Cited by 183Suicide and Self-Harm StudiesAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesTreatment of Major Depression

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Social Emotion Recognition, Social Functioning, and Attempted Suicide in Late-Life Depression

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Szanto, Katalin, Dombrovski, Alexandre Y., Sahakian, Barbara J., Mulsant, Benoit H., Houck, Patricia R., Reynolds, Charles F., Clark, Luke·2012·The American Journal of Geriatric Psychiatry

DOI 10.1097/jgp.0b013e31820eea0cPMC PMC3286029

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Abstract

Objectives : Lack of feeling connected and poor social problem solving have been described in suicide attempters. However, cognitive substrates of this apparent social impairment in suicide attempters remain unknown. One possible deficit, the inability to recognize others' complex emotional states has been observed not only in disorders characterized by prominent social deficits (autism-spectrum disorders and frontotemporal dementia) but also in depression and normal aging. This study assessed the relationship between social emotion recognition, problem solving, social functioning, and attempted suicide in late-life depression.Design, participants, measurements : There were 90 participants: 24 older depressed suicide attempters, 38 nonsuicidal depressed elders, and 28 comparison subjects with no psychiatric history. We compared performance on the Reading the Mind in the Eyes test and measures of social networks, social support, social problem solving, and chronic interpersonal difficulties in these three groups.Results : Suicide attempters committed significantly more errors in social emotion recognition and showed poorer global cognitive performance than elders with no psychiatric history. Attempters had restricted social networks: they were less likely to talk to their children, had fewer close friends, and did not engage in volunteer activities, compared to nonsuicidal depressed elders and those with no psychiatric history. They also reported a pattern of struggle against others and hostility in relationships, felt a lack of social support, perceived social problems as impossible to resolve, and displayed a careless/impulsive approach to problems.Conclusions : Suicide attempts in depressed elders were associated with poor social problem solving, constricted social networks, and disruptive interpersonal relationships. Impaired social emotion recognition in the suicide attempter group was related.

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Authors: Szanto, K., Dombrovski, A. Y., Sahakian, B. J., Mulsant, B. H., Houck, P. R., Reynolds, C. F., & Clark, L.
Affiliations: University of Pittsburgh (US)
University of Cambridge (GB)
Centre for Addiction and Mental Health (CA)
ORCID: Dombrovski, Alexandre Y.
Sahakian, Barbara J.
Mulsant, Benoit H.
Reynolds, Charles F.
Clark, Luke
Venue: The American Journal of Geriatric Psychiatry
Publisher: Elsevier BV
Published: 2012-03
Volume: 20
Issue: 3
Pages: 257-265
ISSN: 1064-7481 (ISSN-L)
DOI: 10.1097/jgp.0b013e31820eea0c
PMC: PMC3286029
OpenAlex: W2160351927
Cited by: 183
References: 52
Citations by year: 2026: 4 · 2025: 10 · 2024: 14 · 2023: 13 · 2022: 12 · 2021: 20 · 2020: 11 · 2019: 18 · 2018: 13 · 2017: 7 · 2016: 15 · 2015: 21 · 2014: 9 · 2013: 11 · 2012: 5
FWCI: 8.63
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: American Journal of Geriatric Psychiatry (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: Wellcome Trust
National Institutes of Health (UL1TR000005)
Canadian Institutes of Health Research
National Institute of Mental Health (P30MH071944, K23MH086620, K23MH070471, R01MH085651)
National Center for Research Resources (UL1RR024153)
National Center for Advancing Translational Sciences
Topics: Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Health Sciences › Medicine › Pharmacology (medical) › Treatment of Major Depression
Keywords: suicide attempts, geriatric depression, social problem solving, social functioning, social networks, social support, interpersonal problems, Reading the Mind in the Eyes Test, older adults, cognitive impairment
MeSH terms: Age Factors, Aged, Analysis of Variance, Depressive Disorder, Major, Major Depressive Disorder, Female, Humans, Male, Problem Solving, Psychiatric Status Rating Scales, Psychological Tests, Social Adjustment, Social Support, Suicide, Attempted, Chi-Square Distribution, Case-Control Studies, Emotional Intelligence

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Social Emotion Recognition, Social Functioning, and Attempted Suicide in Late-Life Depression

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