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Cited by 113Suicide and Self-Harm StudiesDecision-Making and Behavioral EconomicsAnxiety, Depression, Psychometrics, Treatment, Cognitive Processes

The DOI matches its Crossref record; 54 of the 54 references it cites were found in a registry or an index.

Impulsive Choice and Psychological Pain in Acutely Suicidal Depressed Patients

Cáceda, Ricardo, Durand, Dante, Cortes, Edmi, Prendes-Alvarez, Stefania, Moskovciak, Tori, Harvey, Philip D., Nemeroff, Charles B.·2014·Psychosomatic Medicine
DOI 10.1097/psy.0000000000000075
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Abstract

OBJECTIVE: Despite identification of several risk factors, suicide prediction and prevention is still a clinical challenge. Suicide can be seen as a consequence of poor decision making triggered by overwhelming psychological pain. We examined the relationship of choice impulsivity and psychological pain in depressed patients with acute suicidality. METHODS: Impulsive choice (delay discounting), psychological pain, and clinical characteristics were assessed in four groups of adults (N = 20-22): a) depressed patients within 72 hours after a suicide attempt, b) depressed patients with active suicidal ideation, c) nonsuicidal depressed patients, and d) healthy controls. RESULTS: Impulsive choice was higher in the suicide attempt (0.114 [0.027]) and ideation (0.099 [0.020]) groups compared with nonsuicidal depressed (0.079 [0.020]) and healthy (0.066 [0.019]) individuals (F(3,79) = 3.06, p = .042). Psychological pain data showed a similar profile (F(3,78) = 43.48, p < .001), with 43.4 (2.9) rating of psychological pain for the suicide attempt, 54.3 (2.2) for suicide ideation, 37.0 (3.2) for nonsuicidal depressed, and 13.7 (0.5) for healthy groups. Within the suicide attempt group, persisting suicidal ideation was associated with more severe depression (36.6 [2.9] versus 21.5 [3.1], p = .007) and choice impulsivity (0.134 [0.03] versus 0.078 [0.04], p = .015). Both measures normalized within a week: depression (29.9 [2.6] versus 14.4 [3.0], p = .006) and choice impulsivity (0.114 [0.026] versus 0.066 [0.032], p = .019). CONCLUSIONS: Transient impulsive choice abnormalities are found in a subset of those who attempt suicide. Both, suicidal ideation and behavior were associated with choice impulsivity and intense psychological pain.

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Crossref · 10.1097/psy.0000000000000075

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Metadata

Authors
Cáceda, R., Durand, D., Cortes, E., Prendes-Alvarez, S., Moskovciak, T., Harvey, P. D., & Nemeroff, C. B.
Affiliations
University of Miami (US)
Corresponding author
Cáceda, Ricardo
ORCID
Venue
Psychosomatic Medicine
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2014-07
Volume
76
Issue
6
Pages
445-451
ISSN
0033-3174 (ISSN-L)
DOI
10.1097/psy.0000000000000075
OpenAlex
W2058009426
Cited by
113
References
54
Citations by year
2026: 6 · 2025: 9 · 2024: 8 · 2023: 10 · 2022: 9 · 2021: 10 · 2020: 11 · 2019: 12 · 2018: 9 · 2017: 14 · 2016: 10 · 2015: 3 · 2014: 2
FWCI
11.35
Type
journal article
Language
en
Open access
closed
Locations
  • Psychosomatic Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Decision Sciences › General Decision Sciences › Decision-Making and Behavioral Economics
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
Keywords
impulsive choice, delay discounting, psychological suffering, acute suicidality, suicide attempts, suicidal ideation, depression, decision-making, suicide risk, suicide prevention
MeSH terms
Adult, Depressive Disorder, Female, Humans, Impulsive Behavior, Male, Middle Aged, Pain, Severity of Illness Index, Suicide, Attempted, Suicidal Ideation, Delay Discounting

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