poor performance on tests of executive function, attention, and memory is associated with suicidal behavior in late-life depression.
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“Dombrovski and colleagues, for example, have reported that elderly suicidal depressives performed worse on measures of frontal executive function as well as memory and attention tests than did non-suicidal elderly depressives (32).”
From Suicide in older adults (2011) · cites this paper as [32]
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“Dombrovski and colleagues, for example, have reported that elderly suicidal depressives performed worse on measures of frontal executive function as well as memory and attention tests than did non-suicidal elderly depressives (32).”
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“In depressed patients with and without a recent history of SA (within 3 months) aged 60 and older, Dombrovski et al assessed both executive functioning and global cognitive performance with the Executive Interview (EXIT25) and the Dementia Rating Scale (DRS), respectively.(61) Relative to non-recent attempters, recent…”
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“Although eligible, three studies were not included, or only partially (for instance, some tests but not others), because precise means and standard deviations were not available in papers and could not be obtained after contacting the authors (Williams & Broadbent, 1986; Dombrovski et al. 2008; Gilbert et al. 2011).”
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Metadata
- Authors
- Dombrovski, A. Y., Butters, M. A., Reynolds, C. F., Houck, P. R., Clark, L., Mazumdar, S., & Szanto, K.
- Affiliations
- University of Pittsburgh (US)
- University of Cambridge (GB)
- Venue
- The American Journal of Geriatric Psychiatry
- Publisher
- Elsevier BV
- Published
- 2008-02
- Volume
- 16
- Issue
- 2
- Pages
- 109-115
- ISSN
- 1064-7481 (ISSN-L)
- PMC
- PMC2671399
- OpenAlex
- W2093355619
- Cited by
- 159
- References
- 46
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 5 · 2023: 3 · 2022: 3 · 2021: 9 · 2020: 12 · 2019: 5 · 2018: 23 · 2017: 5 · 2016: 10 · 2015: 15 · 2014: 14 · 2013: 11 · 2012: 10
- FWCI
- 8.15
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- American Journal of Geriatric Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (UL1TR000005)
- National Institute of Mental Health (R01MH072947, R01 MH37869, P30MH052247, R37 MH43832, R25MH60473, R37MH043832, P30MH071944, R25MH060473, P30-MH52247, K24MH069430, R01MH037869, K23MH070471)
- National Center for Advancing Translational Sciences
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Social Sciences › Psychology › Clinical Psychology › Historical and Modern Theater Studies
- Keywords
- geriatric depression, suicide, suicidal ideation, suicide attempts, executive function, cognitive function, memory, attention, older adults, dementia, Mattis Dementia Rating Scale
- MeSH terms
- Adaptation, Psychological, Aged, Cognition Disorders, Major Depressive Disorder, Female, Frontal Lobe, Hospitalization, Hospitals, Psychiatric, Humans, Male, Middle Aged, Neuropsychological Tests, Psychiatric Status Rating Scales, Severity of Illness Index, Suicide, Suicide, Attempted, Comorbidity, Case-Control Studies, Cost of Illness, Substance-Related Disorders, Diagnostic and Statistical Manual of Mental Disorders
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