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Association of traumatic events in childhood, impulsivity and decision-making with previous suicide attempt and/or current suicidal ideation in adult patients with major depressive disorder

Published online by Cambridge University Press:  13 August 2021

A. Roman ,
J. Rodríguez-Revuelta ,
F. Dal Santo ,
L. García-Alvarez ,
L. De La Fuente-Tomás ,
C. Martínez-Cao ,
L. Jiménez-Treviño ,
L. González-Blanco ,
M.P. García-Portilla  and
J. Bobes
...Show all authors
A. Roman*
Affiliation:
Departament Of Psychiatry And Clinical Psychology, Clínica Universidad de Navarra, Pamplona, Spain
J. Rodríguez-Revuelta
Affiliation:
Neuroscience And Sense Organs, ISPA HEALTH RESEARCH INSTITUTE OF THE PRINCIPALITY OF ASTURIAS, Oviedo, Spain Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain Psychiatry, Hospital Universitario Central de Asturias, Oviedo, Spain Psychiatry, CIBERSAM, Madrid, Spain
F. Dal Santo
Affiliation:
Neuroscience And Sense Organs, ISPA HEALTH RESEARCH INSTITUTE OF THE PRINCIPALITY OF ASTURIAS, Oviedo, Spain Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain Psychiatry, Hospital Universitario Central de Asturias, Oviedo, Spain Psychiatry, CIBERSAM, Madrid, Spain
L. García-Alvarez
Affiliation:
Neuroscience And Sense Organs, ISPA HEALTH RESEARCH INSTITUTE OF THE PRINCIPALITY OF ASTURIAS, Oviedo, Spain Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain Psychiatry, Hospital Universitario Central de Asturias, Oviedo, Spain Psychiatry, CIBERSAM, Madrid, Spain
L. De La Fuente-Tomás
Affiliation:
Neuroscience And Sense Organs, ISPA HEALTH RESEARCH INSTITUTE OF THE PRINCIPALITY OF ASTURIAS, Oviedo, Spain Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain Psychiatry, Hospital Universitario Central de Asturias, Oviedo, Spain Psychiatry, CIBERSAM, Madrid, Spain
C. Martínez-Cao
Affiliation:
Neuroscience And Sense Organs, ISPA HEALTH RESEARCH INSTITUTE OF THE PRINCIPALITY OF ASTURIAS, Oviedo, Spain Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain Psychiatry, Hospital Universitario Central de Asturias, Oviedo, Spain Psychiatry, CIBERSAM, Madrid, Spain
L. Jiménez-Treviño
Affiliation:
Neuroscience And Sense Organs, ISPA HEALTH RESEARCH INSTITUTE OF THE PRINCIPALITY OF ASTURIAS, Oviedo, Spain Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain Psychiatry, Hospital Universitario Central de Asturias, Oviedo, Spain Psychiatry, CIBERSAM, Madrid, Spain
L. González-Blanco
Affiliation:
Neuroscience And Sense Organs, ISPA HEALTH RESEARCH INSTITUTE OF THE PRINCIPALITY OF ASTURIAS, Oviedo, Spain Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain Psychiatry, Hospital Universitario Central de Asturias, Oviedo, Spain Psychiatry, CIBERSAM, Madrid, Spain
M.P. García-Portilla
Affiliation:
Neuroscience And Sense Organs, ISPA HEALTH RESEARCH INSTITUTE OF THE PRINCIPALITY OF ASTURIAS, Oviedo, Spain Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain Psychiatry, Hospital Universitario Central de Asturias, Oviedo, Spain Psychiatry, CIBERSAM, Madrid, Spain
J. Bobes
Affiliation:
Neuroscience And Sense Organs, ISPA HEALTH RESEARCH INSTITUTE OF THE PRINCIPALITY OF ASTURIAS, Oviedo, Spain Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain Psychiatry, Hospital Universitario Central de Asturias, Oviedo, Spain Psychiatry, CIBERSAM, Madrid, Spain
P.A. Saiz
Affiliation:
Neuroscience And Sense Organs, ISPA HEALTH RESEARCH INSTITUTE OF THE PRINCIPALITY OF ASTURIAS, Oviedo, Spain Psychiatry, SESPA Mental Health Services of Principado de Asturias, OVIEDO, Spain Department Of Psychiatry, University of Oviedo, Oviedo, Spain Psychiatry, Hospital Universitario Central de Asturias, Oviedo, Spain Psychiatry, CIBERSAM, Madrid, Spain
*
*Corresponding author.

Abstract

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Introduction

Suicidal behavior has a great impact on world public health. The literature describes the possible existence of an association between neurobiological, clinical and cognitive factors in suicidal behavior.

Objectives

To determine the possible relationship between clinical variables (history of abuse/maltreatment in childhood), psychopathology (impulsivity traits) and cognitive (decision-making) with a history of suicide attempt and/or current suicidal idea in patients with major depressive disorder.

Methods

Cross-sectional study in a sample of adult patients with major depressive disorder in which two types of comparisons are made. In the first case, two groups were compared based on the presence or absence of history of suicide attempt. In the second case, two groups were compared based on the presence or absence of suicidal ideation in the same sample of patients. Finally, sociodemographic, clinical and cognitive variables were evaluated in that population sample.

Results

When the joint influence of sociodemographic, clinical and cognitive characteristics are present, it can be said that being single/divorced/separated, a history of sexual abuse in childhood and an alteration in decision-making, specifically a lower number of choices of deck D in the IGT test, are associated with a higher probability of a personal history of suicide attempt. While a higher score on the Barrat impulsivity scale is associated with a greater probability of presenting current suicidal ideation once the influence of sociodemographic, clinical and cognitive variables has been taken into account.

Conclusions

Different sociodemographic, clinical and cognitive factors are associated with the presence of a history of suicide attempt and/or current suicidal ideation.

Disclosure

No significant relationships.

Keywords

childhood traumaimpulsivenessDecision-makingSuicide
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S177 - S178
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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