The DOI matches its Crossref record; 82 of the 82 references it cites were found in a registry or an index.
The decision neuroscience perspective on suicidal behavior: evidence and hypotheses
Open accessAbstract
PURPOSE OF REVIEW: Suicide attempts are usually regretted by people who survive them. Furthermore, addiction and gambling are over-represented among people who attempt or die by suicide, raising the question whether their decision-making is impaired. Advances in decision neuroscience have enabled us to investigate decision processes in suicidal people and to elucidate putative neural substrates of disadvantageous decision-making. RECENT FINDINGS: Early studies have linked attempted suicide to poor performance on gambling tasks. More recently, functional MRI augmented with a reinforcement learning computational model revealed that impaired decision-making in suicide attempters is paralleled by disrupted expected value (expected reward) signals in the ventromedial prefrontal cortex. Behavioral studies have linked increased delay discounting to low-lethality/poorly planned attempts, multiple attempts, and the co-occurrence of attempted suicide and addiction. This behavioral tendency may be related to altered integrity of the basal ganglia. By contrast, well-planned, serious suicide attempts were associated with intact/diminished delay discounting. One study has linked high-lethality suicide attempts and impaired social decision-making. SUMMARY: This emerging literature supports the notion that various impairments in decision-making - often broadly related to impulsivity - may mark different pathways to suicide. We propose that aggressive and self-destructive responses to social stressors in people prone to suicide result from a predominance of automatic, Pavlovian processes over goal-directed computations.
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“For instance, depressed patients exhibit both hyposensitivity to rewards and oversensitivity to punishments 96,97 , attributed to alterations in mesolimbic prediction error signaling 97-99 , and may exhibit a constrained option space ('tunnel vision') during decision-making 100 .”
From Neuroplasticity in cognitive and psychological mechanisms of depression: an integrative model (2020) · cites this paper as [100]
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“All rights rese Modern accounts of suicide such as Williams’ entrapment theory [4] and Baumeister’s view of suicide as an escape from the aversive self [5], see it as a flight from irresolvable problems.”
BackgroundThe neural correlates of subjective value during intertemporal choice
Kable, J. W., & Glimcher, P. W. (2007) · Nature Neuroscience · doi:10.1038/nn2007 · Cited by 1,916
Frames, Biases, and Rational Decision-Making in the Human Brain
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Goal-directed instrumental action: contingency and incentive learning and their cortical substrates
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Delayed reward discounting and addictive behavior: a meta-analysis
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The Hyperbolic Consumption Model: Calibration, Simulation, and Empirical Evaluation
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Neuroplasticity in cognitive and psychological mechanisms of depression: an integrative model
Price, R. B., & Duman, R. (2020) · Molecular Psychiatry · doi:10.1038/s41380-019-0615-x · Cited by 739
Imaging suicidal thoughts and behaviors: a comprehensive review of 2 decades of neuroimaging studies
Schmaal, L., van Harmelen, A.-L., Chatzi, V., Lippard, E. T. C., Toenders, Y. J., Averill, L. A., Mazure, C. M., & Blumberg, H. P. (2020) · Molecular Psychiatry · doi:10.1038/s41380-019-0587-x · Cited by 373
A brain-centric model of suicidal behavior
Mann, J. J., & Rizk, M. M. (2020) · American Journal of Psychiatry · doi:10.1176/appi.ajp.2020.20081224 · Cited by 214
Kim, K., Kim, S.-W., Myung, W., Han, C. E., Fava, M., Mischoulon, D., Papakostas, G. I., Seo, S. W., Cho, H., Seong, J.-K., et al. (2017) · Scientific Reports · doi:10.1038/s41598-017-15926-0 · Cited by 107
Jollant, F., Wagner, G., Richard-Devantoy, S., Köhler, S., Bär, K.-J., Turecki, G., & Pereira, F. (2018) · Translational Psychiatry · doi:10.1038/s41398-018-0170-2 · Cited by 54
Metadata
- Authors
- Dombrovski, A. Y., & Hallquist, M. N.
- Affiliations
- Pennsylvania State University (US)
- Corresponding author
- Dombrovski, Alexandre Y.
- Venue
- Current Opinion in Psychiatry
- Published
- 2017-01
- Volume
- 30
- Issue
- 1
- Pages
- 7-14
- ISSN
- 0951-7367 (ISSN-L)
- PMC
- PMC5291285
- OpenAlex
- W2553902797
- Cited by
- 91
- References
- 82
- Citations by year
- 2026: 2 · 2025: 14 · 2024: 12 · 2023: 12 · 2022: 9 · 2021: 11 · 2020: 10 · 2019: 11 · 2018: 7 · 2017: 3
- FWCI
- 1.04
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Current Opinion in Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Mental Health (R01MH100095, K01MH097091, K23MH086620, R03MH090791, R01MH124092, R01MH085651)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Life Sciences › Neuroscience › Cognitive Neuroscience › Neural and Behavioral Psychology Studies
- Social Sciences › Decision Sciences › General Decision Sciences › Decision-Making and Behavioral Economics
- Keywords
- suicidal behavior, suicide attempts, decision-making impairment, impulsivity, delay discounting, gambling behavior, addiction, ventromedial prefrontal cortex, basal ganglia, social decision-making, reinforcement learning
- MeSH terms
- Decision Making, Humans, Suicide, Attempted
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